Botox is widely-known as a treatment for facial rejuvenation. Since 2002, it has been FDA-approved for addressing certain types of wrinkles like crow’s feet, frown lines, and forehead wrinkles. The Botox cosmetic is also an FDA-approved treatment for a number of eye problems, such as strabismus and blepharospasm, which concern the eye muscles. As effective as Botox is, however, patients may experience an adverse reaction when injected with Botox around the eyes.
So how do you manage Botox side effects for the eyes? It depends on the symptoms you have, as most of the common Botox side effects tend to disappear on their own. For example, in mild cases of dry eye or droopy eyelids, you may need to apply eye drops or ointments for relief. On the other hand, if you’re experiencing a severe allergic reaction, it’s best to call your doctor immediately or seek urgent care.
The Botox cosmetic is primarily used for its ability to reduce the appearance of facial wrinkles -- specifically deep, dynamic wrinkles and folds, rather than fine lines. Botox cosmetic injections do this through its primary ingredient, botulinum toxin, which is produced by the microbe responsible for botulism. In small doses, cosmetic Botox can temporarily relax your facial muscles and keep the skin smooth.
Botox treatment prevents the muscle from moving by blocking the chemical nerve signals from the brain to the muscles, preventing the muscles from contracting. In terms of eye wrinkles, the Botox neurotoxin can keep the orbicularis muscle from folding or furrowing, reducing the severity of crow’s feet and frown lines. And because it can keep muscles relaxed, Botox injections work well to relieve other problems with the body:
Generally, Botox is a very safe treatment. It has been used by countless people worldwide; in 2016, 7 million people received Botox -- and serious adverse events are rare among treated patients. Botox use for medical conditions is FDA-approved for men and women who are aged 18 years old and above, although there are some exceptions. You shouldn’t get Botox if you:
As long as Botox injections are performed by an experienced, board-certified doctor, they are a safe treatment to undergo. A qualified doctor will consult with you to determine if the procedure best suits your needs and your health condition. They’ll instruct you on how to prepare for the treatment, check your medical history, and address your questions or concerns.
It’s also crucial to find an expert injector who knows the correct treatment sites and inject the Botox precisely so the small, highly concentrated dose of Botox won’t spread outside the intended area. For cosmetic Botox procedures to address frown lines around or under the eyes, your provider should be able to match their injection techniques according to your unique facial anatomy for good results.
After Botox, your body is likely to react to this foreign substance temporarily. Common side effects experienced by patients include:
If Botox is administered incorrectly, it can be dangerous and cause potentially life-threatening complications. Usually, these unlikely instances occur due to a wrong placement of the injection -- causing the toxin to spread throughout the body. Some patients experience a severe reaction like an allergy -- rash, hives, wheezing, itching, feeling faint, or swelling in the face, lips, tongue, and throat. You should also call your doctor immediately if at least one symptom appears hours or days after receiving Botox:
In general, common side effects of Botox last a few days or weeks at most. Unwanted side effects tend to vary from person-to-person; reactions are often different depending on the condition you’re trying to treat. While the amount of Botox in the body eventually decreases and wears off, it’s best to talk to your doctor if the side effects bother you. Here are some things you can do to relieve discomfort at home:
It’s unclear why a Botox shot to the forehead can cause headaches, but it happens. When this occurs, you may take over-the-counter medication for relief. It’s best to call your doctor as well so you can discuss how you’re feeling before they make an appropriate recommendation.
Sometimes, trying to treat an overactive bladder may make it more difficult to urinate at all, especially if you have diabetes or multiple sclerosis. In cases like this, a doctor should monitor your urine volume constantly. A catheter may also be used to temporarily help you empty your bladder until the symptom disappears.
Common flu-like symptoms such as a cold, cough, runny nose, sneezing, fever, fatigue, or a sore throat may occur as a mild infection from the injection. Aside from calling your doctor to ask for medication or treatment, it’s recommended to treat this as an ordinary flu. Get more rest, drink plenty of fluids, and use a humidifier or a steamy bath for relief. You may also try an expectorant or acetaminophen to relieve aches and fever.
Pain, tenderness, redness, bruising, or bleeding in the area you were injected are among the most common symptoms of Botox injections. These are usually caused by damaged blood vessels bleeding into the surrounding areas, although this effect doesn’t last for more than a few days. Avoid drinking alcohol, taking blood thinning medications, or engaging in vigorous activities if this happens. Keep your head elevated above your heart and apply ice at regular intervals to soothe discomfort.
When the orbicularis muscle is treated with Botox, it may be difficult to open and close the eyelids completely. Eye drops (apraclonidine) or ointments would help, while a severe droop can be counteracted by additional Botox injections between the eyebrows.
To prevent unwanted side effects, it’s best to find a practitioner with the proper medical qualifications. Someone like a salon stylist would not be an appropriate provider, because they won’t have the emergency equipment or sufficient medical knowledge to treat you in case something goes wrong.
For eye treatment, it’s best to find an oculoplastic surgeon -- trained and board-certified ophthalmologists who have also completed highly-specialized courses in plastic surgery. Sensitive eyelids, tear ducts, and eye orbits should be handled by someone familiar with cosmetic, corrective, and reconstructive procedures for these eye structures.
At Evolve Med Spa, we understand that no two clients are alike. Rather than a one-size-fits-all approach, we prepare customized treatment plans to accomplish your aesthetic goals.
Our expert medical staff stay updated with the rapid changes in the cosmetic industry, so we’re always equipped with the latest technologies and advanced techniques to perform safe and effective skin, body, and hair procedures. Schedule a consultation with Evolve Med Spa today to learn more about our custom treatments.
Crow’s feet are the fan-like formations that develop around the outer corners of the eyes. These so-called “smile lines” or eye wrinkles are a visible sign of aging that appear whenever you laugh or squint. While some people don’t mind having them, crows feet can be a source of self-consciousness for others. Many patients use Botox to treat these challenging fine lines.
So what should you know about treating crows feet with Botox? The procedure is simple and won’t take longer than 30 minutes. Your Botox provider will take a fine needle and inject the muscles around the eye area, allowing the Botox to relax the muscles and smooth out the skin. Although Botox is one of the most effective solutions for crows feet, some cosmetic surgeons may recommend dermal fillers, chemical peels, laser resurfacing, or other methods to treat less severe wrinkles.
Crow’s feet are wrinkles that radiate from the corners of the eyes. They’re called crow’s feet because these lines resemble the claws of a bird, although they are also known by other names: laugh lines, character lines, lateral canthal lines, or periorbital lines.
Compared to other facial lines, crow’s feet develop much earlier because of how delicate the skin is around the eyes and how frequently we use the muscles in this area. In fact, some patients may experience having crow’s feet even in their early 20s. As people grow older, crow’s feet become more pronounced with time -- making you look and feel older, even if you’re free of other wrinkles.
But how exactly do crow’s feet and other wrinkles develop around the eyes and all over the face? There are three common causes:
The only surefire way to prevent the development of any wrinkles and fine lines is to stop laughing, smiling, squinting, frowning, or raising our eyebrows -- which is pretty impossible. Repeated muscle contractions when we express ourselves cause our skin to fold and furrow, creating expression lines and dynamic wrinkles. Aside from crow’s feet, you may form other dynamic wrinkles like:
Human skin is naturally elastic. Much like a rubber band, skin returns to its original form when it gets compressed or pulled. However, our skin loses its elasticity as collagen and elastin production slows down with aging. Without these proteins, wrinkles form and facial skin sags.
Diet, sleep, and stress are among the keys to wrinkle-free skin. Other lifestyle factors like smoking can also accelerate the formation of wrinkles, as the chemicals in tobacco smoke trigger rapid destruction of healthy skin fibers. Constant exposure to the sun’s UV rays and lack of skin care quicken the skin’s deterioration, so it’s important for patients to keep thin skin well hydrated and moisturized with SPF eye cream.
Although crows feet are an inevitable part of growing older, there are a number of cosmetic products that can help patients reduce these aging wrinkles. Botox is the most popular treatment because it’s safe and highly effective. Patients who are between the ages of 25 and 65 years old can use a Botox injection to soften mild creases and fine lines, or tackle deeper wrinkles and folds.
Botox is an injectable liquid made from the purified form of botulinum toxin type A, a bacterium responsible for deadly botulism. When injected in small doses for a cosmetic treatment, however, Botox is perfectly safe. It works by blocking the nerve signals from the brain to the facial muscles, limiting contractions. For cases of crow’s feet, Botox will be injected in the orbicularis oculi muscle around the eyes to relax and smooth them.
Each individual requires a customized dosage of Botox for crows feet treatment. As crow’s feet is considered to be one, small treatment area, fewer Botox units are needed. Botox manufacturer Allergan recommends 24 units -- or 6 injections per eye -- for optimal results. However, a single Botox unit is strong so beginners should start conservatively with 10 units instead. Depending on your provider, Botox injections may cost around $300 - $400 per session.
Learn more: How many units of Botox do you need for eyes?
A Botox treatment is not suitable for patients who have underlying health conditions -- especially those with neurological or muscular diseases. Patients who are pregnant, breastfeeding, or allergic to Botox ingredients should also avoid this treatment. It’s best to consult with an experienced plastic surgeon before undergoing the treatment. Aside from evaluating if you’d be a good candidate for the procedure, consultation can help your provider identify target areas according to your unique facial anatomy.
Your Botox provider will apply a topical anesthetic or ice to numb the skin around the eye area, then inject Botox into muscles with a very fine needle. The whole procedure can be finished in under 30 minutes, although it may take longer if you decide to combine it with other Botox treatments. Afterwards, you can resume your day with zero downtime.
The side effects and risks of getting a Botox treatment for crow’s feet are fairly uncommon, although they still occur. After treatment, you can expect to see small bruises, swelling, and redness around the injection site -- but not a widespread inflammation. Less common side effects include droopy eyelids, dryness around the eyes, crooked eyebrows, and excessive tearing, although these should subside within 48 hours.
Learn more: Managing Botox Side Effects for the Eyes
It usually takes up to three days for the Botox to produce noticeable results, and another two weeks to see the full effects. When you smile, you will see that the crow’s feet lines are smoother and less evident. These effects are not permanent and last only 3 - 4 months; in order to maintain a younger look, some patients opt to have regular touch-up injections.
The Botox treatment may not be for everyone, but that shouldn’t keep you from looking your best. Aside from discussing the pros and cons of getting a Botox cosmetic injection, you should also ask your provider about other, non-invasive cosmetic surgery for crow’s feet. Popular Botox alternatives include:
Say goodbye to wrinkles, acne, and other blemishes. At Evolve Med Spa, we customize all our treatments to meet each client’s individual goals and enhance their unique natural beauty. Rather than change your face and body entirely, we help you modify and enhance what you already have.
Our board-certified physicians, skilled estheticians, and master injectors are the best in New Jersey; in our expert hands, you’re sure to have an amazing, transformative experience. Book an appointment with Evolve Med Spa today.
The wrinkles and lines that appear between the eyes are usually classified into two types: glabellar lines and frown lines. Both of them are caused by natural aging and different lifestyle factors. Fortunately, getting rid of these facial problems are now easier with the different available cosmetic surgery options such as dermal filler and Botox.
So how does Botox reduce the presence of facial wrinkles and fine lines between the eyes? Botox injections contain a neurotoxin that relaxes the contracted facial muscles between the eyebrows and lifts the forehead skin to soften these problems. This cosmetic procedure is also known commercially as Botox brow lift.
People tend to scrunch up their brows whenever they express happiness, surprise, sadness, and laughter. Doing a facial expression contracts the forehead muscle to stimulate brow elevation when showing different reactions. When there is excessive muscle movement, dynamic wrinkles on the forehead and between the eyebrows start to show.
Botox cosmetic injection is a treatment that is approved by FDA for correction of most horizontal forehead wrinkles, Crow’s feet, and frown lines that form between the eyes. It mainly contains botulinum toxin, a neurotoxic protein, which blocks nerves from sending signals to muscles. When injected into the area on the forehead and between brows, muscle activity is limited and the skin gradually restores its smooth appearance.
To better understand what types of facial problems are treated by Botox, it’s important to differentiate the two kinds of facial lines that are usually mistaken to refer to the same condition. Glabellar lines and frown lines appear in the same area in the face but their characteristics are greatly distinct from one another.
Glabellar lines are best described as horizontal lines that appear on the skin on the forehead (also known as glabella). They are also referred to as forehead furrows, and they are usually visible between the eyebrows just above the nose. There are cases when furrow lines lead to lowered lid, in which case an eye surgery may be needed to fix it.
On the other hand, frown lines or worry lines present as deep, vertical creases that form between the eyes and directly adjacent to the brows. They may extend to the sides of the nose and right above the eyebrows.
Botox for glabellar lines are usually injected into the forehead muscles between the eyes. An experienced injector will skillfully inject the botulinum toxin above the outer area of the brows to avoid risks of brow ptosis (sagging of the brow area). Meanwhile, frown lines are treated by injecting the Botox at the corrugator supercilii and procerus muscle (both of which are responsible for eyebrow movement).
Most of the symptoms of aging are commonly visible in the area surrounding the eyes. This is because the skin around the eyes is very thin. It is easily susceptible to various damage that can be brought not only by natural loss of collagen and elastin but also by different environmental factors like pollution and sun exposure.
Patients may also inquire for use of Botox injections for treatment of other types of wrinkles and lines including:
Similar to frown lines, Crow’s feet is a type of dynamic wrinkle that forms from facial expressions such as laughing or smiling. These lateral canthal lines develop near the outside corners of the eyes. They are also referred to as smile lines and they are more prominent among older people since their skin is more prone to sagging or wrinkling.
When treating Crow’s feet with Botox, the injection sites are usually around the corners of each eye. It will weaken the muscles surrounding the area to restrict contractions and allow the skin to smoothen out. Topical eye creams and anti-aging serums with tretinoin as the main active ingredient may also enhance the appearance of Crow’s feet. Chemical peels are also an effective alternative to restore the skin’s healthy look.
The appearance of excess skin that hangs on the brow bone to the upper lid is known as hooded eyes. This happens naturally as the skin loses its firmness and elasticity, causing the brows to droop downward. There are also individuals who are born with their eye skin extending on the folds of the upper lid. As they age, this becomes more obvious as the outer brow lowers and results in eyelid droop and sagging skin around the eye area.
People with hooded eyes may look distinctly tired or exhausted. Botox brow lifts can help improve the hooded eye appearance by injecting the toxin between the eyebrows and outside of the eyes. This weakens the depressor supercilii muscle which causes the drooping brows. Botox injections can give brow elevation of at least 4 mm to 6 mm to make the eyes pop and look more wide.
Learn more: Can Botox help treat hooded eyes?
Bunny lines are vertical lines that extend from the inside of the eyes to the sides of the nose bridge. They are more noticeable when people laugh, squint, or crinkle their noses as a reaction. It is another type of facial wrinkle caused by repeated facial expressions.
Botox may also be used to address these lines that appear on the nose. The cosmetic treatment of bunny lines is usually a simple procedure that involves injecting the botulinum toxin beneath the skin around the sides of the nose.
The first step to getting cosmetic injections for the eyes is to find an experienced plastic surgeon or Botox injector. The area around the eyes is very sensitive and it’s important to seek help from trained aestheticians to minimize risks of Botox mistakes.
You will undergo a consultation stage where you will be asked about personal cosmetic goals so the attending physician can create a customized treatment plan that fits your needs. They will also examine your skin to determine the severity of wrinkling and decide how many Botox unit you will need. Likewise, they will ask about your medical history, if you have past or current health conditions, and if you are taking medications that may work against the Botox injection.
Most doctors will suggest stopping blood thinner drugs before Botox injections since they can increase chances of bruising and swelling after the treatment. If you are using any eye creams (especially those with tretinoin or Retin A as active ingredient) as part of your skincare regimen, you will be advised to stop using them for a while to avoid skin irritation and compromising the results of Botox.
Botox has been proven safe and effective for both cosmetic and medical uses. But as with all procedures that involve intramuscular injections, there are common side effects that may show around the injection site such as numbness, redness, tenderness, bruising, and swelling. However, most of these effects usually go away on their own after a few days or weeks.
Severe side effects of Botox can only happen when the injection is done poorly or when the treatment is used in higher doses for long term. Some of the serious side effects include heaviness and muscle weakness around the eye area, droopy eyelid, allergic reactions, and dry and irritated eyes. Immediate medical care is required at the first instance that these symptoms are experienced since they can cause visual disturbances in the long run.
Learn more: Managing Botox Side Effects for the Eyes
A Botox procedure for eye problems is usually quick and patients can expect to be out of the clinic within a few minutes. However, the time it takes for results to show may vary from each patient depending on how the body absorbs and reacts to the toxin injected.
Usually, the muscles will need three to five days to completely be relaxed and start reducing the appearance of face wrinkles. Depending on the severity of the problem, full results will be visible within two weeks after the treatment. For treating lines and wrinkles between the eyes, the effectiveness is also dependent on how many units are received by the patient:
Results of Botox cosmetic treatment for eyes can last up to 6 months. Follow-up injections may be done to maintain the effects of Botox and help prevent the appearance of wrinkling. In addition, aftercare is an important part of ensuring that you get the best possible Botox outcome.
For 24 to 48 hours after the injection, you should avoid touching the treated area to minimize the risk of spreading the toxin to other parts of the face. Ice packs can also help in mitigating swelling and tenderness in the injection site. Arnica gels also reduce bruising and inflammation and boost skin’s healing and recovery.
Afterwards, you can continue with your skincare routine of applying moisturiser and eye creams to keep the skin hydrated. Beauty products with hyaluronic acid and retinol can boost the effects of Botox and enhance the skin’s smooth and wrinkle-free look. It’s also recommended to invest in sunscreen products to protect the face from further damage by UV rays.
When it comes to forehead wrinkle and lines between the eyes, Botox is the preferred nonsurgical option to solve these problems. It’s a quick procedure that restores the eyes’ natural glowing look and unwrinkled appearance.
For first time Botox patients, let our experts at Evolve Med Spa give you the right treatment for your facial concerns and anti-wrinkle needs. Get the best cosmetic experience under the hands of our trained staff who will help meet your aesthetic goals and bring out your natural beauty. Contact us now to know more about our cosmetic products and services.
Facial rejuvenation treatments are all the rage these days as people want to maintain their natural and glowing look on their eyes and face even as they age. Among the available cosmetic procedure options, Botox is widely popular for smoothing out the appearance of forehead wrinkles and fine lines.
But how exactly does Botox cosmetic work as an eye lift treatment? Depending on the severity of the wrinkles, a number of Botox injections are performed on the forehead and between the eyebrows. This procedure greatly helps in softening the creases and folds by pulling the forehead muscles, as well as elevates the arch of the eyebrows to prevent hooded eye look.
Brow lift, also known as forehead lift or forehead rejuvenation, is a cosmetic surgery that targets the eyebrows and forehead to correct the obvious signs of aging such as frown lines, Crow’s feet, and hooded eyes. Often, this gives a desired effect of minimized wrinkles and sagging in the forehead and between the eyes.
Nowadays, a brow lift can be performed via surgical procedure or through a noninvasive option of Botox. Traditionally, a surgical brow lift is a complex operation that requires incisions in the treatment area to remove excess skin and to tighten muscles in the forehead area. There are several approaches to performing a surgical eyebrow lift:
Most plastic surgery brow lifts are performed in an operating room and patients are administered with local anesthesia to lessen pain of the procedure. On the other hand, a Botox eyebrow lift takes on a minimally invasive approach to improving forehead creases through several less painful injections on the designated treatment area. Unlike brow lift surgery, a Botox treatment can be done within 15 to 20 minutes.
Botox lift injections use a purified protein called botulinum toxin. It is a known anti-wrinkle injection that improves the texture of the skin in the forehead and relaxes muscles between the eyebrows. The facial muscles usually targeted are the corrugator and orbicularis oculi. They are known as brow depressors and are responsible for downward movement of the eyebrows. When these muscles are weakened, the brows naturally turn upward to make the eyes look more open.
There are many benefits to choosing a cosmetic injection for a brow lift treatment. First, it’s a viable option for patients who want to avoid entering the operating room and going under anesthesia. Likewise, this cosmetic treatment is performed faster compared to a surgical procedure. Other advantages of Botox injection include:
When you’re set on getting a Botox brow lift, the first thing to do is to find an experienced Botox injector or licensed clinic for the procedure. They will initially conduct a consultation to know your cosmetic goals and set expectations about the treatment. Afterwards, they will present a customized treatment plan that shows how many units of Botox you will receive.
A typical Botox brow lift injects an average of 4 to 6 units above each eyebrow. Meanwhile, around 20 to 25 Botox units are usually injected for treating horizontal forehead lines and vertical frown lines.
When it comes to pricing, a surgical brow lift is more expensive than Botox. The cost of Botox is usually determined by how many units are injected or the location of the treatment area. Patients may spend $500 up to $1000 for a Botox lift treatment.
Most people can see visible results of Botox lift within a week after the treatment and can last for up to 6 months. During their recovery period, they should avoid touching the treated area to prevent the toxin from spreading to other parts of the face.
As with all injection treatments, they can also expect to experience common side effects such as tenderness, soreness, swelling, and numbness within the injection site. Applying ice packs or Arnica creams can help in reducing bruising after the treatment.
Severe side effects from Botox only happen when the injection is done poorly. Of course, this can be prevented when receiving the treatment from a skilled practitioner. Some of the serious side effects may include heaviness and muscle weakness around the eye area, brow ptosis (droopy brow), and droopy eyelid. These can cause visual disturbances if not immediately treated with medical care.
For patients seeking cosmetic treatments for facial wrinkles and lines surrounding the eye, they may be confused with eye lift and brow lift procedures. To put it simply, an eyelid lift is needed to alleviate sagging or droopy eyes which is usually caused by loose skin on the eyelid.
On the other hand, brow lift is recommended when it is observed that the forehead skin is sagging or eyebrows droop from their natural position. In some cases, a person can have both loose skin on the upper eyelid and sagging brow which makes them a candidate for an eyelid surgery and brow lift. Patients with the following types of wrinkles can also be eligible for a Botox lift:
For those who are still undecided whether Botox is right for them, they can consider other available cosmetic treatments. The common nonsurgical alternatives for a Botox brow lift include:
Fillers are usually good for treating static wrinkles (lines that develop even when the face is immobile) and for supplementing lost volume in the skin. Generally, dermal fillers use gel-like substances made of hyaluronic acid to improve facial contour and restore smoothness. They can also be used to lift outer edges of the eyebrows and tighten the skin on the upper eyelid.
An eyebrow thread lift involves placing dissolvable threads in the top layer of the skin to instantly lift the brow area upward. It also supports the upper eyelid to prevent the hooded eye appearance. The procedure comes with minor side effects such as soreness and swelling due to the pressure by the threads but they can be remedied with some pain medications. The results of an eyebrow thread lift can last from 1 to 3 years.
Microcurrent devices are popular among people who are looking for a treatment which they can easily do at home. A microcurrent facial involves using low-voltage electricity to stimulate muscles and encourage new cell growth. They solve the issue of wrinkles by promoting collagen production to restore firmness and smoothness on the face, especially on the forehead area.
Resurfacing laser treatments are another minimally invasive procedure for facial rejuvenation. It involves using a laser device (either ablative or nonablative laser) to improve skin’s appearance and eliminate wrinkles. The dermis absorbs the laser light and converts them to heat energy, stimulating collagen production to tighten loose skin and reduce appearance of creases and folds.
This treatment works by tightening the skin using a plasma pen that induces little holes around the upper eyelid. It targets the fibroblasts in the dermis which are responsible for the development of collagen. When the small holes shrink up, the skin becomes tightened which results in enhanced skin texture and reduced appearances of wrinkles and facial lines. Patients can expect minor swelling when proceeding with this treatment since the eyelid area is delicate.
Botox cosmetic injections are considered an effective treatment for minimizing wrinkles and sagging in the forehead and brow area. People who want to get Botox for their brow lifts should receive injections from a trusted provider to ensure a successful outcome with less possible risks.
Evolve Med Spa is home to highly-skilled injectors who can guarantee safe and premier Botox experience. We use the most advanced technologies in the beauty industry so you can get the best results for your cosmetic goals. Contact us today to learn more about our Botox products and other services.
Hooded eye is one of the common facial problems for women. It’s a condition that some are born with or caused by the loss of facial muscle and decreased production of collagen and elastin in the eyelid skin over time. Eyelid surgery and cosmetic treatments can greatly improve the appearance of hooded eyes.
So how can Botox injections enhance the look of hooded eyes? As known muscle relaxers, injecting Botox between the eyebrows and along the corners of the eyes weakens the muscles that cause eyelid drooping and pulls brows downward, effectively opening up the eyes to appear wide rather than hooded.
Botox is a widely popular cosmetic procedure that minimizes wrinkles between the eyebrows (glabellar lines), forehead, frown lines, and Crow’s feet. It also treats symptoms of droopy eyelid to make the eyes look more vibrant and youthful. It’s also used medically for treating involuntary eye twitching or blepharospasm, crossed eyes syndrome, and lazy eye.
The treatment involves the use of botulinum toxin which is a strong substance used for paralyzing certain muscles. Wrinkles are usually caused by contraction of muscles due to repeated facial movement. As an anti-wrinkle injection, Botox blocks nerve signals from being sent to the muscles so they will not contract and restore the smoothness of the skin.
Dermatology experts also consider Botox as an effective treatment for eyebrow lift. Compared to using dermal fillers for brow lift, a Botox brow lift works by weakening the depressor supercilii muscle that causes the eyebrow to droop downward and lifts the corners of the eyebrow to reduce the presence of hooded eyes. It also enhances the curve of the brow to have a natural-looking arch.
Small doses of the neurotoxin are administered during a Botox treatment for eyebrow lift. The procedure is performed by injecting the Botox into the area between the eyebrows and along the outside of the eyes. With this approach, the frontalis muscle will lift the eyebrows and prevent sagging eyelid. It raises the brow for a few millimeters (at least 4 mm to 6 mm) to open up the eyes.
Typically, an oculoplastic surgeon may prescribe an average dose of 12 to 24 Botox units for treatment around and under the eyes. Depending on a patient’s facial anatomy and the initial assessment of the doctor, 4 to 8 units of Botox is used for the outer eye and 20 to 30 units are used to cover the area between the eyebrows. It must be done by licensed professionals to avoid Botox mistakes.
Like other cosmetic surgery, Botox for hooded eyes is only a temporary solution for brow elevation and minimizing forehead wrinkles and creases. Considering that it is a non-surgical procedure, Botox brow lifts are usually done in about minutes and there is almost no downtime for recovery. Results will start to show within a week and can last from 3 months up to 6 months.
People experience and begin aging differently. Aside from the skin gradually becoming thinner from decrease of collagen, varying factors can affect how soon wrinkles and dark spots start to appear on the face. Years of exposure to pollution and sunlight can accelerate the formation of creases and sagging skin.
Likewise, doctors say that Crow’s feet may start showing in the late 20s and early 30s. Dynamic wrinkles such as frown lines also become prominent as the forehead skin becomes pulled from too much muscle movement. The eye skin also becomes more susceptible to sagging as it loses its firmness, exaggerating the appearance of hooded eyes.
However, there are people who are naturally born with skin protruding on the crease of their upper lid. It appears more noticeable over time as the outer brow lowers and increases the amount of skin on the forehead and upper lids. People with saggy eyelids and droopy eyebrow may have the tendency to look distinctly tired all the time and can obstruct their field of vision.
Unlike hooded eyes that are usually induced by age-related changes, droopy eyes may be related to an underlying medical condition. It is also known as ptosis which is characterized by a feeling of eye heaviness due to sagging of the skin around the upper lid. A patient may experience drooping in one eye (unilateral) or both eyes (bilateral).
Congenital ptosis is a type of drooping that occurs when the upper eyelid is abnormally positioned at birth. Unless treated with surgery, a child with eyelid ptosis will experience visual impairment in their lifetime and may be put at risk for more serious complications like astigmatism and misaligned eyes.
Meanwhile, involutional or acquired ptosis is the term to describe droopy eyes for adults. It shows when the muscle that lifts the eyelid (levator muscle) is overstretched or tears accidentally. This can happen due to damage from excessive eye rubbing, trauma from eye surgery, and sometimes linked to nerve problems and muscle diseases.
Both the problem of hooded lid and droopy eye can be solved with minimally invasive surgeries. However, hooded eyes are much more harmless and don’t carry severe risks of affecting normal eyesight or eyelid function.
The problems around the eyes differ from each person and it typically requires a personalized treatment plan to ensure that the procedure meets the needs of the patient. While Botox is considerably a preferred procedure for hooded eyes, there are other alternatives that can also reduce droopiness and elevate the brows such as:
People with moderate to severe eyelid drooping may be treated with an eyelid lift or blepharoplasty. It is a surgical procedure performed to enhance the appearance of the upper and lower eyelids. It helps remove bags or circles that have formed under the eyes, and reduces excess skin and fat from the lids. It also solves drooping issues that can affect their normal vision.
Depending on the skill of the doctor and the severity of the problem, a surgery may take up to 2 hours. An eye lift requires cutting along the lines of the eyelids. In these small incisions, the plastic surgeon will take the skin from the tissue and remove necessary skin and fat. They’re usually patched up with stitches that take at least 3 to 6 days to heal. Another approach is to cut along the eyelash where the surgeon will skillfully remove loose muscle and skin.
There are several types of eye surgery performed such as upper lid blepharoplasty (removal of bags, excess skin, and muscle folds), lower lid blepharoplasty (reduces puffiness and wrinkles in the lower eyelids), and revision blepharoplasty (only done to correct any complication that come from previous surgery).
A successful upper eyelid surgery will bring improvement in vision and remove heaviness from forehead muscles. It will also reduce feelings of discomfort due to strain from drooping eyelids and eyebrows. However, it should be noted this procedure is the most invasive and requires a long recovery time unlike other nonsurgical treatments.
A thread lift is a viable alternative to a surgical brow lift (where facial soft tissues are lifted and tightened through incisions on the face). Compared to a total facelift, an eyebrow thread lift utilizes surgical threads to create temporary sutures that will visibly lift the skin. There is no need for incision as the threads are usually placed in the top layer of the skin, pulling them upward to instantly elevate the droopy brow and support the upper eyelid.
Thread lifts have faster recovery time unlike the traditional facelift. Minor side effects such as soreness and swelling are common but they can be mitigated with some pain medications and usually go away within a few days. Results of an eyebrow lift also last from 1 to 3 years.
Doctors may also suggest doing a brow lift using fillers. Generally, a dermal filler is a type of injectable that uses gel-like substances to contour the face by restoring smoothness and softening creases. They can also be used to lift the outer edges of the brows to replace lost volume and tighten the skin on the upper eye. A brow lift treatment also reshapes the form of the brow ridges, giving them more height for a better arch. It also provides support so that the eye opens wider to make it look more awake rather than tired.
Resurfacing laser treatment is a minimally invasive procedure that helps rejuvenate the upper face area. It makes use of a laser device to improve the skin’s appearance and eliminate facial flaws. It can be done via ablative laser or nonablative laser.
Carbon dioxide (CO2) and erbium lasers are two common laser types that are used for ablative procedures. It works by removing the thin outer layer of the skin and heating the dermis to stimulate production of new collagen. By encouraging collagen growth, the treated area naturally smoothens and tightens to reduce wrinkles. This procedure can be performed to assist endoscopic forehead lift surgery.
Meanwhile, non-ablative treatments are the complete opposite of the ablative lasers. It’s less invasive as it uses non-wounding lasers to heat up the underlying skin tissue without penetrating the surface. This approach uses high-intensity light from intense pulsed light (IPL) devices that are usually converted to heat energy when absorbed by the skin.
The success of each cosmetic treatment varies greatly for different people. It can also be influenced by a variety of factors which can include the patient’s desired outcome, their budget, and their physical condition. However, a Botox Brow Lift may have certain advantages such as:
People can get hooded eyes from birth or experience natural sagging of the eyelid due to aging. Fortunately, the emergence of cosmetic surgery has provided quick fixes to help both women and men enhance their appearance. When it comes to eyebrow lifts and hooded eye treatments, Botox is one of the preferred solutions to improve the presence of sagging brow and eyelid droop.
At Evolve Med Spa, we provide expert solutions for your facial concerns and anti-wrinkle needs. We are committed to helping you meet your aesthetic goals with the guidance of our trained Botox provider and state-of-the art technologies. We also offer personalized plans for treating other cosmetic issues such as hyperhidrosis, acne scars, hyperpigmentation, and more. Contact us now to start your Botox journey.
The amount of Botox needed during a Botox treatment varies depending on a number of factors, such as what exactly is being treated and the size or area of the treatment spot. Botox is measured in units, and the number of units needed for your Botox treatment will determine how much it costs. And one of the most popular areas for Botox treatment is around the eyes.
So how much Botox do you actually need when dealing with areas around the eyes? In cases of treating eye problems, the average dose is 12 to 24 total Botox units, with forehead lines requiring 20 units and crow’s feet requiring 24 units.
Botox is a protein derived from the Botulinum toxin, which is a neurotoxin produced by the bacterium Clostridium botulinum. Because of its strong properties, a plastic surgeon would recommend intramuscular injection (injected into the muscles) in small doses to avoid risks of serious illnesses. Over the past years, Botox injections has been used to treat medical problems such as:
As a cosmetic surgery, Botox is used to minimize and soften the appearance of wrinkles, fine lines, and skin sagging brought by aging. Repeated muscle movements or contractions is the main reason why creases appear prominent in the face. An injection of the botulinum toxin into the skin would block certain nerve signals sent to the facial muscles, causing them to weaken or paralyze. As a result, the skin would remain smooth and avoid unwanted wrinkles.
A unit of Botox is a measurement of the amount of neurotoxin that is injected into the skin. They are an indicator of the strength of an injection or how effective it will be in relaxing the targeted muscle. A Botox vial produced by Allergan (the company that created and markets Botox) contains 100 units and these are typically divided as required by the procedure.
An in-person consultation with a plastic surgeon will help to determine how much Botox units a patient will receive. In cases of using Botox injectables for the face and eyes area, the following guidelines set by Allergan are observed:
It is important to consider that every patient may react differently to the treatment. Depending on certain risk factors, some women may require more units than others. In cases of males, their facial muscles are stronger and would need more units than normal. For example, they could need 15 units on each side to treat Crow’s feet as opposed to the 4 units per side for females. For frown lines, they may also be injected with 30 units compared to the usual 20 units.
Aside from the gender, the prescription of Botox injections may also be affected by other considerations including:
Among the different parts of the body, the skin on the eyelid is considered the thinnest at less than 1 mm thick. The eyelid has two folds mainly the upper eyelid and lower eyelid. It is connected to the muscle known as orbicularis oculi which is responsible for the movement of the upper and lower lid.
Despite its thin structure, the eyelid is still made up of complex parts including ligaments, blood vessels, fat pads, and nerves. Over time, changes can occur to these components, making them more vulnerable to different eye disorders and the various signs of aging. Under eye wrinkle and fine lines are among the most common symptoms that naturally occurs as a person ages. Other reasons why patients would seek cosmetic treatment for the eyes include:
Wrinkles can be classified into two main types: static wrinkles and dynamic wrinkles. The former is characterized as creases that show even when the person is immobile and the face is at rest. It appears naturally due to the decline in collagen production loss of normal skin elasticity. Meanwhile, the latter type of wrinkles is formed from muscle contraction due to repeated facial reactions such as smiling, frowning, and laughing. Crow’s feet is a prime example of a dynamic wrinkle.
Crow’s feet, also called lateral canthal lines or smile lines, develop near the outside corners of the eyes. When a person expresses their happiness or sadness, there is a tendency to blink the eyes and trigger the muscle to constantly move, which makes wrinkles and lines appear more defined. It may also be worsened by exposure to sun damage (UV rays) and certain lifestyle factors such as smoking.
Beauty products like topical eye creams and anti-aging moisturizers are easy fixes that can minimize the appearance of facial lines when applied around the eyes. Chemical peels which use chemical solutions such as salicylic acid, glycolic acid, and lactic acid may also restore the skin’s youthfulness and make it look healthier. Botox injections also work to paralyze the muscles surrounding the eye area which cause Crow’s feet to smooth out over time.
This condition is characterized by the appearance of horizontal forehead lines which is caused by the contraction of the frontalis muscle. This forehead muscle usually moves when a person raises their eyebrows, pulling the skin up and making lines show. It’s a natural action that most people do when they are conveying shock, fear, and excitement to certain situations.
Forehead wrinkles may also be referred to as glabellar lines or forehead furrows. Glabella is the skin on the forehead, just between the eyebrows and above the nose. It also manifests when an individual makes repeated expressions that forces muscles to tense. They may also be caused by certain factors such as age, genetics, loss of hormones that keep skin tight, and exposure to free radicals from pollution and UV rays.
Botox and soft tissue fillers (dermal filler) are considered as treatment alternatives for most forehead wrinkles. It’s also important to stay moisturized and hydrated, practice frequent usage of sunscreen, and consume nutrient-rich foods to maintain healthy skin and slow down the symptoms of aging.
Frown lines are often mistaken for glabellar lines as it also develops on the forehead. But compared to the glabella line, frown lines are vertical marks that run between the eyes and adjacent to the eyebrows. In some people, they appear as deep creases that stretch from above the side of the nose to above the eyebrows. They are also known as the “11” lines because of their look that resembles the number eleven.
Like most wrinkles, they form due to repeated exaggerated expressions such as frowning, squinting, or knitting of the brows which causes the corrugator supercilii muscle (small muscle near the eye and located between the end of the eyebrows) to contract. Botox injections are used to soften these muscles that cause frown lines.
Since it’s a non-invasive surgery, the treatment usually takes 10 to 15 minutes and patients can return immediately to their normal activities Depending on the seriousness of the eye problem, the results of Botox injection can start to show after a few days and may last for about three to four months for most people. Follow-up sessions may be performed if a patient wants to maintain long-lasting benefits of the injection.
The common aftereffects of Botox include swelling or bruising around the eyelid area, headache, dizziness fatigue, nausea, dry eyes, and temporary muscle weakness. Most of the side effects are minimal and usually go away after a few days. However, immediate medical care is required if the symptoms persist and worsen.
Botox cosmetic injections are nowadays used for the treatment of under eye wrinkles, forehead lines, and frown lines. Considering that the botulinum toxin is a strong substance, the amount of Botox unit given to the patient varies per their condition and is regulated to assure its effectiveness. It must also be performed under the guidance of a licensed dermatologist to minimize possible risks.
At Evolve Med Spa, we guarantee that we can help solve your facial and skin problems with safe Botox treatments. Our expert Botox providers will guide you in your procedure, guaranteeing painless and hassle-free injections that will relieve obvious symptoms of facial wrinkling, acne, migraines, and more. Schedule a consultation and we’ll find the right Botox plan that will work for your needs.
Ptosis, or droopy eyelid, is a condition where the upper eyelid sags and almost covers the pupil. Children may be diagnosed with this disorder from birth, while adults may develop this as a result of natural aging, lifestyle habits, or due to pre-existing medical illnesses.
So what are the possible treatment options for droopy eyes? Patients who have drooping eyelids can find relief from blepharoplasty surgeries, ptosis crutches, or apraclonidine eye drops- and also from Botox. When properly placed, Botox “brow lifts” can elevate the eyebrows to help fix droopy eyes.
The appearance of sagging skin around the upper eyelid is a common indicator of ptosis or blepharoptosis. Medically, it is described as a condition where one (unilateral) or both (bilateral) of the upper lids droop downward over the eye. It is usually induced by a strain in the frontalis muscle.
The frontalis muscles are located on the upper part of the face and extends upward and laterally across the forehead. When a person makes an expression like laughing or squinting, the muscles contract and it elevates the eyebrows. Repeated movements of the frontalis muscle over time may result in the presence of horizontal lines across the forehead or develop excess skin which causes heaviness in the eyelids and leads to drooping.
Ptosis can happen to both children and adults. In cases of early age drooping, this illness is called congenital ptosis. It is the abnormal positioning of the upper eyelid that is present since birth or may show within the first year of life. It can also be linked to eye-related issues such as eye movement, eye muscle disease, and possible tumor.
A child with congenital ptosis will have trouble seeing and puts them at risk for developing more serious vision impairments. Amblyopia, or lazy eye, can be a result of droopy eyelid in young kids. It’s a developmental problem where one eye has better vision than the other due to the nerve cells not maturing properly. Other possible side effects are astigmatism (curvature of the eyes which lead to blurred vision) and strabismus (misaligned or crossed eyes).
Likewise, adults can also get ptosis when the eyelid muscle (called levator muscle) stretches or tears accidentally. This condition is called involutional or acquired ptosis. This can be caused by aging where the eyelid skin loses elasticity and sags, or a result of eye injury from excessive rubbing, use of rigid contact lenses, or a trauma from eye surgery.
Certain medical conditions such as diabetes can also cause droopy eyes since blood vessels, particularly in the oculomotor nerves, become damaged. When blood flow is constricted, a person will have limited movements in the muscles and cause eyelid drooping. High levels of hormones that cause thyroid diseases may also cause neuromuscular disorders to prevent normal eye function and lead to ptosis.
Individuals who want to get rid of their Crow’s feet, forehead wrinkles and frown lines often opt for Botox cosmetic surgery. It is a minimally invasive procedure that minimizes the obvious effects of aging and restores a youthful glow. It’s usually performed by injecting a neurotoxin called botulinum toxin.
A Botox injection works by weakening or paralyzing the muscles to stop them from contracting. Repeated facial expressions often stimulate tension in the muscles and cause appearance of wrinkles. When movement in the facial muscles is limited, deep creases and fine lines will appear less prominent and gradually smoothen out as the Botox kicks in the system.
Among the common injection sites for Botox are between the eyebrows, in the forehead, and around and under the eyes. The said treatment is typically a safe and noninvasive procedure since injections are administered directly on the targeted area. When performed by a trained and licensed plastic surgeon, favorable results are guaranteed and it comes with minimal side effects that lasts for only a few days.
Botox patients are usually advised to take precautions and avoid touching or disturbing the injection site to prevent the toxin from spreading to other parts of the body. When Botox in the forehead disperses, it can affect brow muscles and cause sagging brow or eyebrow droop. Likewise, when the injection is administered between the eyebrows, the levator muscles will become deadened and cause droopy eyelids.
While it is a rare side effect of the treatment, around 5% of individuals who get Botox may experience drooping eyelid. Some of the symptoms of droopy eyes after bad botox include eye muscle weakness and heaviness, lazy eye or difficulty opening the eyelid, and vision problems in the peripheral and central sight.
Normally, doctors would perform a medical exam to review the patient’s history and current health condition when diagnosing eyelid droop. A person may be required to take a slit lamp exam to see if there is any discomfort when the eye is subjected under high-intensity light. Another option is to do a Tensilon test which uses the drug Tensilon (edrophonium) to determine whether a muscle condition like myasthenia gravis is the cause of eyelid droop.
Depending on the results of the observation, the doctor can recommend eyelid surgery (known as blepharoplasty) to treat either congenital or acquired ptosis. During the surgery, the levator muscles are repaired which can help raise droopy eyelid. A sling procedure may also be done to elevate the frontalis muscles and lift the brows and eyelid.
Meanwhile, a nonsurgical alternative is the ptosis crutch where an attachment may be added to the frames of a patient’s eyeglasses. The crutch will help prevent the eyelid droop by supporting the skin in place. Individuals have a choice whether to use adjustable crutches which are put to one side of the frames, or reinforced crutches which are placed to both sides of the frames. Prescription eye drops also help relieve symptoms of ptosis.
Droopy eyes from Botox usually get better within 4 to 6 weeks, or when the toxin wears off. But while waiting for the aftereffects to subside, there are immediate treatments that can alleviate the problem such as:
Stimulating the affected muscles can help reduce the appearance of ptosis. It also speeds up the amount of time the toxin needs to dissolve, allowing the eyelid to naturally elevate. This can be done through applying pressure on the forehead to push them up or repeatedly creating circles through gentle rubs with thumb and index fingers.
Some doctors also recommend applying electrical stimulation using the back of an electric toothbrush over the affected area. This wakes up the muscles that were relaxed from the Botox injection.
Iopidine or apraclonidine eye drops are prescription treatments that are used to relieve serious high pressure inside the eye, preventing possible loss of vision. Doctors usually suggest one to two drops at least three times a day to remedy the symptoms of Botox-induced ptosis. It works by sending signals to the receptors, awakening certain eye muscles so the lid will elevate at least 1 to 2 mm.
Additional Botox injections may also be recommended to counteract the effect of the initial treatment. This helps stimulate different facial muscles to fix the droopy eyes. New units of Botox can be injected into the forehead to lessen the heaviness of the brow and another set of injections under the eyes can open them a little wider. A Botox brow lift may also raise sagging eyebrows and alleviate the appearance of droopy eyes.
Learn more: How many units of Botox do you need for eyes?
Droopy eyes is a condition which can be observed from birth or induced by a variety of factors such as medical illnesses, muscular damage, and even as a side effect from certain surgical and cosmetic procedures. Ptosis from bad Botox is a temporary condition and will often go away within weeks after the treatment. Prescription eye drops and medication can also mitigate symptoms of droopy eyes.
If you’re considering Botox treatment for droopy eye problems, let our experts at Evolve Med Spa help you get started on your journey. With our advanced technologies and trained staff, we guarantee safe cosmetic surgeries that will assist you in meeting your aesthetic goals. We provide customized treatment plans according to your needs so we can bring out your natural beauty. Book an appointment now and learn more about how we can make Botox work for you.