How To Inject Botox Under The Brow | Botox Brow Lift Advice

Summary

In this educational video, the speaker addresses concerns about eyelid ptosis when performing a brow lift injection. They explain the anatomy of the eye muscles, emphasizing that injecting the orbicularis oculi muscle can actually lift the eyelid rather than cause ptosis. The video provides insights on safe injection techniques, including the importance of depth and the use of small doses, while also discussing the effects of treating the frontalis muscle. The speaker shares their personal strategies for achieving a natural brow lift without causing unwanted side effects.

Takeaways

• 😲 The video discusses the fear of causing eyelid ptosis when injecting under the eyebrow and aims to clarify the anatomy involved.
• 🤔 The presenter reflects on training experiences with an ophthalmologist who used higher doses without causing eyelid ptosis, sparking interest in the anatomy.
• 👁️ When the eyelid is purposefully injected with Toxin, it actually lifts rather than droops due to the action of the superficial muscles.
• 💉 The levator palpebrae muscle is the retractor muscle in the orbit, and caution is advised when injecting near it to avoid eyelid ptosis.
• 🔍 Understanding the muscle layers and their functions is crucial for safe injection practices around the eye area.
• 🍔 The presenter uses a sandwich analogy to explain the protective layers in the face, emphasizing the importance of depth in injection to avoid complications.
• 📏 Injecting small doses (like 1 unit) is safer and can effectively affect the fibers pulling the eyebrow down without causing a mess.
• 💧 The standard dilution for Botox is 2.5 mils in 100 units, but a more concentrated form can be used for specific areas to minimize spread.
• 🚫 Injecting above the eyebrow in the frontalis muscle can decrease its lifting power and potentially cause a drop, contrary to what some patients believe.
• 🤨 The 'cat ears' or lateral parts of the frontalis muscle should be treated cautiously to avoid brow ptosis, especially in females who use their eyebrows differently.
• 👐 The balance between treating and not treating certain areas is crucial to avoid an uneven brow lift or a 'Spock brow' appearance.

Q & A

What is the main concern when injecting under the eyebrow?

The main concern is causing eyelid ptosis, which is a drooping of the upper eyelid.

Why did the ophthalmologist's method of injecting near the eyelid not cause eyelid ptosis?

The ophthalmologist was using a large amount of units (four times more than usual) and had never experienced eyelid ptosis, suggesting that the technique or the amount of units used might not be the sole factor in causing ptosis.

What is the role of the superficial muscles in the eyelid?

The superficial muscles in the eyelid, known as the retractors, are responsible for lifting the eyelid. When these muscles are injected, the eyelid can actually lift, contrary to common belief.

What muscle is responsible for eyelid retraction and is a concern when injecting?

The levator palpebrae superioris muscle is the retractor muscle responsible for eyelid retraction and is the muscle of concern to avoid injecting near.

What is the orbicularis oculi muscle and how does it affect the eyelid when injected?

The orbicularis oculi muscle is responsible for closing the eyes. When injected, it can actually allow the eyelid to open slightly, as it relaxes the muscle that contracts during eye closure.

Why does injecting the orbicularis oculi muscle not cause eyelid ptosis?

Injecting the orbicularis oculi muscle weakens the muscle that pulls the eyelid down, which can actually result in the eyelid lifting slightly, rather than causing ptosis.

What is the significance of understanding the layers of the face when injecting Botox?

Understanding the layers helps to ensure that the injection is placed correctly, protecting the important structures in the orbit and avoiding complications like eyelid ptosis.

How many units of Botox are typically used for injections under the eyebrow?

The speaker prefers using just one unit per injection point, as it is enough to affect the fibers pulling the eyebrow down and is a safer amount to minimize complications.

What is the standard dilution used for Botox injections according to the speaker?

The standard dilution used is 2.5 mils in 100 units of botulinum toxin.

Why might injecting above the eyebrow cause a different effect than injecting below?

Injecting above the eyebrow affects the frontalis muscle, which is an elevator of the eyebrow. Injecting this muscle could decrease its power to lift, potentially causing a drop instead of a lift.

What is the 'cat ear' area and why is it treated with caution?

The 'cat ear' area refers to the lateral part of the frontalis muscle. It is treated with caution because injecting this area could lead to a loss of the eyebrow arch and difficulty in elevating the eyebrow, especially in females who use their eyebrows differently.

What is the difference between brow ptosis and eyelid ptosis?

Brow ptosis refers to the drooping of the eyebrow, while eyelid ptosis refers to the drooping of the upper eyelid. The script discusses how treatments can affect these differently.

Why might a Spock brow occur and how can it be avoided?

A Spock brow, characterized by a medial brow ptosis and a lateral brow lift, can occur if the middle of the brow is overtreated and the sides are undertreated. To avoid this, a balanced approach to treatment is necessary, adjusting based on the individual's response.

What is the importance of the depth of injection when injecting around the eye?

The depth of injection is crucial for safe injecting around the eye. It ensures that the botulinum toxin is placed accurately to affect the intended muscles without damaging the important structures in the orbit.