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.
Around 5% of people who get Botox will have problems with eyelid droop. This number falls to less than 1% if a skilled doctor does the injection.
According to Dr Gavin Chan, one of the most important things practitioners can do is to, “inject the lateral tail of the corrugator which is the muscle which causes the bunching (6.35) of the frown. Superficially injecting the lateral tail of the frown (corrugator) muscle can help avoid ptosis”.
Effects of neurotoxin injections (Botox, Dysport and Xeomin) peak between 3 and 7 days with 5 as the average. You would expect ptosis to occur by that time if it's going to happen at all. Having the Botox injected by an MD that understands and follows the proper aesthetics of facial beauty also help IMO.
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.
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. Another ten to fifteen units in the forehead.
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.
Sometimes, we can help the eyebrow to lift by giving Botox to the muscle that pulls it down, Orbicularis Oculii. This is the same muscle that wraps around the eye to close it. Injecting it laterally in very specific points can help lift the eyebrow without affecting the movement of the eyelids.
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.
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.
However, in some instances, Botox migrates from the injected treatment area and ends up in the levator muscle. When this occurs, it causes drooping eyelids or droopy eyebrow. Botox can also be injected into the forehead to reduce forehead wrinkles.
The first “true” results will be noticeable within 24 to 48 hours – when you'll see a softening of wrinkles. Why does Botox need a couple days to start working?
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.
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.
Botox onset is 5 to 7 days. Botox peaks at 10 to 14 days.
Answer: Improper Botox placement causes lid puffiness.
When the Botox is injected too close to the eyebrows, the brows drop a tiny bit and this is enough to cause the very thin eyelid skin to bunch up and look puffy.
“It's customary to provide an 18 to 20 percent gratuity for any spa service, no matter if it's sugaring or a Biologique Recherche facial,” Angela Rosen, owner of Penelope & The Beauty Bar in Seattle and Daphne in New York City, tells Allure.
The reason for this delay is due to the time it takes for the body to start reacting to the Botox after it's been injected. Because of this, we like to have our patients come back after two weeks to check on their progress.
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.
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.
"Tip 20 percent on the true total cost of the service, not the discounted cost," Schweitzer says. "The hairdresser did the same amount of work, so they deserve the same amount of tip."
In general, you can see the effects of Botox as early as 3 to 4 days after an injection. Dr. Oscar Trujillo, a facial plastic surgeon at Columbia University Irving Medical Center, says most patients will see results within 10 to 14 days but should wait the full 14 days to see the maximum results.
You may start to see results in as little as 24 hours, although the average time is three days. However, some patients may not see results for as long as five days. The maximum results of Botox can be seen within two weeks. One Botox injection can last up to four months.
Botox does change over the first 2 weeks. If you feel like your eyes are heavy and hooded, you may have too much for your liking in your forehead. The Frontalis (forehead muscle) is the only muscle which raises your eyebrows so paralyzing this muscle can lower the brows which make the eyes feel heavy.