As we age, the brows gradually descend and fine lines and wrinkles develop.  The outer brow lowers over time, which may also increase the prominence of loose skin of the upper lids.  Wrinkles of the glabellar region, the so-called “11 lines”, also form from repeated contraction of the brow depressors in that area.  The use of Botox has been one of the most impressive updates in the beauty industry, especially with its ability to lift the brows. Treatment plans are customized based on each patient’s clinical examination and aesthetic concerns.  Between 4-8 units may be used for elevation of the outer brow and generally between 20-30 units or so to treat the glabellar area for a Botox brow lift.

How many units of botox for eye lift

Droopy brows make us look older and more lifeless. It’s as if we are scowling all the time! As our forehead develops lines and sags, it also affects the brows. A saggy forehead loosens up the muscles that lift the brows and reinforces the ones that keep it down. The solution to droopy eyelids is brow lifts where plastic surgeons inject botulinum toxins in the forehead area. The right dose will bring your eyes back to life.

So what is the accurate Botox unit for getting brow lifts? To achieve natural-looking brows, plastic surgeons will usually inject about 4-8 units of Botox in your outer brows. They’ll also inject about 20-30 units of Botox in the glabella or the area between your brows. You may also receive more units of Botox injections in different parts of your face, depending on your plastic surgeon.

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How Many Units of Botox For Brow Lift

Botox is a safe and effective treatment for improving the appearance of heavy brows. It’s also a minimally invasive procedure and requires little to no downtime. After your eyebrow lift, you can go back to your daily activities with a few precautions.

For reducing the appearance of your eyebrow droop, you will need about 4-8 Botox units at the outer brow. Your facial plastic surgeon may also recommend injecting about 20-30 units of Botox to treat your glabellar lines and frown lines.

By injecting Botox into the muscles that bring your eyebrows down, your eyes will return to their youthful pop. Brow lifts will have better results if you also inject dermal fillers.

Factors That Affect Botox Dose

The number of Botox units above is the general dose for lifting your brows. However, that can still be subject to change depending on the recommendation of your plastic surgeon or provider. The amount of botulinum toxin that you receive will still vary depending on the following factors:

1) Gender

One thing to look at when getting Botox cosmetic treatments is gender. Men have stronger and larger muscle mass than women. That means their facial muscles will also be bigger, so they will need more units of Botox. 

2) Metabolism

Metabolism is a person’s capacity to break down food and convert it into energy. Everyone has different levels of metabolism. This factor becomes important when getting a Botox because it may affect how long your cosmetic injections will last.

Botulinum toxin is still considered a protein. Those who have high levels of metabolism or who lead an active lifestyle may break down their Botox faster than others. Botox usually lasts for about 3-4 months, but if you have a high metabolism, the effects of your injectable treatments may last shorter.

3) Strength of Facial Muscle

People also have different facial muscle strength that develops with facial expressions, like smiling, squinting, frowning, and such. Those who do more facial movements should need more units of Botox.

4) Face Shape and Size

The units of Botox may also vary depending on the size and shape of your face. If you have a more prominent forehead, you may need more doses of Botox to reduce the appearance of your forehead lines while those with smaller ones need less.

5) Aesthetic Goals

The right units of Botox for you will also depend on your aesthetic goals. What is your desired look after the procedure? Some people prefer a more natural-looking face, so fewer units of Botox will be fine. Meanwhile, some patients want all the frown lines and wrinkles done and don’t mind big changes.

6) Severity of Wrinkles

The unit of Botox you will receive for your masseter muscle won’t be the same as the ones for your gummy lines. The amount of botulinum toxin the experts will inject into you also depends on the severity of your wrinkles. Dynamic wrinkles need more units than lighter ones.

What Happens If You Get the Wrong Dose

Plastic surgeons and expert practitioners always make sure to administer the right dose of Botox for every patient based on the factors above. Underdosing with Botox may just give you underwhelming results and may not achieve the look you aim for. You’ll receive another shot of Botox to temporarily relax the muscles on the injection sites.

Getting more units of Botox than you need may pose serious risks. Your Botox may spread from the injection sites and relax the surrounding muscles. You also run the risk of developing an illness called botulism. You may also experience blurred vision.

How Botox Can Lift Your Brows

Administering Botox in the right injection sites is also one of the ways for lifting your brows. Aside from reducing the appearance of facial wrinkles and lines, it can also enhance your upper eyelid and raise droopy brows.

Our eyebrows droop as we age because our skin begins to sag. Due to decreasing collagen production, the skin loses its elasticity and cohesion with our muscles and other connective tissues. We have muscles that pull down our eyebrows, called the corrugator muscles and the orbicularis oculi. At the same time, our frontalis muscle is the one responsible for pulling the brows up.

What Botox does is reinforce the frontalis muscle to keep our brows up and weaken the muscles that pull it down, which are the procerus muscles and the corrugator. Plastic surgeons are also careful to inject only “baby Botox” on the forehead because the muscles may drag down the brows more if they become too relaxed.

What to Expect During Brow Lift Treatment

Your Botox procedure only involves injecting botulinum toxin in the strategic areas of your face. Others may be more used to the procedure, while some people may still feel squeamish about the idea. Here are some of the things you can expect when getting a brow lift treatment:

1) How Long It Lasts

Your Botox brow lift session won’t even take that long. You’re done in just a few minutes! Your doctor may give you a few instructions before your procedure, like avoiding alcoholic beverages, blood-thinning medications, and others.

The results of your brow lift can last for about 3-6 months. Once the botulinum toxin wears off, you’ll see forehead lines again.

2) Where Botox Is Injected

The injecting techniques of your plastic surgeon are also important for achieving successful results. Your forehead may receive different ways of injection. Your procerus muscle or the muscle between your eyebrows will receive injection if you have low set sagging brows. The plastic surgeon may also inject a careful dose of Botox in your orbicularis oculi muscles, which will pull down your brow’s tail.

You may also receive injections at your upper forehead, so the muscles in it would relax. This will help pull your brows up.

3) Pain From Botox Injections

The actual injection of Botox doesn’t really hurt even if it’s done near the eyes, but it’s also not a surprise that some people will be uncomfortable with this idea. If you’re worried about the pain, you can opt for a topical anesthetic or a numbing cream an hour before your procedure.

Other Options For A Brow Lift

Aside from getting Botox brow lifts, you can also choose from other procedures in restoring the youthful look of your eyes. Some of them include thermage, laser treatments, and eyebrow thread lifts, among others. To determine the best option for you, it’s good to consult with your trusted provider.

1) Thermage

Thermage offers a noninvasive option for getting a brow lift. This procedure involves using radiofrequency technology for tightening the periorbital lines around your eyes and raising your eyebrows. Without using any needles, it stimulates collagen production by heating the skin.

2) Laser Treatments

The Fraxel laser is one of the procedures that can help lift your eyebrows. It has lasers for treating wrinkles and erasing pigmentations in your skin. Some add laser treatment with their Botox procedure.

3) Eyebrow Thread Lift

Thread lift is another minimally invasive procedure that can lift your eyebrows. It tightens the skin using medical-grade threads inserted in your face to pull up your skin. 

The Best Brow Lift Treatments From aNu Aesthetics

Botox treatment for brow lifts largely relies on administration techniques and accurate doses. The proper units and precise execution will give you successful results and make your eyes show off their youthful glow again.

Can Botox Lift My Eyelids?

When your eyelids droop and sag, it can be a cosmetic problem. Sagging eyelids can potentially make someone look older and more tired than they actually feel and look. Additionally, when the eyelids droop, they can give rise to medical concerns, as the eyelids could disrupt your vision. While you may have heard that a surgical procedure exists to correct the issue, which is known as blepharoplasty, you may not realize that a less invasive treatment exists – an injection of Botox.

Botox is a viable means to alleviate your hooded eyelids. However, you may be wondering, to what extent can Botox help? At Dermacare Laser & Skin Care Clinic of San Diego, we want to help you address your hooded eyelid concerns by utilizing Botox.

What Are Hooded Eyelids?

Hooded eyelids are a cosmetic and medical concern that can occur for several reasons. The condition, known as ptosis, can result from the levator muscle weakening, which is the muscle that holds up your eyelids or can also result from continuous pulling on your eyelids. Actions, such as putting on makeup, can contribute to sagging eyelid skin if not done gently. While it may seem that hooded eyelids are only apparent in an older generation, they can also occur in children either because of trauma or due to neurological reasons. In short, hooded eyelids are a common condition. If left untreated, the eyelid skin can eventually sag enough to disrupt your vision and lead to secondary conditions such as headaches.

What Is Botox?

Botox is a neurotoxin that consists of botulinum toxin Type A. When this neurotoxin is injected into a muscle, it blocks specific nerve receptors from receiving a signal. Blocking this signal prevents muscle movement from occurring, effectively keeping the skin from folding over. For this reason, a Botox injection is commonly used as a way to prevent wrinkles from forming. Botox was initially FDA-approved to treat muscle eye spasms in 1989. Still, the cosmetic benefits were soon realized, causing it to become one of the most popular cosmetic treatments worldwide.

What Botox Can Treat

Botox is commonly utilized to treat what are known as dynamic wrinkles. These wrinkles are not the result of the natural aging process, which is instead referred to as static wrinkles. Instead, dynamic wrinkles are a type of wrinkle that results in facial movements made over the years. From a frown to a smile, any form of facial movement causes various facial muscles to move. When they are made consistently enough, the wrinkles can eventually appear to be permanently imprinted on the face. Dynamic wrinkles are apparent around the mouth, forehead, nose and eyes.

When Botox Is Appropriate for Hooded Eyelids

A Botox injection is an appropriate treatment for hooded eyelids. The treatment can treat a low eyebrow position or slight brow drooping, which is causing the eyelids to hang lower than they should be. 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. The neurotoxin’s effects will gradually wear off, and the eyebrow muscles will regain their strength. Usually, a Botox injection lasts approximately two to three months.

When Botox Cannot Help Hooded Eyelids

If your hooded eyelids are the result of an excessive amount of eyelid skin or because of a more pronounced brow droop, Botox is not a viable treatment. There are no neurotoxins that can reduce or tighten the skin. This means that if hooded eyelids are a medical concern, then Botox will be an ineffective solution. Instead, patients would be recommended blepharoplasty, which is a surgical procedure that removes excess eyelid skin. Blepharoplasty is an ideal solution for hooded eyelids because it produces long-lasting results.

However, the surgical procedure could be unfavorable if hooded eyelids result from minor skin sagging or a slightly drooping eyebrow. Blepharoplasty can be a potentially extensive procedure, is costly and poses more risks than Botox. It’s essential to weigh the benefits of Botox compared to blepharoplasty when deciding which treatment is the better option.

The Botox Treatment for Hooded Eyelids

Treating hooded eyelids with Botox is a relatively simple process. The treatment involves injecting Botox into your lower forehead and the outer ends of your eyebrows. When injected, it will paralyze the muscle by effectively preventing nerve receptors that prompt muscle movement. The treatment paralyzes the depressor muscle, which causes the eyebrow to droop, while the elevator muscle, which raises the eyebrow, remains untouched. The treatment will raise the brow a few millimeters. While this does not sound like a significant amount, it will still effectively give you a more open and alert look.

Utilizing Botox to treat hooded eyelids is best performed under the guidance of an expert injector. If not, the treatment can potentially create superficial results. At Dermacare Laser & Skin Care Clinic, our injectors are well adept at treating hooded eyelids with Botox.

Can you inject Botox on eyelids?

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While most people think of Botox as an injection used for cosmetic purposes, ophthalmologists are interested in the injection’s use as a treatment for eyelid twitching. While most of us experience the annoying sensation caused when our eyelids twitch.  

The majority of the time, this twitching is caused by a lack of sleep and/or stress, and it is only temporary. For some, however, eyelid twitching becomes a chronic situation. This type of eyelid spasming is called blepharospasm.  

Figuring Out If Botox Injections Are Right For You

Eyelid twitching will often resolve on its own with a little TLC. If you experience occasional eyelid twitching that happens on and off or that lasts for a day or two, there is a good chance that you are not getting enough sleep and/or that you are under stress.  

Before scheduling an eye appointment, try the following: 

• Get extra sleep.Are you getting enough sleep? Are you sleeping well once you fall asleep? Visit sleepfoundation.org’s post, How to Sleep Better, and work towards getting the sleep you need to be well-rested. 
• Practice stress management. Are you under stress? As we go to press, we are still in the midst of the COVID-19 pandemic, and families are struggling with all of the ramifications of that, including distance learning and unemployment. There’s never been a better time to take stock and cultivate the steps necessary to manage your stress. 
• Minimize or eliminate caffeine.If your spasms are related to a stress response, caffeinated beverages can trigger or exacerbate them. Try to minimize or eliminate caffeine to see if that helps. 
• Apply a moist, warm compress.If you have the time and space, apply a warm, moist compress (a clean washcloth, folded into fours, and soaked in warm water is perfect) and hold it gently on your eye(s) for five to ten minutes. Repeat as necessary. You can even work this step into your stress management program! 
• Use artificial tears to keep dry eye at bay.There is a correlation between dry eye and eyelid twitching. Using artificial tears a few times a day can help. If you experience continued episodes of dry eye, it is worth a trip to the eye doctor to evaluate the underlying cause. 

If your eyelids continue to twitch for a week or more, contact your eye doctor – especially if you have any of the following symptoms: 

• Inflamed eyelid(s) 
• Pink eye (conjunctivitis) 
• Light sensitivity 
• Drooping eyelids 

Other nerve/brain-related issues (Bell’s palsy, MS, Parkinson’s, various dystonias, Tourette syndrome) can also cause blepharospasm, and these should always be ruled out before proceeding with a course of Botox injections. 

There are a few different treatments available to treat chronic eyelid twitching, but Botox injections are the most successful option for patients 12 years old and older. 

Is It Necessary To Treat Eyelid Spasms? 

Some patients find eyelid twitching intolerable, while others find it to be a minor irritation and ask whether they have to treat their spasms at all. We always recommend treating eyelid spasms because chronic spasming can lead to other complications. 

Patients who do not treat long term eyelid twitching risk: 

• Involuntary eye closure 
• Light sensitivity 
• Blurred vision 
• Uncontrolled winking and blinking 

Patients always have the right to refuse treatment, but we hope that you will schedule an eye appointment and discuss the options at length with your eye care provider before opting to avoid treatment. 

Botox Injections Treat Blepharospasm 

Botox (botulinum toxin) has been an FDA approved as a prescription medicine since 2002 but has been approved for use to treat uncontrolled muscle spasms since 1989. This means patients can feel confident in the 30+ years of safety that backs this treatment option. 

When injected into specific muscles, Botox stops them from contracting – like a relax/cease action solution. In the case of your eyelid(s), we use a very thin needle. This generates a relaxing of the contracted eyelid muscles, and also blocks some of the nerve signaling responsible for the twitching, providing relief from the continuous eyelid muscle spasms. In most cases, patients’ eyelids slow and cease their spasms within a day to a week or so after their injection appointment.  

The appointments only take about 10 minutes per eye or less, and they are almost always covered by your health insurance. Once the Botox takes effect, patients typically benefit from three months of spasm-free vision, at which point they are scheduled for another round of injections. 

If Botox injections are not sufficient enough to relieve the spams, your ophthalmologist will discuss alternative treatment options with you. These may include prescription medication such as clonazepam, trihexyphenidyl, lorazepam, baclofen, and tetrabenazine. However, these medications can have less desirable to downright serious side effects, which is why Botox injections are always our first choice treatment for blepharospasm. 

If neither Botox nor medication is successful, we’ll discuss surgical options which can eliminate the facial muscles or portions of the nerve(s) causing the spasm. 

Risks And Complications Of Botox Injections 

As with any treatment, there are risks and complications associated with using Botox injections. This is one of the reasons you should be very careful when selecting your ophthalmologist. You should work with someone who knows exactly what s/he’s doing, taking the time to review your symptoms, potential causes, and your medical history to ensure this is the right first-step for you.  

Some of the risks and complications associated with Botox injections include: 

• Problems swallowing, breathing or speaking. This is incredibly rare, and has typically affected those who have had issues with swallowing, breathing, or speaking in the past. This rare side effect occurs when botox affects muscles besides those in the eyelids.  
• Spread of toxin effects. Again, there is a risk with Botox that the botulism toxin that works on the affected eyelids can potentially migrate or spread to other muscles and nerves, creating a “spread-of-toxin” effect.