I got dysport injections btw my eyebrows & forehead as well as chin & upper lips. My eyelids are sagging. Is this normal?(photo)
Doctor Answers 5
Eyelids sagging after Botox
- This is the most common complaint I hear about from Botox injections. It can easily be avoiding by injecting the frontalis muscle that creates forehead furrows until after treating the glabellar complex that creates frown lines, and keeping the injectors in the corrugators and procerus muscle low. If a patient has significant blepharochalasis (low- hanging and lax upper eyelids) prior to treatment, it might be best to not treat the frontalis at all, or, if treating, keep the injections very high to keep the lower segment of the frontalis from relaxing and dropping the brow. We now have Pelleve to lift the brows and help with forehead wrinkles, and Beletero to inject in the forehead to lift and fill the lines and recreate the normal 14 degree-angle of curve of the upper forehead. I tend to reserve Dysport for the forehead and smile lines, where its softer effect with more spread is desired. In the glabellar complex and upper lip lines, it is best to keep the effect directed and confined and I love Botox or Xeomin for these areas.
- Your physician might be able to inject a little Botox in the depressor supercilli and lateral periorbital muscles to get a little lift. Failing that, you should notice some improvement by two months.
- With regard to your mouth, I really think you will only have trouble with puckering for a week or two. In the meantime, remember not to take big gulps of coffee, red wine, or borscht. As you swallow, you create increased pressure inside your mouth, and if you have imbibed a large volume the periorbital muscles may not be strong enough to keep the lips tightly compressed, and I am sure you don't want these to land on your champagne-colored silk blouse!
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Forehead and brow drooping (ptosis) after Dysport or Botox
Drooping eyelids after dysport injections
similar problems occur with treatment of the lines around the lips, although function often recovers more quickly in this area.
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