This is a question that I answered for someone who felt they looked different on one side from the effects of Botox

One thing is possible regarding your situation. Sometimes, people don’t notice things about themselves until they actually get something done.  This is a common thing that happens.  When you get something done, like botox, you tend to look at certain parts of your face more closely and notice things that used to be there before.  That is why doctors have become used to pointing things out to people so that this doesn’t happen after the particular procedure.  We are asymmetric for many reasons.  One thing is really interesting though.  When people look at others to asses  beauty we tend  to look at the right side of the person’s face predominately.  This is due to the fact that our right brains appreciate beauty more than the left brain.  Our visual fields are crossed and asymmetric which leads to this phenomenon. You can find this out by searching on the web for visual field pathways in the brain.  Hence, we select one another, from a sexual selection stand point, by concentrating more on the right side of the face.

In terms of the possibility that other facial muscles are working harder to compensate and then subsequently leading to asymmetric muscle movement and size differences, This is a possibility that hasn’t been looked into as much from a scientific standpoint and could be happening.  I would have to see pictures myself to really come to some assesment of the situation.  Botox could help in this regard too.  You could put botox in those muscles that you think are bigger in a very conservative way.  I would talk to your doctor or send me pictures.

I hope that helps!

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

This is what I answered for someone recently concerning Botox :

This is what is listed with the manufacturer as some of the more common potential problems:

Adverse events occurring in approximately 10-20% of the subjects receiving brimonidine ophthalmic solution (0.1-0.2%) included: allergic conjunctivitis (itchy, watery eyes), conjunctival hyperemia, and eye pruritus. Adverse events occurring in approximately 5-9% included: burning sensation, conjunctival folliculosis, hypertension, ocular allergic reaction, oral dryness, and visual disturbance.

Adverse events occurring in approximately 1-4% of the subjects receiving brimonidine ophthalmic solution (0.1-0.2%) included: allergic reaction, asthenia, blepharitis, blepharoconjunctivitis, blurred vision, bronchitis, cataract, conjunctival edema, conjunctival hemorrhage, conjunctivitis, cough, dizziness, dyspepsia, dyspnea, epiphora, eye discharge, eye dryness, eye irritation, eye pain, eyelid edema, eyelid erythema, fatigue, flu syndrome, follicular conjunctivitis, foreign body sensation, gastrointestinal disorder, headache, hypercholesterolemia, hypotension, infection (primarily colds and respiratory infections), insomnia, keratitis, lid disorder, pharyngitis, photophobia, rash, rhinitis, sinus infection, sinusitis, somnolence, stinging, superficial punctate keratopathy, tearing, visual field defect, vitreous detachment, vitreous disorder, vitreous floaters, and worsened visual acuity.

The most common issues are watery and itchy eyes that could indicate allergies, eye burning and visual problems, and eye redness.

The best thing to do is to avoid droopy eyes by injecting the botox / dysport at least 1.5cm above the orbital rims edge above the eye.  This avoid the botox from traveling to the muscle that lifts your eyelid which is responsible for the droopy eyelid that can happen if this muscle is affected.

I hope that helps you in some way!

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Botox (dysport / botulinum toxin / wrinkle remover / bo tox / disport) results are temporary.  Botox binds on to the part of the nerve that releases neurotransmitter into the space that eventually blocks muscle contraction. Your nerves eventually regrow though and that determines how long botox lasts which is around 3-6 months.  The more botox you do the more that your muscles get weaker over time and hence the results of botox has the potential to last longer.  But they are never permanent.  There are ways to take away or clip specific nerves to get the same results  but longer.  Also there is a radiofrequency technique that targets specific nerves for longer results than botox.  The technique basically damages specific nerves so that they don’t lead to contraction of certain nerves that cause wrinkles.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

This a questions someone asked me regarding botox:

Botox / Dysport can help with wrinkles in between your eyes or glabella, forehead wrinkles, crows feet, eye wrinkles, bunny lines, chin dimpling, lip lines, lower eyelid wrinkles, gummy smile, neck banding, etc.  In terms of safety, there are a lot of ways to make botox safe and avoid complications. Botox can be done in a safe way to avoid problems.  First off, diluting the botox with less solution can go a long way.  I typically use only 2cc of botox where some other physicians use up to 4 cc of saline.  When you use more saline, you end up needing more volume for the same number of units.  What this means is that the more volume you use the more the botox will be spread out.  When the botox is spread out, it can affect other muscles around the area and cause unwanted effects.  In your specific question, having droopy eyelids can occure when the botox reaches the muscle that lifts up your eyelid.  With a smaller volume with the same amount of botox, the botox is less likely to reach that muscle.  Also to avoid reaching that muscle its important to stay away from the eye or the orbital part of the eye.  As you inject botox as it approaches the middle part of the eyebrow you need to move the injections further away from the eye.  Knowing where to inject makes a big difference as well.  For the forehead, you don’t want to inject the botox too low.  When you inject too low it can lead to your eyebrows descending as well.  I usually try to stay at least superior to the halfway point in terms of the height of the forehead.  Consulting a person specializing in the face is always an important thing to consider.

Dr Young is located in Bellevue near Seattle, Washington

Botox is the new Botulinum Toxin out there. This product has recently recieved FDA approval and is being used in the United States.  It has a long safe track record in Europe and many people are excited about its use here in the states.  Dysport has been touted as being longer lasting. From what I have heard from representatives is that the FDA allowed it to be marketed as lasting about a month longer than Botox that we are currently using now.  The onset of Dysport is also quicker according to some.

Dr Young is located in Bellevue near Seattle, Washington