Botox™ - Related FAQ's

Q: I used to get Botox injected between my eyebrows and my forehead horizontal creases. My doctor said I can no longer get Botox in my forehead because I have droopy skin of my upper eyelids and should get a surgical eyelift instead? Is this true?

A: Many patients who were able to get full forehead Botox treatment in their thirties, can no longer have such in their forties. Redundant upper eyelid skin is common and the forehead compensates by trying to lift up the eyebrows/ eyelid complex. This creates more horizontal forehead creases. If Botox were injected to smoothen out these lines, then the forehead couldn't help lift up the eyelids any more, and that extra sagging upper eyelid skin would create a droopy upper eyelid. This could start to cover the upper pupil and block the upper field of vision. For these patients a blepharoplasty is indicated. They might then return to having Botox of the forehead eventually. If the sagging is only beginning, then Ultherapy may help lift the forehead slightly.

Q: There is a friend of mine who I saw recently. She looked so angry. I asked her what's wrong and she said nothing bothered her. I asked her why she looks so angry and she told me that a month ago she had Botox and that's what happened. Will she always look like this?

A: Your friend's result of Botox can possibly be fixed immediately and she should see her doctor who injected her. Sometimes it is just one area of the frontalis muscle that needs one or two more units of Botox to smoothen the arch of the eyebrow and make someone look relaxed, not angry. If she chooses not to see here doctor, the angry appearance will disappear in time. Usually by four months from the time of injection the undesired look will fade away.

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