The next option for correction, which surprises many patients, is that you can treat an eyelid ptosis, even one caused by botulinum toxin injections, with MORE botulinum toxin! The eyelid, like most moving structures in the body has muscles which oppose each other.
Sagging eyelid skin can be a cosmetic and medical concern. Depending on the severity of your condition, Botox can help. An injection of the neurotoxin in your forehead and around your eyebrows can effectively treat a brow that droops slightly and minor sagging skin of the eyelids.
Eyelid droop often happens when the person giving the treatment doesn't have proper training and enough experience. They can inject Botox into the wrong area or use a dose that's too high, which leads to muscle weakness and droop. You could have trouble fully opening your eyes or vision problems.
Unfortunately there's no antidote to (counteract Botox). Eyebrow drop is so annoying to patients but thankfully the effects of Botox are not permanent. The eyebrows can start rising even before the full effect of Botox on the forehead wears off.
One common treatment is an α2-adrenergic agonist ophthalmic eye drop, 0.5% apraclonidine. Another selective α2-adrenergic agent, brimonidine eye drop, is used as an alternative to apraclonidine to treat eyelid ptosis.
Although ptosis may persist for the whole duration of effect of treatment with botulinum toxin type A, it will usually settle more quickly and eyelid ptosis will often settle within 3 to 4 weeks and brow ptosis within six weeks.
In most cases, droopy eyelid occurs between one and three weeks after treatment, and patients typically experience this adverse effect for just a few weeks. According to Dr. Holman, “It's important to remember that, like Botox treatments, a drooping eyelid is usually temporary. The effect will wear off after a while.
Because the frontalis muscle is an eyebrow elevator, placing too much product too far laterally in the forehead can entirely block the frontalis muscle and lead to a droopy eyebrow. In patients who are younger, typically in their mid-30s to early 40s, usually this is not a significant consequence.
If the Botox is placed too low or if it migrates down, the Botox can affect the lower part of the muscle and cause a droopy eyebrow. Sometimes when your eyebrow goes down, it can make your upper eyelid heavy too, making it look like droopy eyelids.
You can also have a quick laser skin tightening treatment on your upper forehead. This will pull the eyebrows up and correct the heavy feeling. Sometimes you will need multiple laser skin tightening treatments and you can do them once a week.
Botox issues based on injection site
In that area, you generally can't make a droopy eyelid. When doctors inject into the forehead and sides of the eyes (near crow's feet), patients can start getting a droopy eyelid or a droopy eyebrow. In general, you can put about ten to fifteen units in the crow's feet.
Answer: Will Massage Make Botox Go Away Quicker? I'm very sorry you are experiencing unfavorable reactions to your Botox treatment. The unfortunate news is massaging will not change the longevity of the Botox; however the good news is the effects should soften soon.
Typically, an oculoplastic surgeon may prescribe an average dose of 12 to 24 Botox units for treatment around and under the eyes.
Yes, Botox can cause droopy eyelids if it is injected in the wrong place or if too much is used. Because Botox is a muscle relaxing toxin, if it is injected into the muscles that hold the eyelids or eyebrows up, then this can cause the muscles that pull the eyelids down to be more emphasised.
You can work eyelid muscles by raising your eyebrows, placing a finger underneath and holding them up for several seconds at a time while trying to close them. This creates resistance similar to weight lifting. Quick, forcible blinks and eye rolls also work eyelid muscles.
Most cases of drooping eyelids are due to aging and there is no disease involved. Eyelid lift surgery (blepharoplasty) is done to repair sagging or drooping upper eyelids. In milder cases, it can be done to improve the appearance of the eyelids.
Too much Botox in the forehead muscles can cause the eyebrows to droop, making the upper eyelids look very heavy and hooded. The face may look angry or sad all the time. Too much Botox around the eyes can dramatically affect facial expression. The face is simply frozen.
This is a side effect of Botox treatments, which can be caused by having an injection done too close to your eyebrows, which pushes them down and in turn, makes your eyelids droopy and puffy.
Answer: Eyelid heaviness and "hooding"
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.
Eyelid ptosis is most commonly seen from inappropriate placement of botulinum toxin. This specific complication can be avoided by staying at least 2‐3 cm above the supraorbital margin or 1.5‐2 cm above the eyebrow while injecting into the frontalis.
Unfortunately, as the full results from Botox injections will take up to two weeks to appear, there is a chance the drooping could get worse. However, as the results from Botox are only temporary, the droopiness should completely resolve over the next three months.
So how much Botox do you actually need when dealing with areas around the eyes? In cases of treating eye problems, the average dose is 12 to 24 total Botox units, with forehead lines requiring 20 units and crow's feet requiring 24 units.
For horizontal forehead lines, practitioners can inject up to 15–30 units of Botox. For “11” lines between the eyes (or glabellar lines), up to 40 units are indicated, with higher doses needed in male patients .
Up till now, there is no known antidote for Botox! Which means that there is no fast way to dissolve Botox of reverse its symptoms. Time is the only thing that is going to help Botox go away.
Again, if this is still an issue after about a week to ten days after your Botox treatment, go back to your provider. It's a very easy fix to put a little bit extra Botox in your strong side, and that will make everything nice and even. “Why is my Botox uneven?”