Why are my forehead wrinkled asymmetrical now? (Photos)
Doctor Answers 11
Xeoinin, units and technique.
Fillers and neuromodualtors like Botox, Juvederm, Xeomin, Dysport, Restylane are all products, much like a pair of high grade Japanese Scissors. Give the pair of scissors to a hair dresser who is an apprentice, compared to a director, and the outcomes, in most cases will be different. The answer lies in the technique but also the dose. 10 units for your muscle bulk is much too low. The solution? Your injector will - or should know how to correct the asymmetry and place another 10-14 units in strategic areas to give you the look you want. This is an easy fix. All the best, Dr Davin Lim. Brisbane. Australia.
Thank you for your question. When did you receive the xeomin? Injectibles do need time to take effect, and the answer could be as easy as you need to remain patient for the procedure to take effect. You should also review your recovery expectations and instructions from your board certified facial plastic surgeon.
Firstly, it is important to wait the full 2 weeks post-treatment to have an idea of exactly which areas were treated and to what extent. From there...
2) You may need additional units in your forehead as your frontalis muscle appears to be quite strong.
3) Finally, the frontalis muscle (the forehead muscle that creates horizontal lines) is large and flat; it is not uncommon to need a touch up to address minor areas of asymmetry.
I would follow up with your injector for additional treatment to achieve your desired results.
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10 units is a small dose of Xeomin for the results you are looking for. You are only 5 days in and it will take at least 2 weeks to see the full effect of your current dose. I believe you will need additional units for the result you desire.
Xeomin is one of three commonly used botulinum toxins used to freeze dymamic wrinkles. 10 units of Xeomin is a very small amount to reduce wrinkles in the forehead. I find you can get an elevation of the brow by treating the lines between the brows and the tail of the brow. Often treatment of the forehead alone can make the eyebrows stiff. I think you can resolve your issue by treating the forehead and the lines between your brows with more units. I still recommend conservative amounts since you would like to have some movement. All the best. Dr. Jean Keamy
Your situation can easily be solved with a few additional units of Xeomin to weaken the side that is still moving. It is also possible one side is stronger than the other. Ten units is a relatively conservative amount, but for some patients this may still result in very little muscle activity. I prefer to err on the side of more movement rather than less when I am first injecting a patient who is concerned about the “frozen” look because I can always add more Xeomin. The relationship between movement and lines is like a teeter totter - the more medicine that is injected, the less the muscle moves and the less obvious lines will be. The more you move, the more lines will be present. You have to decide where the balance lies for you individually to achieve the results you are looking for. I’d recommend consulting with a Board Certified Plastic Surgeon and expressing your desires.
Xeomin to forehead
Thank you for your question and your photos. 10 units of Xeomin to the forehead is very minimal. This can be corrected by adding additional units. You still can stay on the conservative side and not be "frozen". Hope this helps.
Best to you, Dr Faraz
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