Does getting Botox in horizontal forehead lines increase chances of droopy eye? (Photo)
Doctor Answers 15
Does getting Botox in horizontal forehead lines increase chances of droopy eye?
Kenneth Hughes, MD
Beverly Hills, CA......................
Botox for forehead lines
Thank you for your question merdar. When receiving cosmetic treatments such as Botox I recommend you consult with someone with experience. There are board certified doctors with experience doing Botox treatments and board certified doctors without experience. Some non-board certified doctors, non-core doctors (for example Family Medicine), nurse practitioners, physicians assistants, and nurses have a tremendous amount of experience with injectables. Experienced injectors have a lower incidence of side effects with such treatments. There is not question that with an experienced injector people get great results.
In the pivotal studies with Botox used to treat frown lines, 3% of subjects complained of droopy eyelids. In my experience it has been less than 0.5%.
When treating horizontal lines across the forehead seen when you raise your eyebrows, it is important to inject at the correct sites. Some people with broad foreheads have horizontal lines from the upper to lower portion of the forehead. If the lower lines are treated the brow may feel heavy. If they are not, they may still have lines in the lower area. I recommend speaking with your doctor for specific recommendations. Good luck!
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Botox and droopy eyelids/eyebrows
The pictures are limited and so I would defer to your doctors in-person consultation. With that in mind, it looks, based on the photos, that you are somewhat dependent on your frontalis muscle to keep your eyebrows raised. In a situation like this, Botox to the forehead can result in brow ptosis. However, low dose (4-6 units) injections, higher up on the forehead are usually safe. Botox can also be injected in the brow depressor muscles to help open up your eyes and raise your brows.
Botox and Droopy Eye
Injecting Botox into the forehead can drop your eyebrow position, but is less likely to give you a droopy eye. If you already have a lower eyebrow position, Botox can be strategically injected into certain other muscles to help raise your brows.
I would suggest a consultation with a board certified injector to help answer any and all of your concerns.
Best of luck to you!
Botox does increase your chance of a droopy eyelid
firstly if you inject Botox above the eyebrows, it definitely increases your chance of a getting a droopy eyelid. it is very safe to inject it in the central forehead.
if you have droopy eyelids already, an upper lid blepharoplasty should definitely be done by a Plastic Surgeon only. i do these in my office with local anesthetic and some oral sedation, in one hour and your can return to work in 48 hours.
if your derm is not comfortable doing your Botox then definitely see someone who is comfortable doing it.
being a PS, i would suggest a PS but there are many derms who also do a lot of Botox with excellent with excellent results.
david berman md
Droopy Eye and Botox
Does getting Botox in horizontal forehead lines increase chances of droopy eye
Botox and Droopy Eyelids
When people have low eyebrows and/or extra skin on their lids, they tend to raise their brows, subconsciously, in order to see better. Raising your brows often causes horizontal forehead lines.
Botox treats these forehead lines by temporarily relaxing the muscle that raises the brows. However it also can temporarily reduce your ability to compensate for the droopy eyelid. That can cause the lid to appear droopy after botox.
The key is to see an experienced doctor who specializes in Botox. That way you can learn if Botox is a good idea for you and the treatment can be tailored to take into account your low eyebrows or heavy lids.
Hope this is helpful.