How to Correct Medial Brow Ptosis Caused by Botox Injections

Eyebrow ptosis, or paralysis resulting in lowered or misshapen eyebrows may result from botox injections that, ironically are meant to give the face a refreshed, rejuvenated look. Degeneration of eyebrow muscle tone may give the face a droopy, closed-eye look. Medial brow ptosis occurs in approximately one percent of patients receiving the botulin injection. Authors Ferreira and Salles, in the Journal Aesthetic Plastic Surgery, have outlined various methods for correcting this unfortunate side effect. Does this Spark an idea?

Things You'll Need

  • Clinical dermatologist
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Instructions

  1. Types of therapies

    • 1

      Ask your doctor about microlight therapies: Microlight therapy is a type of neuromuscular stimulation that has been approved medically for various types of neurological injuries and muscular degeneration including remediation of brow paralysis due to botulin injection.

    • 2

      Ask your doctor if an anti-inflammatory treatment might work for your botulin induced brow-facial paralysis. New treatments for other types of facial paralysis include anti-inflammatory treatments. For example, Bell's palsy often indicates a course of prednisone followed by acyclovir. Support for anti-inflammatory treatment for botulin induced toxin was outlined by Doctors M. Ferreira and A. Salles in a detailed article which advocates an individual approach for those suffering botulin induced ptosis.

    • 3

      Ask your doctor if compression garments as well as manual lymph stimulation are right for your own botulin induced ptosis. A genetically inherited condition that correlates leg swelling with congenitally drooping eyelids has justified the use of these types of therapies for botulin induced paralysis. Doctors Ferreira and Salles have found a therapeutic use of lymphatic drainage for botox induced ptosis.

    • 4

      Discuss with your doctor the aforementioned less invasive techniques before mediating your botulin induced ptosis with surgical possibilities. Eyebrow lifts are a serious type of remediation for an episode of ptosis and are usually reserved for genetic and congenital ptosis. However, advances in surgical techniques have made the eybrow lift less of a major event: endoscopic processes, offset surgical incisions, as well as hairline level facelifts have made the eyebrow correction less of a prohibitive surgical procedure.

    • 5

      Ask if dipivefrine hydrochloride is right for you. Doctors Ferreira and Salles recommended dipivefrine hydrochloride treatments for certain types of ptosis; this is a form of adrenaline therapy for medial brow ptosis caused by botulin injection.

Tips & Warnings

  • Ask your doctor if a nerve stimulation test might indicate possible nerve regeneration if you have suffered palsy due to botulin injection. Bell's palsy is a facial paralysis that results in one-sided facial palsy and concurrent brow ptosis. Electrical stimulation tests of Bell's palsy patients often indicate likelihood of nerve regeneration.

  • A person must not receive botulin if he or she has the condition of excess skin on the forehead; however, researchers A. Redalli and R. Forte suggest that if patients with a large amount of forehead skin insist upon treatment, botulin must be administered over a course of two administrations (with a specific 30 U syringe), and adrenaline must be used after injection.

  • Nerve stimulation has been used in patients such as stroke victims and the results may be variable; electrical stimulation to the face can cause muscle tone loss, due to mitochondrial damage to the energy powerhouse of the cell.

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