Can pressing just below the injection site prevent Botox from migrating below the brow bone?
Doctor Answers 3
Botox is a fabulous tool for injecting wrinkles. Proper technique is the most important part of preventing diffusion or migration of Botox. There are no studies that I have seen in putting pressure against the orbital rim after injecting Botox. For the best results it is most important to find an experienced board certified dermatologist.
I have not seen any cases of migration-related eyelid or eyebrow droop in my patients treated in this fashion, as it has allowed me to place highly-concentrated Botox in small volumes exactly in the bulk of the muscles I want to relax, immediately above the orbital rim, while sparing the muscles I want to avoid treating. I do not place the Botox one or two cm above the orbital rim because the frontalis muscle is then relaxed as well and patients, while having some smoothing of the frown lines, also have this strange depression of the medial brow and a lift of the lateral brow that is a true Spock-like "tell" that one has had a (not great) Botox treatment. When placed closer to the orbital rim, the brow then lifts 1 to 2 mm rather than drooping.
It only takes 60 to 90 minutes for the Botox molecules to attach to the motor end plates of the nerve endings in the muscles, however, so by the time you are home it should no longer make a difference whether you do or do not apply pressure anywhere. Your doctor should be doing this for you.
I hope this helps to answer your questions!