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.
Natural-looking results: Botox injections can slightly lift the eyelid skin and make the eyes look more alert as naturally as possible.
Specifically, injections on the forehead or between the eyes may spread into the eyebrows and cause the brow to lower, causing a droopy eyelid. 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.
Eyebrow lift Botox injection sites are located between the eyebrows in the procerus and at the ends of the eyebrows in the orbicularis oculi. The reason that these are the Botox sites for eyebrow lifts is because they are the muscles that pull the eyebrows down.
How many units does a Botox brow lift take? A Botox brow lift can take 4 to 6 units at the lateral aspect of each eyebrow. Commonly, patients have a vertical frown line at the glabella area which needs treatment and 20 to 25 units of Botox are typically needed there.
Typically, an oculoplastic surgeon may prescribe an average dose of 12 to 24 Botox units for treatment around and under the eyes.
Most of us are familiar with the benefits of BOTOX for smoothing forehead lines and wrinkles, but you may be surprised to learn that BOTOX can also help to lift drooping brows and correct hooded eyes in some patients.
Brows or eyelids that feel heavy after a Botox injection, having trouble to fully open the eyes, and droopy eyelids or brows — these are all signs of ptosis. Ptosis is when the eyelids or brows droop because of congenital muscle disorders, injury or trauma, age, and nerve and connection problems around the eyes.
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.
Unlike surgical solutions for this intervention, with Botox healing is much faster, results lasting between 3 and 6 months.
Injections such as Botox and Dysport and dermal fillers can tighten the skin of the eyelids. A board-certified plastic surgeon or oculoplastic surgeon can help you choose the right treatment.
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.
The Frontalis is the muscle in your forehead which controls the raising of your eyebrows. After 2 weeks, if you still feel heaviness, try gentle eyebrow raising exercises and blinking your eyelids rapidly for 30 seconds. Do this 4 times daily for 2-4 days as it may help resolve the heaviness.
If you go too close to the eyelid, when you're injecting near the crow's feet, that's when the Botox can diffuse into the eyelid. As a result, patients can get a condition known as Ptosis. That's spelled P-T-O-S-I-S. That's when the upper eyelid drops.
Occasionally, some of the Botox seeps into the upper eyelid and paralyzes the levator palpebrae — the muscle that holds the upper eyelid up. If this muscle is paralyzed, the upper eyelid will droop.
When Botox is applied to problem areas around the eyebrows, the muscles relax and the skin on top of them becomes smoother. The muscles around the eyebrows are pulled upwards, elevating the eyebrows and making a patient's eyes appear more open. Patients are thrilled to find they look alert, peppy, and rested.
Hooded eyes can be corrected with blepharoplasty, a type of surgery that involves the removal of excess skin, muscle, and fat from your eyelids. Aside from improving the appearance of your eyelid area, this surgical procedure can also improve your visual function by removing the extra skin.
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.
The "standard" dose, meaning what Allergan writes in the product information, is 40 units to the forehead and glabella (11's/frown) combined. If you have more muscle mass you may need more.
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.
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).
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 .