Botox™ - Related FAQ's

Q: Botox injected in my friend looks normal almost immediately after but when my doctor injects Botox in my forehead, I get big lumps right away. Why is there a difference?

A: Your doctor might be diluting the Botox differently than your friend’s doctor and so your physician would have to inject a different volume of liquid to make sure that the total units being delivered are equivalent to the standard treatment. In other words, if your doctor uses 2 ccs of liquid to mix a vial of Botox and your friend’s doctor uses 1 cc. of liquid, then your friend only needs half the volume of injected liquid to get the same number of units of Botox delivered and they won’t have as much of a lump of liquid noticed right after the injection. Both do go away on their own, rather quickly, but yours would take longer. Some doctors use the larger volume of dilution as they find it more easy to inject accurate doses while other doctors use the more concentrated Botox to deliver accurate small volumes to minimize spread effect on neighboring sites that are not meant to be relaxed.

Q: I had Botox to my “11” of the forehead between the eyebrows and now my eyelid is pulled up on the outer parts, why?


A: The forehead muscle on the outer aspects is working harder trying to lift the middle of the forehead that it can no longer because it is relaxed there. This can cause a “Mr. Spock” eyebrow and is remedied by injecting some units of Botox in the outer forehead to relax it and let it come down.

Q: I have been having Botox injected in my forehead since my late twenties. Now I am 39 and have found the last two times, that my upper eyelids become heavy and it’s difficult to apply mascara without raising the eyebrow with my other hand. Why is this?

A: As we age, the forehead muscle droops and even though we inject the glabellar muscles between the eyebrows to help lift the forehead, there is too much sagging and the Botox that relaxes the forehead muscle to erase the horizontal creases can cause more drooping.

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