Dr. Searles is a very caring dermatologist. My face had lots of acne and he helped me. The treatment took a while but at the end all was good. As is expected with accutane there was some dryness but that was manageable. I was using some creams as well but I think it was accutane that helped the most. thank you
The main reason for the dropping of the eyelid is the placement of the Botox being too close to the orbit margin. If the injection point is too close to the edge of the orbit, the medication will drift into the upper eyelid and relax the muscle. The degree of dropping is more if the concentration is higher. If this occurs, the a minor drop can be corrected with the use of eyedrops. Otherwise, you'll have to wait for the Botox to wear off.The number of units of Botox used is less important than the concentration of the Botox solution. Some injectors use high concentrations which means small volumes. Other injectors prefer to use low concentrations which means a larger amount of fluid injected into the brow. So, if a large amount of fluid is injected into the brow, this fluid can spread through the muscles and perhaps move into the upper eyelid. Also, the number of units of Botox required depends on the degree of muscle strength. The stronger the muscle, the more units required to get the result.Experienced injectors follow a rule where you can always add more Botox, but you cannot take it away. Having injections done by someone with lots of experience may not guarantee that there will be no eyelid drop, but it can ensure that it is much less likely that it will occur.
Many people may not be aware that they unconsciously use their forehead to lift the eyebrows and sometimes their eyelids. With the relaxation of the forehead muscles, you have temporarily lost this ability, leading to a slight downward drift of your eyebrows. The upward lift in the middle suggests that this portion of the forehead is still more active.I agree that it may be too soon to say if this effect will last. Ten to 14 days would be a good timeline to see. If it still is an issue by then, a good injector will be able to retouch and restore the balance and look that you want. Moving forward, this would be a good thing to remember to tell your injector the next time you have the procedure. By knowing this can occur with you, your injector will be able to make adjustments so as to avoid this issue in the future.
