Page 1
Botox to Enhance Your Eyes Kimberly Cockerham, MD
Central Valley Eye Medical Group
Page 2
THE EYES...
are
windows
to the
soul.
Page 3
BROW POSITION AND BROW
SHAPE IN THE UPPER FACE
Page 7
•GOAL– BROW ELEVATION
– BROW ADDUCTORS IMMOBILITY
•VERTICAL LINES
– IMPROVED SYMMETRY
Upper face / glabella
Page 8
Factors affecting Botox
Dose
• Previous response to BTX treatments
• Gender
• Muscle size & Location
• Age
• Skin Quality( sebaceous vs. fine)
• Racial,ethnic and cultural effects
Page 9
Injection SITES
Usually at 5 to 8 sites mid pupil injection
at about <1cm above orbital rim
Page 10
How Deep? / DEEP!
Page 14
Forehead Assesment:
Narrow or Broad
narrow
Page 16
How Deep?
Periorbita superficial
Page 17
CROW’S FEET
central zone radiating from the lateral canthus
1 wk after tx
1cm
2.5 un ( 3 sites)
Page 18
CROW’S FEET
Wheal & Mash
Page 19
Botox + Filler =
Liquid Facelift
Age 42: no surgery / no laser
Before and After