David J. Myers, MD

In truth... choose an experienced injector. Droopy eyelid or eyebrow is due to injecting too close and Botox migrating downward. There is no patient responsibility.

From 5-15. I tend to not be an aggressive heavy forehead line injector. It is easy to over do it and leave somewhat flat eyebrows which is not aesthetically pleasing until the botox wears off.

I don't have any specific post botox instructions. I say thanks for coming in, enjoy it. have fun! In the past, people have had instructions such as don't lie down for 4 hours, Don't excericise, don't go on a flight etc. All of these have been proven to be unnecessary. For instance, botox doesn't migrate if you lie down after injection. Hope that helps.

Yes but carefully.   Botox, by decreasing the enlarged muscles under the eye, sometimes called the "jelly roll" can open the eye aperture.  It is an amazing trick that can give and open eye appearance which looks great along with decreasing the crease under the eyelash margin.  Careful as it can worsen swelling under the eye if they pt has lost the muscle elasticity.  A simple snap test of the lower eye can tell you if they are a good candidate or not.  As a rule, younger patients are usually safe to treat this area.  Another area on the lateral and lateral-inferior aspect is best treated with filler and botox. This is an extension of the crows feet under the lateral portion of the eye.  This is best treated with a blend of a thin filler and slight amount of botox, injected with a cannula to ensure even spread, break apart adhesions worsening the wrinkles and decrease bruising and pain. 

I don't limit patient after botox.  We used to have limits (don't lay down for 4 hours, no excercise that day).  I now say "no limits"... though i do encourage them NOT to go straight to bikram yoga and stand on their head.  Otherwise, no limits.  Hope that helps!

Everyone is different as to the amount they need depending on the size of the procerus and corregator muscles in the glabella.  20 can be reasonable for someone.  while others are good with 12 and others need 30 + if total paralysis is desired.  I like some movement myself.  Remember also, the day after injection is too soon to know the full effect of botox.  Wait until a week after to better gauge.  Lastly, completely eliminating lines on first Botox is probably unreasonable.  If the lines aren't "etched" in, called dynamic wrinkles (wrinkles that appear when squinting) then Botox can soften these lines.  If they are "etched" (ie static glabellar wrinkles), Botox will not help those disappear; filler combined with Botox would be most effective for these.  Lastly, unfortunately there are those that give less units then promised.  I encourage injections by experts - Dermatologists or Plastic Surgeons who do injections.  

Typically a typical treatment of the glabella, crow's feet (lateral orbicularis oculi), bunny lines (nasalis) and forehead can range from $300 to $600.  This is variable as some need more botox than others.  

TCA peels once they have denatured the keratin and other proteins and you get "frosting" self neutralizes and reaction stops.  Think of it like this, once the protein in egg whites has been heated and turned white, you can't continue to turn it more white. The chemical reaction has occurred.  Optimal post chemical peel treatment is under the guidance of a cosmetic dermatologist.  Good luck. 

I have found that best way to treat this would be with a vascular laser.  Usually a 1064 nm (such as an Excel V) to get these deep purple veins.  I have tried using heat with micro needles and sclerotherapy in the past and had more success with a vascular laser.

Often using both a neuromodulator (Botox, Dysport etc) and a filler can help with a glabellar wrinkle.  Sometimes it doesn't fix it completely with one treatment.  Complete correction of a deep crease with one treatment is often hard to obtain and can be risky.  The glabellar furrow will likely soften over time.  In addition, if this was a deeper crease to start with, additional small amount of filler, could help you get the look you want.  Good Luck, Dr. Myers.