What is shelving after Botox?

Author: Shaylee Hodkiewicz  |  Last update: Tuesday, May 23, 2023

“With neuromodulators such as Botox, patients tend to have had treatments so regularly and for so long that they have muscle atrophy or loss of muscle mass. This can cause indentation in the temple and indentation in the forehead furrow line, which creates a shelf-like droop of wasted muscle.

Why do I still have crows feet after Botox?

Answer: Crow's feet Botox

One, not enough Botox was used in the area. Two, there is muscle recruitment, meaning there is still some activity in parts of the muscle and they are working extra, creating the lines.

What causes chipmunk cheeks after Botox?

Unnatural Resting Face

Botox can also be incorrectly injected in a way that lowers the natural elevation of the cheeks, leading to the appearance of 'chipmunk cheeks'. Finally, the overuse of Botox around the mouth can result in temporary droopiness.

Does Botox make you look older after it wears off?

There's a common misconception that Botox makes you look older when it wears off. On the contrary, regular Botox treatments make you look younger even after the neurotoxin wears off.

Is 40 units of Botox a lot?

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 .

Botox Around The Eyes - Some Common Unwanted Effects And What To Do

Do you tip for Botox?

The only person you never need to tip is a doctor, even for aesthetic treatments like Botox (another reason to only get injections from a dermatologist or plastic surgeon). At the end of the day, all of these stylists, aestheticians, and technicians live off their tips, so be sure to help them after they've helped you.

Are you supposed to tip your Botox injector?

You should NEVER leave a tip for your PA/NP or nurse injector. Injectables are medications, just like a blood pressure pill or a thyroid medication. You would not tip your primary care provider for doing an EKG on you so no need to tip on our medical services either.

At what age should you stop getting Botox?

At what age should you stop using Botox? There is no upper age limit for people who want to have Botox. In fact, many women enjoy the refreshed look they can get from Botox and complementary treatments when they are in their 60s or older.

Why does Botox make your forehead shiny?

Why Does Botox Make Your Forehead Shiny? Light naturally reflects off of smooth surfaces, so the smoother your skin, the more light will bounce. Botox injections smooth the skin, which can cause it to appear shinier, especially if it is overdone.

What happens to your forehead after years of Botox?

"If you do too much Botox on your forehead for many, many years, the muscles will get weaker and flatter," cautions Wexler, adding that the skin can also appear thinner and looser. Moreover, as your muscles become weaker, they can start to recruit surrounding muscles when you make facial expressions.

How long does Botox shelving last?

Botox usually lasts three to six months after treatment. Regular Botox treatments can affect how long it lasts. In general, you will need fewer Botox treatments over time to get the same effect.

What are the signs of too much Botox?

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.

Why does my face look worse after Botox?

When people see lines forming after BOTOX wears off, they assume treatment made their wrinkles worse. Actually, your face simply returns back to its natural state. No new wrinkles or lines are ever caused by these injections.

Why is my smile different after Botox?

It is because your cheek muscles are an active participant in helping you smile. So if Botox gets injected too low on the upper part of the cheek, the Botox will weaken the muscles that help lift your mouth muscles and stop you from having a full smile.

Why is my smile crooked after Botox?

And the depressor labii inferioris (DLI) muscle pulls down your lower lip, and you have one of these muscles on each side. When Botox spreads to any of these muscles, it will relax them. Usually this only happens on one side. This makes your smile on that side look different.

Does crows feet Botox lift eyebrows?

Botox can elevate the brow by relaxing the muscles pulling the brow down and leave the muscles intact that elevate it. The lateral orbicularis (the crow's feet) muscle is one of the ones that depress the brow. The other main ones are the ones in the glabella (between the brows).

What are the cons of forehead Botox?

Cons of Botox
  • Bruising and pain at the injection site.
  • Flu-like symptoms.
  • Headache.
  • Nausea.
  • Redness.
  • Temporary facial weakness or drooping.

Why do my eyebrows look weird after Botox?

Heavy brows and the feeling of drooping.

This feeling and look comes from treatment of the forehead muscles called the frontalis. These muscles move the brows up and in certain cases after Botox treatment, the relaxed muscle then makes the brows drop.

Should you be able to raise eyebrows after 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. It might take 4-6 weeks, but the eyebrow will be back to it's normal position for sure.

Are there downsides to Botox?

Possible side effects and complications include: Pain, swelling or bruising at the injection site. Headache or flu-like symptoms. Droopy eyelid or cockeyed eyebrows.

Why no Botox after 65?

The short, ultra general answer, is Yes! People aged 65 and above can safely receive Botox to reduce signs of aging; as long as you are in general good health, you shouldn't have any problem with Botox treatments.

Is 50 too old for Botox?

50 is definitely not too late for Botox. Especially, if you are concerned about deepening frown lines between your brows, horizontal forehead lines, crow's feet, and neck banding.

How many units of Botox for forehead?

Between 10 to 50 Units of botox

A forehead botox injection can require between 10 to 50 units needed in the forehead depending on the severity of your wrinkles. Allergan, the manufacturer of Botox suggests the amount of units that's recommended in the “five” sites of the forehead is 4 units.

Where should you not inject Botox?

A good injector should know where to never inject.

A qualified, experienced injector should never inject the area near the orbital bone right above the pupil. If Botox is injected here, it can drift down toward the upper eyelid and cause an eyelid droop. This can last from weeks to even months.

What should you avoid after Botox?

Top 7 Things Not To Do After Botox
  • Rubbing Your Face. ...
  • Going Under The Sun And Strong Heat. ...
  • 3 . ...
  • Taking Blood Thinners. ...
  • Drinking Alcohol. ...
  • Washing Your Face With Soap. ...
  • Applying Any Topical Products Or Ointments On Your Face Immediately After The Procedure. ...
  • Lying Down On Your Face For The First Few Hours After Treatment.

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