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Botox Injection Q and A

Botox injections are very commonly used to weaken the muscles causing unwanted lines and wrinkles of the face and forehead.  Dr Francis Palmer, Beverly Hills board certified Facial Plastic Surgeon, voted one of the “world’s best” plastic and cosmetic surgeons by Tatler Magazine has performed Botox treatments for over 25 years answers some common questions.

Question:

I Recently Had Botox Injection somewhere else to my Forehead and Now my Eyelids Hang over My Eyes, will This Be Permanent?

 

Dr Palmer’s Answer:

No, Botox lasts about 3 months and the eyelids will return to how they looked before the injections.  Injecting Botox too close to the eyebrows causes the brows to droop which makes the upper eyelid more full.  Have a more experienced Botox injector next time to avoid that from happening.

 

Question:

Eyelid Droop – I have had Botox injected above my eyebrows over the past 6 years or so with great results.  However, the last time that I had a Botox injection a week ago, the upper eyelid droop starting at day 3/4 and worse at day 7. My doc said there is nothing that can be done outside of eye drops and it should resolve in 2 weeks. Two questions – when this result occurs, is it customary for the doctor to refund my fee (in this case $450), and is 2 weeks reasonable or with this level of significant droop will it take longer to resolve? The doctors office essentially blew me off – this is a dermatology practice.

Dr Palmer’s Answer:

This seems a very unusual occurrence.  One that I have not seen using Botox for over 25 years.  Was the Botox injected below the eyebrow on that side in an attempt to raise the brow?  This can also result in Botox weakening the upper eyelid elevators and ptosis.  Two weeks is too soon as Botox results last about 3 months with some return of muscle function beginning at 1 month.  I feel that forced muscle exercise, in this case attempted brow raising and closing the eyelids could decrease the waiting time by creating new neuromuscular junction formations.  Whether or not a refund, is forthcoming, the office should make you feel appreciated and be helpful during this ordeal.