{"id":417,"date":"2015-05-25T21:41:32","date_gmt":"2015-05-25T21:41:32","guid":{"rendered":"https:\/\/www.injectionartistry.com\/modesto-botox\/?p=417"},"modified":"2015-05-25T21:42:02","modified_gmt":"2015-05-25T21:42:02","slug":"botox-for-changing-eye-size","status":"publish","type":"post","link":"https:\/\/www.injectionartistry.com\/modesto-botox\/botox-for-changing-eye-size\/","title":{"rendered":"Botox for changing eye size"},"content":{"rendered":"

Here’s another public forum cosmetic Botox question.<\/p>\n

Can I use Botox for my cheek pushing up on eye when I smile, making it look smaller than other?<\/h3>\n

I have had 2 ptosis surgeries On my upper eyelid it has been about 4 weeks since my 2nd. the 1st 1 was an over-correction. Now I don’t think it is so much my top eyelid. It is raised a little more than before any surgeries. I’m still not happy with my eyes. If you notice when I smile it really goes to one side. And I’m okay with that. But when I smile only 1 cheek pushes up on my eye and makes it look smaller. i don’t want to do anymore surgeries. Could Botox fix my check from coming up?<\/p><\/blockquote>\n

My Answer:<\/p>\n

What a great question! \u00a0I have to break up my answer into several parts
\n\u200b
\n\u200bBOTOX FOR CROWS FEET
\n\u200b
\n\u200bBotox is FDA approved for treatment lateral canthus lines (crows feet). \u00a0These are the lines on the side of the eyes which become more pronounced when we smile. \u00a0Through our experience treating these crows feet, we’ve found that we can affect eye size, brow lifting, and even cheek elevation.
\n\u200b
\nFULL vs. PARTIAL TREATMENT of CROWS FEET
\n\u200b\u200b
\n\u200bIn a situation where one just wants the cheek to elevate less with smiling, a full treat of crows feet might be too much. \u00a0However, if one is bothered by the potential of crows feet (meaning that BOTOX can prevent crows feet as well as treat crows feet), the a full treatment could work on both sides, and may even out the appearance. \u00a0I can envision a possible treatment of the lower crows feet on the side with the cheek elevation “problem.” \u00a0I can also see a potential patient of mine benefiting from full treatment on both sides and with added Botox to the “problem” side.
\n\u200b
\n\u200bTREATING THIS PROBLEM IN STAGES
\n\u200b
\n\u200bIf I had a patient coming in for this issue, I would consider treating this issue in stages. \u00a0Starting with a low dose targeting the lower crows feet area (obicularis oculi muscle) and bringing the dose higher perhaps separated by about 2 weeks. \u00a0And maybe even considering treatment on both sides to keep up with symmetry issues. \u00a0With good note taking, we could figure out the optimum solution if possible.
\n\u200b
\nMOUTH MUSCLES MIGHT GET IN THE WAY
\n\u200b
\n\u200bCheek elevation is also caused by muscles that affect the smile of your mouth – Zygomaticus Major and Zygomaticus Minor muscles. \u00a0These muscles, if targeted too strongly with Botox will affect the symmetry of your mouth. \u00a0Thus if the bulk of your cheek is formed from these muscles, Botox may not be able to give you your 100% desired result. \u00a0But I still think that your desired effect is possible without injecting Botox into muscles that affect your mouth. \u00a0Fortunately with a gradual staged approach, you might gradually find a solution. \u00a0If a solution isn’t possible, I would say that it’s because of the mouth muscles and the amount of natural fat pads we have on each side of the face which can compress and change shape on animation of our face (ie. smiling).
\n\u200b
\n\u200bTHE QUEST FOR SYMMETRY
\n\u200b
\n\u200bI understand that symmetry is important. However, we should keep in mind that it isn’t human to be exact mirror images of our selves on each side. \u00a0We are usually strong on one side – for example, being right handed. \u00a0This contributes somewhat to our facial muscles as well. \u00a0The natural asymmetries in a person’s face can be considered a strength and add flair. \u00a0Thus, sometimes, it’s ok to go with the idea that the sides of our faces are like siblings, not genetic clones.
\n\u200b
\n\u200bIN SUMMARY
\n\u200b
\n\u200bBotox can possibly solve this problem of smaller-eye, higher-cheek. \u00a0If one is interested in wrinkle treatment or prevention – it makes using Botox even better. \u00a0Consider partial or full treatment of crows feet or even heavier application on the elevated-cheek side. \u00a0But keep in mind that Botox can make other parts of our face appear asymmetrical – like the mouth or the eyebrows – so be careful, and good luck!
\n\u200b
\n\u200bCalvin Lee, MD<\/a>
\nBotox injections in Modesto, California\u200b<\/a><\/p>\n

\"SurgicalArtistry_womanlogo<\/a>
\n\u200b
\n\u200bThank you for your question. Without having seen you in person, I’m answering the best I can without physical examination info and a one-on-one dialogue. My comments are meant for a general public discussion to help others who may have similar concerns. I’m also using my answers to build up library of information for my own patients and also to see how my answers compare with other doctors. There is always much for us to learn from each other. My answers are generalized medical information only, not directed medical advice. For medical advice please see your doctor\/surgeon in person.<\/p>\n","protected":false},"excerpt":{"rendered":"

Here’s another public forum cosmetic Botox question. Can I use Botox for my cheek pushing up on eye when I smile, making it look smaller than other? I have had 2 ptosis surgeries On my upper eyelid it has been about 4 weeks since my 2nd. the 1st 1 was an over-correction. Now I don’t … Continue reading Botox for changing eye size<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31,22,46],"tags":[32,56,55],"class_list":["post-417","post","type-post","status-publish","format-standard","hentry","category-botox","category-questions","category-real-self","tag-botox","tag-cheek-elevation","tag-eye-size"],"_links":{"self":[{"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/posts\/417","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/comments?post=417"}],"version-history":[{"count":2,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/posts\/417\/revisions"}],"predecessor-version":[{"id":419,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/posts\/417\/revisions\/419"}],"wp:attachment":[{"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/media?parent=417"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/categories?post=417"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/tags?post=417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}