Due to the property of botulinum toxin to eliminate muscle spasm, this drug is used both in medical practice and in cosmetology. Injections contain natural purified toxin in small doses and help to correct minor skin changes. The protein acts on muscle tissue, blocking the transmission of nerve impulses, as a result, mimic facial wrinkles relax. But sometimes there are problems. Most often it happens that eyelids droop after Botox, and the doctor should tell you what to do.
According to statistics, after the Botox procedure, 16-18% of patients experience ptosis, or drooping of the eyelid. No one is immune from this side effect, since in many cases it develops for reasons beyond the control of the beautician. And then the first question will be if the eyelids droop after Botox - what to do?
Symptoms
To orderin order not to confuse ptosis after injections with other pathologies, you need to be aware of the symptoms. The eyelid can fall both on the third day and after a few weeks. This is very eye catching. Explicit asymmetry gives the face an unpleasant tired expression, and the look - heaviness. In this case, blinking is disturbed, as a result, the eyeball is almost deprived of moisturizing and cleansing, also:
- eyes start to hurt;
- impaired circulation;
- headaches, strabismus and lacrimation appear.
According to the location, the puffiness is most often unilateral, but it can also be bilateral. Thus, a situation may arise when, for one reason or another, the eyelids droop after Botox. What to do? Photos and reviews of other patients, the opinion of doctors - all this is of interest, but the main thing is not to panic.
Forms of eyelid ptosis
There are 3 forms of eyelid ptosis:
- eye covered by a third of the eyelid - partial;
- half - incomplete;
- completely lidded - full.
For example, if you look at the photo, the eyelid after Botox did not fall too much, it does not interfere with the person, but it affects the appearance. It should be borne in mind that sometimes ptosis after botulinum therapy is difficult to correct.
Primary Causes
Before carrying out a cosmetic procedure aimed at eliminating wrinkles in the eye area, the risks of side effects should be taken into account.
If eyelids droop after Botox, then this can happen in tworeasons. Physiological, which are considered primary, are due to the mechanisms of interaction of botulinum toxin with muscle fibers. One of them is the complete or partial denervation of the muscle that raises the upper eyelid with the drug. In other words, its connections with the nervous system are cut off, and it is not able to contract. If this happened only with a part of the muscle, then the remaining active one is not able to fully hold the eyelid, so it drops a little. If all is denervated, then the eye closes completely.
The second reason is a decrease in the activity of the circular muscle of the eye and the one that drains the lymph when it contracts. As a result, tissue fluid and blood accumulate in them, edema appears, which spreads to the eyelid. It gets heavier and lowers.
Secondary causes
The answer to the question why the eyelids drooped after Botox torments everyone who has encountered this problem. Secondary reasons are due to the specifics of the execution of the procedure itself and rehabilitation after it. Although the principle of action of the drug is the same for all patients, however, some intervention proceeds safely, while others have undesirable effects.
Drooping of the eyelid after botulinum toxin injections can lead to:
- Individual response to the administered drug.
- Injecting the drug into the levator lid muscle when the distance to the orbicular muscle of the eye, which is injected to get rid of the so-called crow's feet, is incorrectly calculated.
- Unevendistribution of the drug by injection points.
- Ignoring anatomical features such as an asymmetrical face and narrow forehead.
Also, too high a dosage can lead to this result. In this case, this is a consequence of inaccurate injections or improper dilution of the solution. Overdose is common among physicians, following the new trend of administering large doses of botulinum toxin. Although 10 units of the drug are usually enough for a pronounced effect, they inject from 35 to 50. High dosages, in addition to making the rejuvenation procedure more expensive, also increase the risk of various kinds of complications. This approach is absolutely not justified, because if the effect of 10-15 units seems too small, the missing amount can always be spiked a little later.
If at the very beginning there are signs of ptosis on the face, then, first of all, it is necessary to cure it, and then carry out the procedure, because initially the muscle tone is not normal.
How long to wait for natural reverse uplift?
Of course, in such a situation, women are interested in if the eyelids droop after Botox, when the trouble passes. Botulinum toxin is excreted from the body gradually, as soon as its concentration begins to decrease, the asymmetry disappears, therefore one of the best medicines is time. The recovery process will end in two weeks, and may take several months. It depends on:
- degrees of eyelid drooping - partial or complete;
- individual features of the structure of the face;
- muscle tone;
- accuracy in the implementation of appointments and recommendations of the physician.
Ways to eliminate ptosis after Botox
After Botox injections, the eyelids fell, what to do, those who have such a complication want to know. First of all, you need to contact a beautician. After inspection, he will establish a sequence of actions to fix the problem. Ptosis is a reversible process, but the duration of therapy is difficult to determine. Physicians have several therapies available that can help bring about an overall recovery of paralyzed muscle energy and improve the appearance of the face.
Administration of another dose of botulinum toxin
If the upper eyelids droop after Botox, then the cosmetologist may decide to inject another dose of the drug into the fibers that lower the problematic upper eyelid. This method will help to balance the strength of the muscles, after which the eye will open normally.
There is another option that can be used for mild ptosis. The beautician punctures the muscles that raise the eyebrow on the opposite side. After this procedure, it will drop a little, the size of the eyes will become almost the same and the asymmetry will be slightly imperceptible.
Medicated treatment
Modern methods of correcting the situation when the eyelids droop after Botox include the use of medicines that will help speed up the restoration of mobility of problematicmuscles and strengthen nearby fibers.
For these purposes, often prescribed:
- vitamin complex for oral administration "Neuromidin";
- injections of "Prozerin";
- eye drops "Apraclonidine";
- mesotherapeutic cocktails with active ingredients that accelerate the recovery of muscle tone and mobility.
Course use of "Apraclonidine" allows you to raise the edge of the eyelid by about 1-2 mm. This is sufficient for mild to moderate ptosis, but for severe ptosis, this method is only suitable as part of complex therapy.
Physiotherapy treatments
If eyelids droop after Botox, then one of the methods of treatment should be physiotherapy. Their main task is to restore the lost vital activity of muscle fibers in the shortest possible time. The most effective include myostimulation and microcurrents. The procedures are quite expensive, but with their help, you can quickly get rid of edema and cope with ptosis.
All types of massage bring a good result, this also applies to self-kneading the problem area with your fingers.
Folk methods
If it so happened that after Botox the eyelids fell, you can try to treat at home, resorting to special procedures, namely, making warm compresses, inhaling using healing herbs.
A positive result will give applied for 15-20 minutes to the forehead orbetween the eyebrows an egg boiled in the shell, a bag with heated cereals or s alt. The procedure should be carried out every day. But it must be borne in mind that this thermal method can be used if there is no swelling.
You can do a little massage yourself at home. First, it is recommended to apply a cream with a tightening effect to the area around the eyes and eyelids to create additional moisture and enhance the effect. Then it is necessary to perform circular strokes, light pinching and patting in a clockwise direction. Thanks to massage movements, the drug begins to be removed from the cells faster.
Facial inhalations performed over decoctions of herbs, such as:
- sage;
- calendula;
- chamomile.
For this procedure, one of the listed herbs should be brewed with boiling water, poured into a saucepan, over which you need to bend over and inhale the aroma for 5-10 minutes.
Paraffin eye masks can help in this difficult situation. To do this, melt the paraffin, add 2 drops of lavender oil to it. In the resulting mixture, dip napkins, attach to the eyes, do not touch the eyelashes. After the composition hardens, remove.
How to prolong the effect of the treatment?
If the patient carefully follows all the recommendations and appointments of the cosmetologist regarding the treatment of drooping of the upper eyelids, then in the end this complication gradually disappears. To consolidate the result, it is advisable to listen to simple tips. One of them concerns the need to continue to massage in order to keepmuscles are toned. Doctors recommend starting to engage in gymnastics specifically designed for the face - facebuilding. It promotes the training of muscle fibers. It is necessary to apply a tightening eye cream every day in the mornings and evenings. A good help is provided by a mask with the use of gelatin. Mix 1 tbsp. l. gelatin and milk. After it dissolves, add a capsule of vitamin A and E to the same place, apply the mixture on the eyelids. Once dry, wash with warm water.
What to do to prevent droopy eyelids?
No one is safe from such a situation, when the eyelids drooped after forehead Botox. However, this can be minimized. First of all, experts advise for rejuvenation procedures using injections to contact exclusively cosmetologists who have extensive experience working with botulinum toxin and an excellent reputation. You should collect detailed information about the beautician to whom you will go for the procedure. An experienced doctor, who has a huge store of knowledge, will not inject an excessive dose of the drug and will not make technical errors. And if any unfortunate consequences do occur, he will be able to eliminate them in the safest and most effective way.
The client should know that the procedure should be postponed if there are minor neurological symptoms in the form of a disgraced or aged face, in other words, a significant decrease in tone with fatigue, slight asymmetry after a busy day. Otherwise, overstressed muscle fibers will respond toinjections are completely unpredictable.
It is imperative to follow all the recommendations, some of which are aimed specifically at preventing drooping. The first 24 hours after the injections, the face is prohibited from massaging and rubbing. This is necessary so that the drug does not begin to spread beyond the treated muscle fibers, and you can also not go to the sauna, bath, play sports and do everything that will lead to an increase in body temperature. If you do not listen to this, then the swelling will increase, as a result, temporary ptosis of the eyelid will occur.
If the eyelid drooped after Botox, the reviews, as expected, will be negative. Ptosis is an unpleasant phenomenon, it spoils the overall impression of the injection, even if wrinkles are smoothed out and the face becomes much younger. You should not wait until this complication goes away on its own, you need to use all the advice that the beautician will give.