Some Botox professionals will only give Botox injections to the muscles that push downwards, and when they relax it means that all that is happening on the patient's forehead is pulling upwards! This creates the startled look.
First, he said, "a patient needs to understand that using Botox to alleviate all wrinkles will have negative effects such as separating and lowering the brows." Maercks called this the “the Botox V deformity" and it's what causes many people who get Botox to look surprised, he said.
Sometimes people get a peaked eyebrow after a Botox treatment. This can make you look surprised and it's sometimes called a Spock, Mephisto, or Jack Nicholson look. This can occur for a number of reasons. For example, sometimes a peaked eyebrow is seen when only the glabella area is treated with Botox.
What is the “spock brow”? After treatment with botulinum toxin (Botox, Dysport, Xeomin, etc.) the tail of the eyebrow appears to be over-elevated with a “pulled” appearance. The heightened arch can appear sinister or “spock-like”.
If someone gets too much Botox, or if they get the procedure done at a “day spa,” there's an excellent chance that they will get that unnatural look.
When a qualified injector administers BOTOX, it can provide excellent results that no one will even notice. Typical sessions take about 20 – 30 minutes with some patients even doing it over their lunch hour. BOTOX injections generally last about 3 – 4 months but vary by person.
When someone is receiving too much treatment with anti-wrinkle injections, the skin can become extremely smooth and the light bounces off in a uniform way. So, the skin appears shiny, which is why it can look 'frozen'.
One common complication is “chipmunk cheeks.” This happens when too much dermal filler is injected into the cheeks and/or it's injected into the wrong spaces. Of course, there's also the stereotypical overdone lips look.
Noticeable results are not usually visible the next day, as it take a bit of time for the Botox® to kick in. After seven days, you're likely to see the results of your treatment. The treated area will appear smoother and look more refreshed.
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.
Your Skin Might Look the Same (At First)
Don't worry – that's totally normal. The first time botox is injected, it takes time to act. In fact, it's possible that it may take 2-8 days to start seeing a difference. But two weeks after your appointment, you'll see the full effects of your Botox treatment.
When people see lines forming after BOTOX wears off, they assume treatment made their wrinkles worse. Actually, your face simply returns back to its natural state. No new wrinkles or lines are ever caused by these injections.
When Botox is applied to problem areas around the eyebrows, the muscles relax and the skin on top of them becomes smoother. The muscles around the eyebrows are pulled upwards, elevating the eyebrows and making a patient's eyes appear more open.
And the depressor labii inferioris (DLI) muscle pulls down your lower lip, and you have one of these muscles on each side. When Botox spreads to any of these muscles, it will relax them. Usually this only happens on one side. This makes your smile on that side look different.
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.
Also, Botox will close your pores and improve the texture of your skin. When this happens, the surface of your skin is much more smooth. As a result, when light reflects off your skin it produces a glow that you can see.
It can take two to four days before the weakening of the muscle begins and movement is stalled. You can see the maximum results of your treatment anywhere from ten to fourteen days after treatment. The best part is that maximum results can be seen up to three months after your treatment.
Exercising – Exercising increases the blood supply to all your muscles including your facial muscles and so this can result your Botox to wear off faster.
But if it's done by a less-than-credible injector, you can get the dreaded “pillow face.” If too much filler is put into the cheeks, or it's injected into the wrong area, the cheeks can bulge and essentially give you chipmunk cheeks.
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.
If the Botox is placed too low or if it migrates down, the Botox can affect the lower part of the muscle and cause a droopy eyebrow. Sometimes when your eyebrow goes down, it can make your upper eyelid heavy too, making it look like droopy eyelids.
' Even if you do Botox right, if you have a certain kind of anatomy where you have a high forehead, it can give you that very tight and bulge-y look, like an oily bowling ball. It's not a cute look." Nassif: "That's interesting. I haven't thought of it like that."