Treating Ptosis With Botox

We see patients with ptosis after Botox fairly frequently in our office from outside injectors. And the main issue here is that outside injectors are often placing Botox in the wrong areas and it can migrate to the muscles that can cause the eye to droop. It's really important to distinguish eye ptosis from brow ptosis.
In this example, we're showing a patient who came in with a preexisting ptosis. Dr. Shah is going to fix this ptosis by evening out the brows and working with the patient's anatomy as you can see in this video. It is very difficult to correct ptosis.
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[@SuzyKim84]

Wow! So interesting. I see a subtle but important difference. No strain in the muscles like before. Even the lid crease shows itself! Beautiful & natural. I feel that small improvements should be the goal!

[@anilshahmd]

Yes it does!

[@vwchick24]

Honestly her left eye looked better before. Why such heavy eyeliner in the after? Something doesn’t seem right about this. I’m not a doctor but I would’ve wanted my right to match my left in the before. It’s like you created a crease that she didn’t have before.

[@woolzem]

She used heavy makeup in both and i can relate because i have that same issue. But there is a difference. I question the honesty of the procedure that was performed, although i think it was successful. Botox takes a while to become fully successful, or maybe she still felt self conscious.

[@kdub10009]

You’re absolutely right. If you screenshot the before/after you really see that there is virtually no difference other than heavier makeup. The top of her left cornea is still obscured by her lid more than her right eye.

[@royalfreshness5204]

Are you dumb? She was straining her left eyebrow to lift her left eyelid open. Why would he replicate that on her right eye?

[@woolzem]

I feel like you're not being honest because all you can do with botox is relax muscles. The change you see in her face is that her left brow (which you said to leave alone) is now relaxed. The process explained would be helpful for those wanting this treatment.

[@TaxingIsThieving]

Doesn't make sense to me

[@ladydiannesanchez9825]

It's where the botox is injected. U heard of spock brow?

[@rajafaizan9037]

I have same problem please tell me some exercise to fix it

[@brooklove90]

I'm confused how did the eyelid pstosis shown in the after picture get fixed? Like you said if you put toxin in the forehead and it drops the brows the lid drops too.

[@nargissultana8592]

As long as I know toxin or botox doesn't drops the brows, it relaxes the muscles which results in lifting up the whole area

[@anilshahmd]

Selective relaxing certiain muscles to help resposition brow (so that the muscles that pull down brow are relaxed). There are multiple ways i can lift a brow with botox

[@anilshahmd]

Yes true, you can use botox to drop a brow and it can also be done to raise a brow. We balance brows all the time in our office

[@bibinek9950]

@@anilshahmd what is the muscle called that drags the brow down?

[@woolzem]

​@@bibinek9950keep searching, but the outer upper corner of the brow is often the culprit. I am not a doctor. I wish he would explain, but it does seem that he solved the issue and did a good job.

[@SD-ij3gs]

I have this problem And especially when i have eyelashes on or when i have make up on Because of this problem my self esteem has gone downhill

[@anilshahmd]

Many solutions including Upneeq as well as surgical and botox for select patients

[@SD-ij3gs]

@@anilshahmd thank you so much Where can I get upneeq from please As I live in the UK

[@SD-ij3gs]

@@anilshahmd I've tried botox it made my eyebrow more droopy

[@SD-ij3gs]

@@anilshahmd will upneeq help with my droopy eyebrow? Because my eyebrow and eyelid and eye is more lower and deeper than the other

[@anilshahmd]

@@SD-ij3gs upneeq does not help droopy brows but does lids

[@browngirl2533]

Wow, this just started to happen to me and it looks crazy for one eye to droop my is more noticeable than hers.. 😢

[@thelojay]

So you make the other eyebrow go all the way up too? Lol. I have this, and I was hoping to get my eyebrow to go down

[@anilshahmd]

Lots of other treatments too. Upneeq is an eyedrop and surgery. Botox when done improperly can exacerbate ptosis. Here i am showing how it can improve it. Botox is much more technical than most think

[@brittanihovey2197]

i got a droopy eyebrow trying to treat this its like the eyebrows flopped and now my eyebrow is heavy. can botox fixed this again

[@brittanihovey2197]

@@anilshahmd ^

[@lindsay8003]

@@anilshahmd i actually have the upneeq drops for this reason, works great. My eye with ptosis is different, the eyebrow is lower than my hood eye.. so I had Botox done in the eye with ptosis and it helped some not drastically.. she recommended Botox in my eyelid, but I was afraid.

[@TaxingIsThieving]

She needs to see an optician to change the eyelid.

[@yuliasach7844]

Could you explain how you fixed it? How many unit and where did u inject?

[@DrMatey215]

Im 65 a my left eye developed Ptosis over the last 6 months. I hate having a drooping lid😢

[@usurper762]

The appropriate treatment would be to perform blepharopasty on the affected eye. The compensation in the affected eyebrow would subside post treatment.

[@anilshahmd]

Actually there are lots of treatments including Mueller muscle resection, brow lift, and ptosis repair via blepharoplasty. For patients not wanting surgery who receive botox this can work for about 3-4 months. It is very technical injection requiring mastery of facial anatomy so it is not for everyone.

[@usurper762]

@@anilshahmd so true, thank you for replying and clarifying treatment options, especially the non surgical ones. Thank you 😃

[@EvolveSoulTarot]

How many treatments do you need for this result? Do you accept out of state patients?

[@1Chener1110]

I'm curious did you inject the leftside forehead of the patient for decreasing the lifted eyebrow?

[@rosie6]

Hi I have this too! Where can I find you to get treatment?

[@anilshahmd]

My office is based in Chicago, IL. You can also find me on Instagram @SHAHAESTHETICS if you would like more information.

[@anabellaparis1]

Where did you inject?

[@user-tp7gd4cm3m]

Where is the injection point on the lowered lid? Hello😮

[@cadencehashira]

Doctor -- is there research showing how scoliosis affects brow ptosis? Can you share any studies? I noticed my ptosis appeared as my scoliosis progressed, but NO orthopedic doctors OR dermatologists OR myofacial therapists OR dentists OR physical therapists were familiar with this coincedent.

[@kdub10009]

Very little difference between before and after; it’s the makeup that’s making a difference in the after. All she needs is to use Upneeq drops in the left eye.

[@monarch890]

Please did you downed or lifted the brow I don't understand

[@JoifulFamily]

Come to va and do mine please I had the ptosis eye lid surgery but I just want me other eye to match ptosis eye

[@kitoscamilleri7731]

Is it possible to lift the inner part of the brows. Or just the outer ? I need help

[@anilshahmd]

You can, if you inject the neurotoxin (such as Botox or Dysport) into the medial aspect of the corrugator, you can slight elevation of the medial brow. Always seek an expert injector to help you with this. Thanks!

[@nafiaahmed2789]

Is there anyone in Sydney offer this kind of non surgical treatment?

[@user-tp7gd4cm3m]

How did you do it

[@LovingYouForever21.]

I would love this. How long it take to get back to normal? Is this forever? Do you have clinic in Florida?

[@anilshahmd]

The time is different from patient to patient, but at most 6 months. And our office is based in Chicago, IL.

[@shawnise311]

I have this! I need to find you asap!

[@biaotoch]

heyy what if I wanted to get my other eyelid sleepy too?? with more skin?

[@kayuso6863]

Why do I have this same problem ? What is the causes

[@sadiaahmed6955]

Me too 😞

[@azizatonni8212]

I have the same problem.I live in bangladesh.In bangladesh there is no qualify doctor for this eye assimitry problem.now what should I do? Plz try to help me.

[@sazianowrin9220]

Where did you inject on her forehead to lift up her right eyebrow ?

[@anthonym9371]

How did she get double eyelid on the ptosis eye ?

[@LovingYouForever21.]

I like this sleep eyelid this is what I am looking for . How much the cost?

[@keithbenefit]

Her make up is misleading is . I have a ptosis and trying to find a solution

[@RayOnRae95]

how long does injection method last?

[@fatimemehdiyeva2439]

that is the case which you can do cosmetic operation . generally it is naturale to have asymmetric face .it is normal pls dont exagrate it

[@ishafoodie6073]

Can you tell me the best exercise for ptosis to do??

[@shinmichaelsumampong3361]

Were the same ,, what should i do Dr?

[@anilshahmd]

I would suggest to seeking an expert injector to find the best course of action for you. If you are in the Chicagoland area, you could schedule a free virtual consultation with one of our expert injectors through Instagram at SHAHAESTHETICS

[@olivearodriguez9603]

Should’ve showed it

[@BrelleDior]

I need this

[@squirt4703]

Can botox treat mild congenital ptosis?

[@Girl-tr8mh]

I had mine fixed at 4 in Manchester England about 1994, why is her eye brow raised? Xx

[@anilshahmd]

Her brow is naturally raised by her body to compensate for her ptosis. We rebalanced it to fit her face and aesthetics

[@durgeshteachnical3250]

Sem problem sir

[@Mia-pc7sp]

What you recommend for forehead indentation

[@anilshahmd]

A facial filler could possibly be a good course of action. I recommend seeking an expert injector that can help your needs.

[@nalayakpor]

How much it cost sir

[@SD-ij3gs]

I have this M

[@ankitagaoture9973]

I have same problem sir

[@vetaantonevic7312]

Как можно в таком возрасте делать ботокс?! У врачей мозги где?

[@manjusingh9615]

Hi

[@emzdechavez1634]

Did you inject botox on the right side

[@scz798]

My eye look like this. It's getting worse with time.

[@baby.goblin]

See how we do? So what did you do? You didn’t explain how you lifted the brow and how that affected the other side. This doesn’t make sense lol

[@darealestjuju]

bro i got this

[@user-tp7gd4cm3m]

Why don’t you show how you actually do it and the final result 🙄

[@Hbd2002]

It seems like heavy eyelashes would make it worse

[@princyaruna]

Is this permanant

[@_polyavien_1356]

I don’t think there is such thing as permanent botox.

[@anilshahmd]

In my practice, we don't accept insurances. We do work with our patients with other avenues to help with costs such as Care Credit. This type of of approach is only performed by a handful of surgeons, so my suggestion would be to do your research and find a doctor you would feel most comfortable with.

[@misstee973]

That eyeliner real thick tho js

[@gustavocring6978]

The Rock syndrome

[@Blurro]

went from "no bitches?" to "im your bitch"

[@lor.0398]

I hate myself cuz this problem i dont like going out or being seen by anyone

[@bloopersnoopyflople]

🤨

[@keithbenefit]

So weird. He speaks about what to do to her right eye so to keep the left as is but results pictures are of her left eye

[@xxloveyou77]

what lol

[@avathiana866]

Yea so confusing. Glad I wasn’t the only one who noticed

[@wazz2018]

Just loosen the eyebrows muscle

[@sairamughal5629]

Hello sir

[@anilshahmd]

Hello

[@sairamughal5629]

@@anilshahmd I need eyebrow lifting

[@sairamughal5629]

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[@LuanaOnMaui]

Wish the girl wasn’t wearing so much eye makeup. It was hard to see the problem (and the change).

[@dailyrocket657]

Nah man she colored her eyelid of black to look like she has less exposure

[@777videos7777]

Can’t see any difference especially not with her wearing even thicker eyeliner

[@33cuh71]

Le le le le le le le le le

[@TheMoonDejesus]

That was a GARBAGE after photo

[@stevecobain5479]

Hi, i cried like 5-6 month ago, i cried for really long time and didn't wash them before go to sleep and the morning after my left eyelid looks really puffy and thicker, so i just waited a week, usually it will go away by itself, but after its still there, and when i look closer, i think the it has formed a new crease on top of the old one, and the old one has almost gone, so now my left eyelid looks really big and fat, now its already been 5-6 month, and still haven't changed, how can i get my old lower eyelid crease back and remove the newly formed higher eyelid crease? Its really hard to use tool to press on my original to trace the crease line, bacause it has gotten so weak its barely there and on top of that the new crease is in the way. I also tried to use thin tread to put it between my eyelid then open my eye wide hoping to trace the old crease back,but it seems useless because once i blind the thread will fall off. I wasn't sure if that was safe so i stopped. Now stuck with thick eyelid and I'm very sad and lost my confidence, please help me.

[@rajafaizan9037]

I have same problem please tell me some exercise to fix it

[@burakaninja5330]

🤨