“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.
This is highly unlikely to be permanent and will likely resolve when the botulinum toxin effect dissapates between 3-5 months.
Answer: BOTOX itself will not cause an indentation
However, if certain muscles relax and other muscles are not injected, those active muscles may be working harder and become more pronounced looking. You may have what appears to be a hole but is a depression area between a weakened muscle and a more active muscle.
Hyaluronic acid fillers such as Juvederm and Restylane can fill in indentations in a forehead.
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.
At times, results may look slightly uneven at first, because the Botox may “kick in” at different rates. It is important to gently exercise the muscle areas that you have received the Botox treatment in by making facial expressions such as frowning, smiling, gently raising the eyebrows and squinting.
Like cosmetic injectables, bumps and swelling after a Botox injection aren't uncommon. In most cases, these bumps go away after a few hours when the skin recovers from the irritation or when most of the toxin is absorbed by your body.
Slight bumps, lumps, and redness at the injection site are not uncommon and will go away within the next few days. Also, know that it can take for up to one week for results to be fully.
This feeling will fade and usually settles down after 3 to 5 weeks. It is perfectly normal after having wrinkle smoothing injections in your forehead, for your brow and eyelids to feel heavy. It is almost impossible to treat wrinkles in that area and not give that heavy brow feeling. Dr.
Signs of a Bad Botox Injection
There are two signs you've had a bad Botox injection: Unusual results such as facial asymmetry (one side doesn't match the other), overarching eyebrows, a drooping eyelid, or not being able to move the forehead at all.
In most cases, Botox begins to work fully within the first week after treatment, so by day four you should be able to see a slightly noticeable difference in the appearance of the areas that were treated. If this is your first treatment, you may experience a “heavy” sensation in the treatment areas.
Botulinum toxin injection makes the forehead appear bigger. Botox cosmetic procedure functions well at creating an extended forehead and brow lift because it calms the forehead muscle. The skin is no longer pulled down by the relaxed muscles.
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.
However, when it is not performed properly, Botox can result in a "frozen" or fake look. The most common causes of botched Botox are: Improper injection techniques. Many unskilled injectors make the mistake of injecting Botox too deeply or too superficially into the skin.
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 .
According to research in the journal BMJ Case Reports , most congenital skull depressions from a birth injury spontaneously resolve in about 4 months. In other cases, a dent in the head requires treatment. For example, a person with a depressed skull fracture will need surgery.
Dents in your skull can be caused by trauma, cancer, bone diseases, and other conditions. If you notice a change in your skull shape, you should make an appointment with your doctor. Take note of any other symptoms, like headaches, memory loss, and vision difficulties, that could be connected to a dent in your skull.
Is it normal to have dents in your head? It is normal to have slight irregularities in the skull or scalp, just like it's normal for skin anywhere on the body to have small birthmarks. However, changes in skull shape and new bumps or dents in the skull or scalp can be a sign of a serious medical issue.
The indentations that you see just above your brow, is the lower border of your corrugator muscle.
Answer: BOTOX® can address wrinkles, but isn't able to create dimples. Unfortunately, you won't be able to achieve dimples using BOTOX®. This injectable works by temporarily relaxing the muscle contractions in the upper portion of the face that cause expression lines and, eventually, permanent wrinkles.
I find that some patients develop and indentation between the muscles of the forehead as the muscles thicken or hypertrophy. Botox may help here. Over time, the fat between the forehead muscles will soften exposing a normal soft dip in the bone.
Botulinum toxin-induced atrophy has been reported as early as one month after injection, and is well maintained for 6 months. In some cases, variable degrees of atrophy were noted up to one year after a single administration.
Mixing the toxin with too much saline increases the risk of complications because a dilute solution is more likely to migrate into other muscle areas, he says, causing problems like a droopy eyelid, double vision or a droopy lip. And a watered-down injection isn't as likely to hold up.
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.