Treating hooded eyelids with Botox is a relatively simple process. The treatment involves injecting Botox into your lower forehead and the outer ends of your eyebrows. When injected, it will paralyze the muscle by effectively preventing nerve receptors that prompt muscle movement.
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”.
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.
Further botulinum toxin treatment
This means that if you inject the upper eyelid, the orbicularis oculi muscle, anterior to the tarsal muscle, with 1-3 units of Botox®, it can lift a drooping eyelid by a millimetre or so.
Natural-looking results: Botox injections can slightly lift the eyelid skin and make the eyes look more alert as naturally as possible. Quick results: It only takes a few days for Botox injections to kick in, so you'll quickly see wider more alert 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.
This occurs as a result of migration of the toxin into the muscle that raises the eyelid (levator palpebrae superioris muscle – pink in the picture). A slight miscalculation, like making the injection too low in the forehead muscle, can cause eyelid drooping after Botox.
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.
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.
Where to inject Botox for brow lift. 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.
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.
Patients must be 18 years or older to be able to get Botox. However, most experts agree that in most cases, patients at a good age for preventative Botox treatment are those in their mid-late 20s and early 30s who are prone to wrinkles.
According to the National Stroke Association, forcing your eyelids to work out every hour may improve eyelid droop. 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.
Botox injections of the forehead typically involves the frontalis muscle which is responsible for raising the eyebrows. An eyebrow droop can also occur as a result of over-relaxation of the frontalis muscle, while trying to erase horizontal forehead lines and wrinkles.
Completing the Procedure
For most patients, between 4-8 units is common for the outer brow and 20-30 units on average for the area between the eyebrows.
Typically, an oculoplastic surgeon may prescribe an average dose of 12 to 24 Botox units for treatment around and under the eyes.
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.
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.
If you stop BOTOX treatments after many years of regular injections, the only effect will be that your wrinkles will return, albeit a bit more slowly than if you had not been using BOTOX. It's true: Even after you stop, you will still look younger than you would have if you had never been injected.
Does Botox tighten the skin around your eyes? Botox tightens sagging skin wherever it is injected, including around the eyes. It relaxes the nearby muscles, which helps to reduce and prevent wrinkles. The overall effect is to create the appearance of tighter, younger skin.
Botox injections are commonly injected into three main sites – forehead lines, crow's feet lines around the eyes and the vertical '11' frown lines between the eyebrows.