According to Dr. Shereene Idriss of the prestigious Union Square Laser Dermatology, the “Botox shelf” is the result of too much Botox being placed around the eye muscles, and is sometimes seen in conjunction with a bulging upper cheek.
Allergan recommends that unopened Botox vials be refrigerated between 2oC and 8oC for up to 36 months (if it's the 100U vial) and up to 24 months (if it's the 200U vial).
You may have minor side effects after Botox, including headaches, neck pain, or flu-like symptoms. You may have redness, swelling, or bruising at an injection site. You may also get indigestion. If you notice eye drooping, call your doctor right away.
Botox and Dysport work by smoothing this area out and reducing formation of the wrinkles. Unfortunately, because it is a continuous, oval muscle, the remainder of it can still contract and move even after the crow's feet have been injected with Botox and Dysport.
A moderate amount of paralysis will occur to your orbicularis oris muscle when treated with botulinum toxin. This muscle is circular and sits on top of your bony orbit. Paralyzing the muscle can cause increased prominence of under eye troughs as usually, the muscle tone helps keep this area tight.
Botox injections are a type of cosmetic treatment that can be used to reduce the appearance of under-eye bags and wrinkles. The procedure involves injecting a solution of botulinum toxin into the facial muscles, which temporarily paralyzes them and prevents muscle movement.
Although rare, periorbital edema due to BoNTA injection is self-limiting and does not require medical treatment. As reflected from the case, edema can be managed by application of hot pads over the eyes, frequent blinking in the morning, and self-massage of the affected area in order to increase venous return.
A Botox shelf can form at the upper outer cheeks, pushing back onto the rest of your cheeks and giving them an apple-like shape.” Oftentimes this might even be mistaken for “bad filler,” according to Dr.
It is because your cheek muscles are an active participant in helping you smile. So if Botox gets injected too low on the upper part of the cheek, the Botox will weaken the muscles that help lift your mouth muscles and stop you from having a full smile.
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.
The first thing you'll notice immediately after Botox injections are little bumps and dots of blood that look just like mosquito bites. These go away in 20 minutes to half an hour. But you won't notice the skin-smoothing effects between three to five days (and up to two weeks).
The side effects are minor, with some patients experiencing minor bruising at the injection site. The recovery from this is almost immediate. "The final result of your botox injections will be evident in about 3 to 10 days and will last 2.5 to 4 months.
Botox injections do not work instantly, but you can expect to see positive results quickly from your treatment. Most patients observe significant improvements in the appearance of their skin after just 3–4 days. Patients can expect to see the full effect around 14 days after their botox injection.
Don't lay down for the first 4 hours after having Botox
You might be sore or a little tired after having Botox injected, but you should avoid laying down for the first four hours after the injections. Both bending and laying down could spread the toxin and lead to bruising at the injection site.
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. According to Dr. Holman, “It's important to remember that, like Botox treatments, a drooping eyelid is usually temporary. The effect will wear off after a while.
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.
"If you do too much Botox on your forehead for many, many years, the muscles will get weaker and flatter," cautions Wexler, adding that the skin can also appear thinner and looser. Moreover, as your muscles become weaker, they can start to recruit surrounding muscles when you make facial expressions.
Heavy brows and the feeling of drooping.
This feeling and look comes from treatment of the forehead muscles called the frontalis. These muscles move the brows up and in certain cases after Botox treatment, the relaxed muscle then makes the brows drop.
The most popular area of use for BOTOX® is the face. By relaxing different facial muscles – from the forehead to the neck – wrinkles can be minimised, resulting in the smoothing of the overlying skin.
Signs of a Bad Botox Injection
There are two signs you've had a bad Botox injection: Unusual results such as facial asymmetry (one side doesn't match the other), overarching eyebrows, a drooping eyelid, or not being able to move the forehead at all. You are unhappy with the results.
If you choose not to have further treatment, the full range of movement will return and your wrinkles will appear as they did before you had Botox. If you compare your skin during and after this period, you will feel you appear older afterwards as you have been used to seeing your fantastic, smoothed-skin results.
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.
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.
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.