had botox two months ago (10 units on each crows feet which i thought exessive since i usually get 6). i wanted a brow lift, but the ps injected around my eye and no brow lift. puffy cheek when smiling (you can really see the cheek muscle becoming round and puffying out when smiling) btw botox effect began the same night (not sure why botox acted so fast) ,. 2 months later no signs of botox softening. i am worried ill be stuck with this look for a long time.
November 25, 2017
Answer: Botox deactivating lower orbiculares muscle Your problem is a common one. When Botox deactivates the lower orbiculares fibers, patients lose their ability to smile correctly, cheeks descend and the lower eyelid fat bags often worsen.Botox is best done by doctors who are familiar with the anatomy of the periorbital and cheek muscles and their actions in the smile and squint mechanism. Botox is not just for wrinkles; it specifically deactivates muscles to produce an effect.The good news is that the Botox will wear off and it can be redone avoiding this effect.
Helpful 1 person found this helpful
November 25, 2017
Answer: Botox deactivating lower orbiculares muscle Your problem is a common one. When Botox deactivates the lower orbiculares fibers, patients lose their ability to smile correctly, cheeks descend and the lower eyelid fat bags often worsen.Botox is best done by doctors who are familiar with the anatomy of the periorbital and cheek muscles and their actions in the smile and squint mechanism. Botox is not just for wrinkles; it specifically deactivates muscles to produce an effect.The good news is that the Botox will wear off and it can be redone avoiding this effect.
Helpful 1 person found this helpful
March 2, 2017
Answer: Unhappy with my BOTOX results... Without photos, it's really not possible to identify what is going on. Also, 10 units to each side for treatment of crow's feet is actually a very reasonable amount and much more effective than 6 units/side. The BOTOX "brow lift" is a very misunderstood treatment by both patients as well as injectors in that it no injection is going to stimulate your brow to raise. Instead, muscles are selectively injected that normally pull down the brows. By injecting these muscles you allow the brow to elevate because it is not being actively depressed. I hope that helps! -Gregory A. Buford MD FACSBoard Certified Plastic SurgeonAllergan Certified MASTER Facial Injectables Trainer
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March 2, 2017
Answer: Unhappy with my BOTOX results... Without photos, it's really not possible to identify what is going on. Also, 10 units to each side for treatment of crow's feet is actually a very reasonable amount and much more effective than 6 units/side. The BOTOX "brow lift" is a very misunderstood treatment by both patients as well as injectors in that it no injection is going to stimulate your brow to raise. Instead, muscles are selectively injected that normally pull down the brows. By injecting these muscles you allow the brow to elevate because it is not being actively depressed. I hope that helps! -Gregory A. Buford MD FACSBoard Certified Plastic SurgeonAllergan Certified MASTER Facial Injectables Trainer
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