Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Botox
Q. I got botox 5 days ago in my 11’s and 4 units in my forehead. But I think because I didn’t get any injections above the middle of my eyebrows and out, I’m getting a very odd raised arch look. How soon after my first round of botox (5 days ago) can I go back to fix these Spock brows??
A. The “Spock” effect occurs because of the imbalance between the muscles that lift the brow and the muscles that cause the brows to droop. The goal of Botox is twofold: 1. To stop the muscles from squeezing and creating the wrinkles called “11”s between the eyebrows and to soften the crows feet fine lines around the outside of the eyes. 2. Botox can create a brow lift effect so you get a beautiful natural arch of the eyebrows. The cause of the “ Spock” eyebrows is that too much Botox was given along the lateral side of the eyebrows and the eyebrows peaked too much.
To make sure my patients get the look that they were hoping for, I ask my patients to return for a follow-up visit about 2 to 3 weeks after receiving Botox. This is when Botox has its greatest strength and your brows will remain in that position for the next 3-4 months. While I rarely get the “Spock” peak, I provide a touch up to the muscle that will very gently drop the brown into a more natural appearance.
With all my patients receiving Botox, Dysport or Jeuveau injections I use a face diagram where I document on the picture exactly where I had injected the Botox. If patients return with any issues, I make notes on my drawing how I have corrected for it. Most of my patients tell me “I love what you did last time, do the same “, I look at my documentation and I am able to perform consistent injections for my patients every time.
There is a new competitor to Botox which is called Jeavue or “Newtox”. It performs equal to Botox’s strength and lasts the same 3 to 4 months. The good news is that it begins working within several days of the injection. Dysport is Botox’s other competitor and it is known as the natural Botox and it leaves a softer look on people’s brows.
I hope this is helpful. All the best!
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This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.
Give us a call at 410.602.3322 or email Lauri@DrDeanKane.com and make an appointment soon. We’re located on Reservoir Circle just a block off the Baltimore beltway, convenient to greater Baltimore, Annapolis, the Eastern Shore, Southern Pennsylvania, Delaware and Carroll County.