Botox can be injected into the outer end of the eyebrow to elevate the eyebrow slightly. By elevating the eyebrow slightly, Botox lifts the upper eyelid and reveals a small amount of eyelid skin. Botox is a short-term solution for treating hooded eyelids.
Specifically, injections on the forehead or between the eyes may spread into the eyebrows and cause the brow to lower, causing a droopy eyelid. In most cases, droopy eyelid occurs between one and three weeks after treatment, and patients typically experience this adverse effect for just a few weeks.
Where to inject Botox for hooded eyes. The Botox treatment for hooded eyes is a brow lift, so the injection sites will be located within the procerus and the orbicularis oculi muscles. This is because they are depressor muscles and pull the eyebrow down.
Most of us are familiar with the benefits of BOTOX for smoothing forehead lines and wrinkles, but you may be surprised to learn that BOTOX can also help to lift drooping brows and correct hooded eyes in some patients.
The most common negative reaction to injections to your face is a droopy eyelid, also called ptosis or blepharoptosis. Most people don't have this problem. Around 5% of people who get Botox will have problems with eyelid droop. This number falls to less than 1% if a skilled doctor does the injection.
According to Dr Gavin Chan, one of the most important things practitioners can do is to, “inject the lateral tail of the corrugator which is the muscle which causes the bunching (6.35) of the frown. Superficially injecting the lateral tail of the frown (corrugator) muscle can help avoid ptosis”.
Typically, an oculoplastic surgeon may prescribe an average dose of 12 to 24 Botox units for treatment around and under the eyes.
Fortunately, droopy eyelids are always temporary and can be treated. Usually only a small amount of Botox reaches the muscle that raises your eyelid. Therefore, it will wear off faster than the usual three to four months that Botox lasts; typically two to four weeks, sometimes more sometimes less.
Botox is a great tool for lifting heavy upper lids and sagging eyebrows. I see many patients in their 20's, 30's and 40's that are bothered by a slight drop of the brow and heaviness on the upper eyelids. When strategically placed, Botox lifts the brow and improves heavy upper eyelids.
Brows or eyelids that feel heavy after a Botox injection, having trouble to fully open the eyes, and droopy eyelids or brows — these are all signs of ptosis. Ptosis is when the eyelids or brows droop because of congenital muscle disorders, injury or trauma, age, and nerve and connection problems around the eyes.
The Frontalis is the muscle in your forehead which controls the raising of your eyebrows. After 2 weeks, if you still feel heaviness, try gentle eyebrow raising exercises and blinking your eyelids rapidly for 30 seconds. Do this 4 times daily for 2-4 days as it may help resolve the heaviness.
The next option for correction, which surprises many patients, is that you can treat an eyelid ptosis, even one caused by botulinum toxin injections, with MORE botulinum toxin! The eyelid, like most moving structures in the body has muscles which oppose each other.
Small but Strong… True eyelid ptosis is a very rare complication following Botox injection. This occurs as a result of migration of the toxin into the muscle that raises the eyelid (levator palpebrae superioris muscle – pink in the picture).
Individuals can use makeup to enhance their eyes and make them seem wider and more open. Other treatment options include dermal fillers, laser therapy, and surgery to lift the eyebrow and remove excess skin, fat, and soft tissue.
Hooded eyes can be corrected with blepharoplasty, a type of surgery that involves the removal of excess skin, muscle, and fat from your eyelids. Aside from improving the appearance of your eyelid area, this surgical procedure can also improve your visual function by removing the extra skin.
This is a side effect of Botox treatments, which can be caused by having an injection done too close to your eyebrows, which pushes them down and in turn, makes your eyelids droopy and puffy.
Since certain types of hooded eyes are due to low eyebrow position, Botox can help lift the outer tail of the eyebrow.
Yes, hooded eyelids—when excess skin sags and folds down from below the brow bone—can be corrected with a surgical procedure known as a blepharoplasty. The procedure removes excess skin and fat and tightens the muscles and tissue of the eyelid.
Botox alone strategically placed can elongate the cat-eye temporarily. However, not as profoundly and permanently is a combination of lateral canthoplasty. Furthermore, this repositions the tissue of the upper and lower eyelid ligaments. It creates a slightly higher position on the bony orbital rim.
Because the frontalis muscle is an eyebrow elevator, placing too much product too far laterally in the forehead can entirely block the frontalis muscle and lead to a droopy eyebrow. In patients who are younger, typically in their mid-30s to early 40s, usually this is not a significant consequence.
Answer: Spock Eyes after Botox
In the event there's a Spock eyebrow on one or both sides, this can be easily corrected with a few touch up units of Botox to the lateral forehead muscles on the affected side(s). Your original injector should be able to do this for you.
Sometimes Botox can help with hooded eyes, but not always. If you have significant sagging and drooping upper lid skin that affects the vision, you need something else. The bottom line is no injectable will tighten drooping and sagging skin permanently. The only option in this situation is upper eyelid surgery.
'Spocking' usually occurs 1-2 weeks after anti-wrinkle treatments. It is described as funny-looking eyebrows that are too high towards the outer end, especially when you raise your brows. Often, they are overarched and make it look like something is not quite right.
Spock brows happen when Botox is injected only at the central part of the upper forehead, leaving the sides untouched. When the central forehead is weakened and the outer sides remain active, it causes the central brow to drop and the outer brow to appear like it's lifted too high. The result: Spock brows.