I was told by a Dr. that, depending on the spots chosen, spot treating a forehead with Botox can cause droopy eyes. True?
Doctor Answers 11
Dynamic changes after Botox treatment and as it wears off
Botox is only as effective as the skills of the surgeon who injects it. Your are not talking about the usual drooping upper lid worry that can be seen with poor technique, where Botox delivered to the lower forehead and medial wrinkles can leach down into the region of the upper lid causing transient drooping that generally lasts a few weeks and then resolves. You may note your doctor pressing against the brow region during injection on these areas, and that maneuver is done to prevent Botox from migrating out of the desired treatment zone. The type of droop you are talking about is not clear from you description, however the actual treatment of the glabella (the "11") is designed to paralyze the corrugator muscles that cause those lines, without affecting the adjacent areas. The crows foot injections are meant to both paralyze the dynamic crows foot lines seen during squinting and smiling, while at the same time weakening the muscles that pull the outer part of the of the eyebrows downward (depressors), creating a controlled imbalance that allows the muscles that raise the corners of the brows (elevators) to pull the brows and skin upward, arching the lateral brows for the duration of the Botox effect. Sometimes changes in dynamic motion will allow fine wrinkles to appear in the tissues adjacent to the treatment areas, but by contrast are usually not noticeable or objectionable. I hope that this helps.
Tom DeWire, MD, FACS
Botox and droopy Eyes
Botox is a great injection for reducing lines on the forehead and around the eyes. However, if Botox is injected too low or improperly you can have droopy eyes. For the best cosmetic results please consult a board certified dermatologist with experience with Botox and other facial injections.
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At 3-4 months, the average patient's Botox has worn off, without permanent side-effects. Discussing your treatment goals and previous experiences with your injector; your injector's growing familiarity with your anatomy will likely provide you with better treatment results. Good luck!
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There are specific areas of the forehead that should not be treated, because it can lower your brow.
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Yes, this can happen but in skilled hands, it is unlikely.
If you are unsure of the current advise you are getting, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have these treatments.
I hope this helps.
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