It's been a week since my botox injections (22 units in 11's, 8 units in forehead). My inner brows feel very heavy and I have the feeling of constant scowling (though the 11's have improved and no wrinkles on forehead). I am constantly trying to raise them to alleviate the feeling, but then my outside brows arch abnormally. I feel the inner eyes are more hooded than ever with an odd pull and more loose skin. Do I just need to wait this out or can something be done to help with this?
Answer: BEAM ME UP SCOTTY This exaggerated lateral lift of the brows occurs when the central forehead is injected but not out laterally enough. Back in the early nineties, a French airline stewardess came to the office and requested I inject only into the mid forehead to avoid drooping of the lateral brows. I altered my technique to accommodate her.A few days later I got a call. "I am zee devil, I am zee devil" she exclaimed. I told her to come right in to have it checked. At rest she did not look abnormal, but when she attempted to lift her brows, the lateral brows went right up at 30 degrees in dramatic and alarming fashion. I crossed two fingers in the sign of the cross and said, "you are zee devil, you are zee devil!". We need an exorcism!3 units of Botox was injected strategically into each lateral forehead following the lines of contraction. In two days zee devil was nowhere to be found. She was back off to France. There is hope. Go back and ask for a touch up.BTW 22 units in the 11s cannot hurt, but 10 to 12 units is enough in most patients.
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Answer: BEAM ME UP SCOTTY This exaggerated lateral lift of the brows occurs when the central forehead is injected but not out laterally enough. Back in the early nineties, a French airline stewardess came to the office and requested I inject only into the mid forehead to avoid drooping of the lateral brows. I altered my technique to accommodate her.A few days later I got a call. "I am zee devil, I am zee devil" she exclaimed. I told her to come right in to have it checked. At rest she did not look abnormal, but when she attempted to lift her brows, the lateral brows went right up at 30 degrees in dramatic and alarming fashion. I crossed two fingers in the sign of the cross and said, "you are zee devil, you are zee devil!". We need an exorcism!3 units of Botox was injected strategically into each lateral forehead following the lines of contraction. In two days zee devil was nowhere to be found. She was back off to France. There is hope. Go back and ask for a touch up.BTW 22 units in the 11s cannot hurt, but 10 to 12 units is enough in most patients.
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Answer: Compensated brow ptosis As we age our brows descend. Most do not notice this as we naturally compensate by raising them up. The hallmark of this are the horizontal creases in the forehead. These are the result of unconscious elevation of the brows due to their descent. Botox relaxes these muscles allowing the creases to recede but also allowing the brow to fall.It is likely that the treatment of your forehead has unmasked some of this brow descent. It is not permanent but may help guide future treatment. In the interim, balancing "frown" by relaxing the outer brow (Spock) can soften the effect.As always, discuss your concerns with a board certified plastic surgeon (ABPS).Donovan Rosas MD
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Answer: Compensated brow ptosis As we age our brows descend. Most do not notice this as we naturally compensate by raising them up. The hallmark of this are the horizontal creases in the forehead. These are the result of unconscious elevation of the brows due to their descent. Botox relaxes these muscles allowing the creases to recede but also allowing the brow to fall.It is likely that the treatment of your forehead has unmasked some of this brow descent. It is not permanent but may help guide future treatment. In the interim, balancing "frown" by relaxing the outer brow (Spock) can soften the effect.As always, discuss your concerns with a board certified plastic surgeon (ABPS).Donovan Rosas MD
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May 23, 2019
Answer: Unhappy with Botox Results I am sorry to hear you are unhappy with the results of your Botox treatment. This arched brow can occur after Botox, but luckily it can be fixed quickly with well placed Botox on your lateral forehead. I encourage you to schedule another appointment with your previous injector or plan a visit to a board-certified cosmetic dermatologist to get additional treatment that will even out your results.
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May 23, 2019
Answer: Unhappy with Botox Results I am sorry to hear you are unhappy with the results of your Botox treatment. This arched brow can occur after Botox, but luckily it can be fixed quickly with well placed Botox on your lateral forehead. I encourage you to schedule another appointment with your previous injector or plan a visit to a board-certified cosmetic dermatologist to get additional treatment that will even out your results.
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May 21, 2019
Answer: Botox Touch Up Dear Peaceful429, Thank you for your question. It is quite possible that you need a touch up on your botox if you are experiencing heaviness. Luckily, with a skilled injector this is an easy fix by injecting a very small amount in another area to counteract these muscles. I suggest following up with your injector. Best of luck to you!
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May 21, 2019
Answer: Botox Touch Up Dear Peaceful429, Thank you for your question. It is quite possible that you need a touch up on your botox if you are experiencing heaviness. Luckily, with a skilled injector this is an easy fix by injecting a very small amount in another area to counteract these muscles. I suggest following up with your injector. Best of luck to you!
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May 21, 2019
Answer: Botox Thank you for your question!We would recommend to put 1-2 units more to the each side of your forehead, but this can potentially drop the brows in the corners and make it feel heavier.Always have a consultation with your medical practitioner before making any decisions. Kind regards.
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May 21, 2019
Answer: Botox Thank you for your question!We would recommend to put 1-2 units more to the each side of your forehead, but this can potentially drop the brows in the corners and make it feel heavier.Always have a consultation with your medical practitioner before making any decisions. Kind regards.
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May 18, 2019
Answer: It's a week after my Botox, and I feel I am scowling all of the time as if I can't relax. Can this be fixed? Thank you for your question.
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May 18, 2019
Answer: It's a week after my Botox, and I feel I am scowling all of the time as if I can't relax. Can this be fixed? Thank you for your question.
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