The creases that form parallel to the smile folds are a very common complaint and initially they present only when someone smiles but are not apparent at rest, which is similar to the frown lines between the eyebrows. The latter can be treated by Botox but if the same technique were done on...
One eye drop that is commonly recommended for Botox induced droop of the eyelid(s) is Naphcon A. Two other drops that may work are Lopidine and Aproclonidine. However, these may only help eyelid droop and will not improve a drooping brow. In addition the drops don't work for...
A procedure to augment and/or medialize the paralyzed vocal fold would be indicated to improve the 81 year old man's speech. Botox has no role in treating vocal fold paralysis. A board-certified laryngologist would be best equipped to address your concerns.
