Botox™ - Related FAQ's
Q: Does Botox™ cause indentations? I had filler for my creases and Botox™ just two weeks ago and now I see an indent.A: No, Botox™ injections are not known to cause indentations, but if a filler overcorrects in a few areas, it can leave skin in between that is unaffected by filler but looks like an indent. This can be fixed with an enzyme, hyaluronidase.
Q: I want to have eyelid surgery, a blepharoplasty for my upper eyelid skin in a few weeks. I also want to get Botox™ now on the forehead, is that ok?
A: You should ask your surgeon if he or she has already seen you, it may be ok, but if you still need to meet with your doctor for an evaluation then you should not do the Botox™ until they can see how loose your skin is before the Botox lifts it.
Q: Are side effects from Botox™ very bad?
A: Side effects are very rare from Botox™ but can happen. Your doctor should review with you all the effects. More common effects are temporary muscle unbalance or drooping which is self limiting.. There can be bruising too, but one should avoid any aspirin if possible for about two weeks before the injections if they want to minimize the bruising. You should also avoid Advil, ibuprofen, Motrin, Alleve and other non-steroidal anti-inflammatory agents, vitamin E, ginko biloba, ginseng, garlic supplements, fish oil for a couple of days before if you want to have the least bruising. Avoid alcohol the day before.and day of Botox™.
Q: I've noticed that my upper eyelids are lower than they used to be. It gets more and more cumbersome to put on my eyeshadow. I have to lift my eyelid skin higher with my other hand and put on eyeshadow with my other. A friend of mine said Botox can help this but I thought that drooping was a side effect possibly when Botox™ is injected. Can Botox help me?
A: Botox™ can be injected in between the eyebrows (glabella) and the outer tail of the eyebrow and these areas contain muscles that depress the forehead. As the Botox™ inhibits this depression there is a secondary LIFTING of the forehead and eyebrows, but if Botox is injected in the forehead too low for some people who already have had some lowering from nature, then the Botox™ will smoothen the horizontal creases of the forehead but will also cause a droop in the lower forehead and upper eyelid areas. Patients who have not yet developed the excess skin in the upper eyelid skin or a droopy forehead can get a good improvement with forehead Botox™. Another possibility is that a physician can inject the Botox™ too close to the eyebrow and affect the levator muscle which will directly cause a droop of the eyelid. If this happens it can be lifted a little, by the use of prescription Iopidine eyedrops. The droop can take a few months to correct itself but is not permanent.
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