Botox™ - Related FAQ's

Q: I had Botox™ injected in my Crows feet one year ago. Some time after the injections I developed puffiness underneath my eyelids. Could this be from the Botox™. I have not had it reinjected since that time.

A: No, it is very doubtful that the Botox™ more than 5 months previously would cause any puffiness. If the lower eyelid muscle is relaxed and doesn't act as a pump, then swelling can build up in those people who are prone to bags. After four months, the overwhelming majority of patients show return of muscle activity. Possibly your doctor also injected hyaluronic acid fillers in your tear troughs and that is contributing to your puffiness, or allergies, sinus problems, etc.

Q: I am Korean and have a very round face. Can anything be done to make it more narrow.

A: You would need to be examined. Some patients can have facial liposuction, whereas others are candidates for Botox™ to relax a hypertrophic masseter muscle (that muscle is used to clench our jaw).

Q: I am freaking out because I just read now not to bend or massage the Botox™ injected area for four hours after treatment and I had a massage two hours later, lying flat on my stomach and head down in the massage pillow. Will I ruin the result?

A: It is possible that nothing bad will happen, but if there is a droopy eyelid or eyebrow, be sure to tell your doctor so they don't necessarily change your treatment the next time, and you'll just avoid those activities. These are suggestions based on theoretical concerns but have not been tested clinically in the scientific method of which I am aware.

Q: Since I was an adolescent, my left jaw looks wider than my right. What can be done?

A: There may be different causes for an asymmetry of the face. There may be a bony or muscle imbalance. You should see a plastic surgeon, ENT facial plastic surgeon, oral maxillofacial surgeon, or dermatologist. If the jaw is out of alignment, the muscle may be different on one side than the other. Botox™ may be a solution, although not a cure. TMJ muscle imbalance of the jaw may be treated, fat atrophy can be treated on the other side if that is why the left jaw looks wider. There may be a cyst or other benign lesion or enlargement contributing to the asymmetry.

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