Injections near the eyes pose the most risk, and these areas are commonly used to combat crow's feet and brow lines. After the Botox is injected, the eyes can become very irritated and dry, and can go quite bloodshot and red. This irritation can then increase into blurred vision and the inability to see correctly.
If you go too close to the eyelid, when you're injecting near the crow's feet, that's when the Botox can diffuse into the eyelid. As a result, patients can get a condition known as Ptosis. That's spelled P-T-O-S-I-S. That's when the upper eyelid drops.
Botox around eyes can smooth out the wrinkles, although it must be repeated four to six months to maintain the rejuvenated look. This treatment is an ideal option for patients who want to avoid [eyelid] surgery that results in downtime.
However, when it is not performed properly, Botox can result in a "frozen" or fake look. The most common causes of botched Botox are: Improper injection techniques. Many unskilled injectors make the mistake of injecting Botox too deeply or too superficially into the skin.
Botox (botulinum toxin) is a popular cosmetic treatment, but botulinum toxin or botox has danger zones such as: the brow, next to the mouth, and below the mouth. Injection of botulinum toxin near the eyes can lead to drooping of the eyelid or even vision loss.
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.
Botox for the eyes gives one of the most natural results of any Botox treatment. This is because, when correctly placed, Botox around the eyes will not alter your smile but simply soften the lines when you do smile.
[7] Injection too superficial or too deep can lead to inadvertent injection of the wrong muscle, potentially causing an opposite effect from the desired outcome. The muscles of facial expression are innervated by terminal branches of the facial nerve.
Fortunately, the effects of Botox are temporary, including side effects such as an asymmetric, crooked, or uneven smile. Most people enjoy the intended effects of Botox for three to four months. This is when the Botox is placed directly into the muscle it is intended to relax.
Potential Side Effects
As with any injectable treatment, bruising or swelling can be a side effect, and Kitsos notes that if too much Botox is used, the under-eye area runs the risk of looking swollen or eye bags can look emphasized for the duration of the treatment's lifespan, which is about 3 to 4 months.
A droopy mouth, lopsided smile, or inability to smile occurs when Botox is mistakenly injected into the orbicularis oculi or zygomatic major muscles which are the two muscles primarily responsible for smiling.
Actual cases of droopy upper eyelid after Botox injections are rare. Most issues of upper eyelid heaviness after Botox injections in the forehead area are due to over paralysis of the forehead muscle, causing drooping of the eyebrow. This, in turn, pushes the upper eyelid down.
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. The neurotoxin's effects will gradually wear off, and the eyebrow muscles will regain their strength.
A droopy eyelid can last from several weeks to several months or until Botox wears off. Patients usually notice the first signs of this side effect within the first week.
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”.
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.
“Typically, the three main treatment areas for Botox are the Glabella, the forehead and Crow's feet and they all have their own specific Botox injection patterns.
Key muscles/ anatomical locations to avoid (and associated presenta- tion) include the following: frontalis (mid brow ptosis), levator palpebrae (lid ptosis), levator labii superioris alae- que nasi (lip ptosis), zygomaticus (lip ptosis), orbicularis oculi (diplopia), depressor labii inferioris, mentalis, and depressor ...
Having heavy Botox from a young age is likely to make you look older over time. An early start and heavy-handed approach can leave a face looking frozen and over-treated.
Botox can also be incorrectly injected in a way that lowers the natural elevation of the cheeks, leading to the appearance of 'chipmunk cheeks'. Finally, the overuse of Botox around the mouth can result in temporary droopiness.
These products temporarily block signals from nerves to muscles. The injected muscles can't contract or have the same influence on your facial features. Targeting your upper face with BOTOX® injections will elevate your brows and give you the illusion of bigger eyes.