Facial Plastic Surgery Blog

I think that question has to do more with the complications of using Botox like products like:

  • Botox
  • Dysport
  • Xeomin

When you use those products you have to think of two things.

  1. Number one is how much are you injecting.
  2. Number two is where you’re injecting.

Listen to my answer here as a podcast or read on to learn how I handle the amount injected and site of injection issues sometimes associated with Botox.

1. Botox issues based on how much is injected

Patients see complications when they use too much Botox, Dysport, or Xeomin in a certain area.

2. Botox issues based on injection site

If the amount of product that your doctor puts in that area goes into an unintended area.

In general, our office uses about twenty five to fifty units of Botox, and a converted factor for Dysport and Xeomin, into the upper third of the face.

Twenty five units, generally, goes between the eyebrows. In that area, you generally can’t make a droopy eyelid. 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.

When you inject in the forehead, your physician should always measure 1-2 centimeters over the eyebrow. This prevents a case of too much Botox near the eyebrow itself.

What happens if you put too much Botox near the eyebrow?

If you do get too much Botox near the eyebrow, that’s when the eyebrow itself drops. 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. It’s either the eyebrow drops or the eyelid drops. They’re both different treatments.

Help! My eyelid is already drooping!

If the eyelid drops, we can prescribe drops that help to raise the eyelid a little bit. Within a few weeks the eyelid itself starts moving a lot better.

Another alternative if the eyebrow drops is to inject a little more Botox into the crow’s feet to help the eyebrow raise. BUT typically we have to wait until the Botox fully wears off.

I hope that helps. That’s what patients have to consider when you’re worried about making an eyelid or an eyebrow droopy.

I hope that helps, if you have any other questions, you can email me directly at info@drundavia.com.

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