Hello – I’m 50 years previous (feminine) and I acquired Botox for the primary time in November 2022, about 9/10 weeks in the past. The injector did my brow, between my eyes, and crow’s ft. Roughly 2 weeks later, possibly barely much less, underneath my eyes (a bit decrease although, nearer to the highest of my cheek) turned fairly puffy (and really noticeable) and it has remained that approach ever since. That is an space the place I’ve by no means had any puffiness or swelling earlier than – completely weird and horrible! The swelling has decreased slowly over time, so it has been enhancing, to the purpose the place just a few days in the past I believed they have been virtually gone. Nevertheless, I had an RF Secret therapy on my face and neck simply 2 days in the past (for different causes, not for the baggage) – and now they seem a bit worse. Assist! I’ve been so hopeful that they might go away given they’ve been enhancing, and I used to be assuming as soon as the Botox wears off, they are going to go away too. However now I’m fearful they will not! Final query – would this possible have been a mistake on the injector’s half, or would it not merely be my response to Botox (that means I mustn’t do it once more). I used to be VERY proud of the brow/between the eyes outcomes (however apparently didn’t discover an enormous change on the crow’s ft). Thanks! D.
I feel D’s query is an ideal instance of this. And… I had a buddy/colleague do mine not too long ago and developed some new, fixable brow strains two weeks later. It is a frequent downside and even when your supplier makes detailed maps in your chart, it may be nice one time and completely different (a bit the following)…..why? How can all of us get it to be extra constant.
It’s necessary to know although that the primary few occasions with a brand new injector will all the time be a studying curve and dialog between the 2 of you. It’s actually a dialogue about what you’d like, what they see, and their talent units. 🙂
Simply an FYI, the RF causes it’s personal non permanent slight puffiness, which can have made it worse.
Why it won’t be what you needed:
- Supplier won’t have understood the look you needed. Only a miscommunication.
- It might have been arduous so that you can specific precisely what you needed – your expectations. 🙂
- Supplier could have restricted expertise and do form of “generic” Botox/Dysport remedies, or not paying sufficient consideration whereas injecting.
- Supplier could have over or underestimated the quantity wanted for these actually fairly tiny muscle tissue of the facial features. This occurs extra usually early on whereas they’re “studying” your face.
- Suppliers “eye” for this sort of work may not be good. Just about anybody can study sure injection expertise, however the aesthetic eye and a way of the way in which our muscle tissue on the face work otherwise is just not all the time teachable, in my expertise not less than.
- Different issues that may have an effect on it: blood thinners inflicting extra bruising, not following the after directions effectively, and so forth.
The most typical issues and why:
- Puffy underneath the eyes after Botox/Dysport. Most frequently present in those that have a slight tendency to this anyway. The muscle tissue across the eyes drive lymphatic drainage once they don’t contract that fluid accumulates underneath the attention. Some sufferers can’t actually use any or a lot Botox/Dysport across the eyes if susceptible to that. It should appropriate, however slowly; often 3–6 months it often wears off. It may be accomplished once more with a special method, when you have the proper supplier to see if that corrects it.
- Wonky brow strains and “Spock brows”. That is most frequently attributable to uneven distribution or “take” on the massive, sheet-like, frontalis muscle of the brow. It’s simple to appropriate and often accomplished at no cost; if the issue isn’t that an excessive amount of was injected.
- Bizarre or altered smiles. That is often attributable to an excessive amount of accomplished within the decrease face or not an excellent evaluation of the muscle tissue there. We are sometimes NOT fully symmetric in our muscle growth in our decrease faces and if the supplier doesn’t take that under consideration whereas deciding how a lot to place the place, it might probably look odd. Enamel, implants or lack of them, enamel pulled as a toddler, and so forth. have an effect on this as we age additionally.
Hope this helps,
Dr. Brandith Irwin, MD
Founding father of SkinTour & MadisonMD Skincare
Comply with my pores and skin suggestions and travels on Instagram!