Botox made my hooded eyes worse. Now the skin hangs over a little more. It’s only a little bit it definitely makes me look older. I am considering upper eyelid surgery but I am afraid I may be doing too much I had different opinions one doctor says I’m ready another advises me to wait?
Answer: Botox is different for each patient Avoid drooped eyelids and eyebrows. See board certified specialists who do a lot of Botox upper eyelids can drop after Botox for different reasons.- Botox injected too close to the lower forehead and affects the upper eyelid ligament by spreading to that area- Botox injected into too much of the forehead muscle so that it can't support the lifting of the eyebrows and upper eyelid complexExpertly injected Botox of the right amount and into the right areas minimizes the chance of upper eyelid droop especially to be paid attention in those individuals who already show some hooding or sagging of the upper eyelid skin.Fortunately all this will resolve itself usually within three months, sometimes longer.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. If you are experiencing a medical emergency proceed to your nearest emergency room.
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Answer: Botox is different for each patient Avoid drooped eyelids and eyebrows. See board certified specialists who do a lot of Botox upper eyelids can drop after Botox for different reasons.- Botox injected too close to the lower forehead and affects the upper eyelid ligament by spreading to that area- Botox injected into too much of the forehead muscle so that it can't support the lifting of the eyebrows and upper eyelid complexExpertly injected Botox of the right amount and into the right areas minimizes the chance of upper eyelid droop especially to be paid attention in those individuals who already show some hooding or sagging of the upper eyelid skin.Fortunately all this will resolve itself usually within three months, sometimes longer.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. If you are experiencing a medical emergency proceed to your nearest emergency room.
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October 28, 2018
Answer: Eyelid heaviness and "hooding" Hello, thank you for your question. This effect can be experienced with Botox treatments in patients that have heavy lids or excess upper eye lid skin. This is because botox relaxes your forehead muscles and does not allow you to lift your eyebrows as easily. Letting the botox wear off so you can raise your brows again (decreasing the hooding) will unfortunately continue to cause wrinkles. I would discuss this further with your physician for surgical and non-surgical options. I hope this helps!
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October 28, 2018
Answer: Eyelid heaviness and "hooding" Hello, thank you for your question. This effect can be experienced with Botox treatments in patients that have heavy lids or excess upper eye lid skin. This is because botox relaxes your forehead muscles and does not allow you to lift your eyebrows as easily. Letting the botox wear off so you can raise your brows again (decreasing the hooding) will unfortunately continue to cause wrinkles. I would discuss this further with your physician for surgical and non-surgical options. I hope this helps!
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January 29, 2019
Answer: Improving wrinkles with botox/xeomin/dysport and fillers; laser like Fraxel or radiofrequency venus viva/intensif; microneedle many of my younger patients need upper eyelid surgery (blepharoplasty) early if they have hooding. often its genetic. and there is a blanace between doing forehead botox and the eyebrows coming down. so id suggest you get them taken care of surgically this is a simple procedure, weekend downtime. sometimes eyebrow lift is needed at same time. we do this frequently at same time in my practice with lasers to help fine wrinkles.A combination approach would give the most improvement. Movement lines and superficial wrinkles improve best with botox, dysport or xeomin. Fine wrinkles need lasers like clear and brilliant, fraxel or erbium or co2; radiofrequency like venus viva or intensife microneedling RF; microneedling with PRP and stem cells; aquagold treatment; or soft fillers like belotero, restylane silk or refyne, revanesse versa, or juvederm volbella. Deep wrinkles can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Agressive deep peeling like phenol/TCA and J plasma can be used for deeper scarring or wrinkles. Ultherapy is great for lifting of this are and thermage is great for tightening and improving overall texture. Montly facialis like silk peel, dermalinfusion, salt facial, and microneedling with retinol masks can really help fine wrinkles and pore size. You really need a combinaation apporach and proper daily skin care and sun protection for the best results. Please consult with an expert. Best, Dr. Emer.
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January 29, 2019
Answer: Improving wrinkles with botox/xeomin/dysport and fillers; laser like Fraxel or radiofrequency venus viva/intensif; microneedle many of my younger patients need upper eyelid surgery (blepharoplasty) early if they have hooding. often its genetic. and there is a blanace between doing forehead botox and the eyebrows coming down. so id suggest you get them taken care of surgically this is a simple procedure, weekend downtime. sometimes eyebrow lift is needed at same time. we do this frequently at same time in my practice with lasers to help fine wrinkles.A combination approach would give the most improvement. Movement lines and superficial wrinkles improve best with botox, dysport or xeomin. Fine wrinkles need lasers like clear and brilliant, fraxel or erbium or co2; radiofrequency like venus viva or intensife microneedling RF; microneedling with PRP and stem cells; aquagold treatment; or soft fillers like belotero, restylane silk or refyne, revanesse versa, or juvederm volbella. Deep wrinkles can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Agressive deep peeling like phenol/TCA and J plasma can be used for deeper scarring or wrinkles. Ultherapy is great for lifting of this are and thermage is great for tightening and improving overall texture. Montly facialis like silk peel, dermalinfusion, salt facial, and microneedling with retinol masks can really help fine wrinkles and pore size. You really need a combinaation apporach and proper daily skin care and sun protection for the best results. Please consult with an expert. Best, Dr. Emer.
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October 27, 2018
Answer: Eyelid hooding after Botox? Upper eyelid lift? Hello and thanks for your questions and photo. This commonly happens with Botox treatment in younger patients that have hereditary heavy lids/excess upper eye lid skin. Botox relaxes your forehead muscles and does not allow you to lift your eyebrows - with heavy upper lids this inability to raise your brows (which you likely have been unconsciously doing constantly while awake) makes your eyes look and feel more closed down/hooded. You have several options: 1. Botox can be utilized to relax the muscles pulling your brows down - allowing for a modest lateral brow lift which can correct that "heavy" feeling and reverse the hooding caused by forehead Botox. 2. An upper eyelid lift can be performed which will remove the excess skin of the upper lid and "open" your eye more - You are not at the age when this is typically necessary, though you do appear to have excess upper eyelid skin and would be a reasonable candidate and likely get a great result. Heavy upper eyelids can be hereditary and as such, the youngest patient that I have performed an upper eye lid lift (blepharoplasty) for was 26 years old and she got a great result. 3. You can simply wait until the Botox "wears off" enough in a month or 2 so that your forehead muscles can again lift your brows slightly - unfortunately these muscles are also what causes your visible wrinkles. I would encourage you to schedule a consultation with a board certified plastic surgeon in your area that can discuss all of the above surgical and non-surgical options with you to come up with the best treatment plan for you. My office and I would be happy to assist.Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember American Society of Plastic SurgeonsCastle Connolly Top DocReal Self Top 500
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October 27, 2018
Answer: Eyelid hooding after Botox? Upper eyelid lift? Hello and thanks for your questions and photo. This commonly happens with Botox treatment in younger patients that have hereditary heavy lids/excess upper eye lid skin. Botox relaxes your forehead muscles and does not allow you to lift your eyebrows - with heavy upper lids this inability to raise your brows (which you likely have been unconsciously doing constantly while awake) makes your eyes look and feel more closed down/hooded. You have several options: 1. Botox can be utilized to relax the muscles pulling your brows down - allowing for a modest lateral brow lift which can correct that "heavy" feeling and reverse the hooding caused by forehead Botox. 2. An upper eyelid lift can be performed which will remove the excess skin of the upper lid and "open" your eye more - You are not at the age when this is typically necessary, though you do appear to have excess upper eyelid skin and would be a reasonable candidate and likely get a great result. Heavy upper eyelids can be hereditary and as such, the youngest patient that I have performed an upper eye lid lift (blepharoplasty) for was 26 years old and she got a great result. 3. You can simply wait until the Botox "wears off" enough in a month or 2 so that your forehead muscles can again lift your brows slightly - unfortunately these muscles are also what causes your visible wrinkles. I would encourage you to schedule a consultation with a board certified plastic surgeon in your area that can discuss all of the above surgical and non-surgical options with you to come up with the best treatment plan for you. My office and I would be happy to assist.Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember American Society of Plastic SurgeonsCastle Connolly Top DocReal Self Top 500
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October 27, 2018
Answer: Forehead Botox Made Hooded Eyes Worse The forehead is the muscle that lifts your brows. If you weaken the forehead too much with Botox then your brows will droop and eyelid hooding will look worse. This is likely what happened to you. Options are to get less Botox next time, Strategically place Botox to the outer brows to help lift them, or combine Botox with other procedures such as radiofrequency or ultrasound to help lift the brows and improve the eyelid hooding. Make sure you are under the care of an experienced physician provider. Best wishes.
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October 27, 2018
Answer: Forehead Botox Made Hooded Eyes Worse The forehead is the muscle that lifts your brows. If you weaken the forehead too much with Botox then your brows will droop and eyelid hooding will look worse. This is likely what happened to you. Options are to get less Botox next time, Strategically place Botox to the outer brows to help lift them, or combine Botox with other procedures such as radiofrequency or ultrasound to help lift the brows and improve the eyelid hooding. Make sure you are under the care of an experienced physician provider. Best wishes.
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