Botox™ - Related FAQ's
Q: The Botox in my forehead worked from the injections three days ago but I can still move the muscles between the eyebrows. Is this normal?A: Yes, because of different muscle mass the Botox may need more units in one place than another. Give it another few days to even two weeks and you may see much more improvement in the glabella. Otherwise, your doctor may need to add more units carefully to this region.
Q: My girlfriend had Botox done in a spa and she had her forehead done. Now it's a few days later and her right upper eyelid is hanging much lower than it did before. It didn't happen on the left side and she looks unequal. What can be done?
A: If the Botox was injected too low near the eyebrow over the pupil, some Botox could have weakened the levator muscle by diffusion. If the ophthalmologist agrees, they can prescribe a medication that can help lift, temporarily, the upper eyelid by a millimeter or two. The undesired side effect is temporary and has been reported to always come back to normal as the botox wears off in a few months.
Q: Can Botox injections help my neck that has bands?
A: Botox injections can release the tension that the platysma muscle has which causes the pulling down of the band. Once botox is injected and the muscle is relaxed, it often elevates itself creating a better angle of the neck when seen both from the frontal view and profile. This is an off-label indication of the use of Botox and you should see a board-certified dermatologist or plastic surgeon to discuss the risks and advantages.
Q: Can my doctor use Botox that is refrigerated?
A: Yes. Botox is mixed sterilely and then refrigerated for a limited time.
Q: If I have wrinkles on my lower eyelids can Botox help?
A: Botox could cause a few problems if it is used as an off-label use for the lower eyelids. It has helped minimize the bulge of hypertrophic orbicularis oculi eyelid muscles but it can increase water retention puffiness of the lower eyelid from interfering with the drainage of the pump action of the eyelid.
Q: Is there a topical Botox?
A: Not yet. The FDA is reviewing studies of topical therapies that are meant to induce muscle relaxation for minimization of skin wrinkles.
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