Why is Botox causing my smile to look off? I love that my crows feet disappear but I hate that hollowness and scary smile. Attached photos to better understand my concern. I told my doc he said that I have a strong smile muscle. Does that make sense?
March 5, 2019
Answer: Botox under eyes Hi Cicci, When we treat crows feet and wrinkles of your lower eyelid, we are injecting muscle called Orbicularis Oculi. This muscle has dual action. It assists you with opening and closing of the eye and also helps to eliminate the fluid we accumulate in the lower eyelid area, by stimulating lymphatic drainage in the lower eyelid. Over the years some of us will develop wrinkles in the lower eyelid areas with repetitive action of this muscle. We refer to these wrinkles as seen on your pre-treatment photos as "jelly roll". When treating crows feet with the Botox, if you have a higher dose, your wrinkles are likely going to disappear as muscle movements are temporarily diminished. At the same time with muscle not moving a lot in the lower eyelids, your lymphatic drainage is reduced, and you may notice some fluid retention there, causing puffiness under your eyes and emphasising the remaining wrinkles, as we can see on your second photo. This will gradually improve as the effects of Botox wear off. In the future, you may like to ask your doctor not to inject too many units in the lower eyelid and tear trough area to avoid this problem. Your wrinkles will still appear softer but without risk of puffiness under the eyes. I hope this advice is of help to you. Best Wishes from Melbourne, Australia.
Helpful 1 person found this helpful
March 5, 2019
Answer: Botox under eyes Hi Cicci, When we treat crows feet and wrinkles of your lower eyelid, we are injecting muscle called Orbicularis Oculi. This muscle has dual action. It assists you with opening and closing of the eye and also helps to eliminate the fluid we accumulate in the lower eyelid area, by stimulating lymphatic drainage in the lower eyelid. Over the years some of us will develop wrinkles in the lower eyelid areas with repetitive action of this muscle. We refer to these wrinkles as seen on your pre-treatment photos as "jelly roll". When treating crows feet with the Botox, if you have a higher dose, your wrinkles are likely going to disappear as muscle movements are temporarily diminished. At the same time with muscle not moving a lot in the lower eyelids, your lymphatic drainage is reduced, and you may notice some fluid retention there, causing puffiness under your eyes and emphasising the remaining wrinkles, as we can see on your second photo. This will gradually improve as the effects of Botox wear off. In the future, you may like to ask your doctor not to inject too many units in the lower eyelid and tear trough area to avoid this problem. Your wrinkles will still appear softer but without risk of puffiness under the eyes. I hope this advice is of help to you. Best Wishes from Melbourne, Australia.
Helpful 1 person found this helpful