5 Botox Mistakes you’re making on older patients.
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- Опубліковано 24 лис 2024
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I see many clinicians making the same mistakes when injecting Botox on their older patients. Older patients are more likely to suffer from a spock brow or brow drop, so in this episode I discuss the most common Botox mistakes I see injectors making on older patients AND what to do instead for great patient results
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Thank you for the information. It appears some don't appreciate they're getting these videos for free.
Really ? Wow just..........Wow
This is great! It would be really helpful to see your mapping technique to match the concepts discussed here when treating older patients
this is exactly my thought.
So refreshing to find a presentation that is balanced and not hyped - in short realistic in expectation and result. I have contemplated having Botox applied but cannot afford the indulgence.
Thank you for this. Im 64 and was getting botox twice a year. Im stopping now. Wasting my money. Last time i got a bruise. And its more painful too.
Feel the same only get the frown line done only once a year. I'll probably call call it quits end of this year. I finally accepted my roadmap of life on my face.
Great tips on treating older patients, thank you !
As a newbie injector, I greatly appreciate all of your information and advice! You have been so incredibly helpful! Thank you so very much!
Wow! Thank you for this information and your honesty. I’m 57 and take good care of my skin topically. I’ve never had Botox and have been thinking about it more lately. My biggest concern is my forehead due to a very deeply creased wrinkle on my right side. I think I’ll just pass on Botox as the chances of a negative result outweigh any benefit. Wish I had of jumped on the Botox train at 40 so I would have avoided the big crease! Ah well, hindsight is 20/20.
if you do 1 time ONLY and while muscles are rekaxed you use tretinoin or retinol, that will improve the situation significantly
but do not repeat botox after that.just make sure u use sunscreen and retinol
than you for your education.. I appreciate your confident and humble approach.
My concern with older patients is treating tail of corrugators! I always have them activate prior to injecting, but it still fills me with dread in case it diffuses into frontalis😮
Great video 😊
Fabulous advice and great video!
I like your honesty! I believe your parents can trust you! So many celebrities over do fillings and other things they get done. I believe less is better than add o .
Thank you so much Dr Pearce, your contributions to our education, make a huge difference in therms of being a good and responsable injector. Thank you so much 🙏. 🇨🇴
So so valuable! Thank you doctor!
Thanks a lot Dr Tim,this was great 👍 😊
Yes would love to see a video how to to treat eyebrow lift for older person because mine eyelid droop all the time after botox always worse 😢
U should get a surgery . Not botox
Doctor, thanks for addressing this problem. I, infact, understood this and I am not a doctor. After having Botox done since I was in my mid-forties, I realised that with age “less is really” more. At first my doctor was surprised when I asked for baby doses and only in certain areas. I think now he realises I was right 😊
I am perplexed.
Does this knowledge not get taught to the people learning how to inject Botox?
Why not?
Why are Botox injectors having to learn this on UA-cam?
Thank you so much for this great informative video. It will help me a lot in my future injecting plan and I will report it to many of my friends as well as to my husband : an ENT physician who works a lot with botox.
Thank you again
I wish I was living in England to be one of your patient 😊
Love this!!!! Thank you!
This is so interesting, I don’t have Botox and I’m over 65 but this has confirmed what I thought that if you do one thing it generally has a knock on effect. If people want to do this good for them, it’s just not for me.
Love this information! Dr. Scags
Same scenario. My dentist did masseter botox on me, aged 40, for teeth grinding. My whole mid face collapsed downwards and inwards. I went to my derm, Dr Davin Lim, who could see what had happened and he injected filler to fix it. He said, "Don't do botox there again. Those muscles are your scaffolding."
So true. I had a friend whose dentist gave her Botox for TMJ. She was on disability leave for 3 months because she couldn’t hold her neck upright. It was scary as she had trouble swallowing as well.
Wow that is horrible and sounds scary.
@@tcwc5928that is because of the dentist's poor technique. with proper injection point set there is no chance to lose strength in SCM muscles and other swallowing muscles
i had the same! after 40 never do botox in those muscles. i did it to slim my face and basically the whole face went south.
as for teeth grinding i solved it with psychologist and antidepressants (which is the real reason for this phenomenon)
Well presented
Good explaining!
Top information !
Phantastic!! Thank you!!
Excellent video. Thank you.
Awesome advice, & love your smart hairstyle
Great information! Linked video?
We've added the link at the very end of the video
I got dysport in my upper face for the 1st time (55 yo) three weeks ago and now I have hooded, puffy eyes, my eyebrows are flat/parallel to the floor, the space between my eyes is now wider & darker circles under my eyes :( My eyes were one area I really didn't have any issues, thought it would just freshen things up a bit . . . now I look 10 years older . . . I don't understand this new face I have to live with . . . and I am terrified things won't go back to my normal because of my age . . . and I have to wait 4-6 months to find out . . . absolutely regret!!!
Go back to your injector to fix it! Don't wait. This happens
Yes, I had my eleven lines done and received Spock eyes after. I'd rather have the lines.
Great info, so what would you suggest for crows feet instead then?
Prp
What do you think about the botox lipflip in a 63 yr old
I had a lip flip hoping it would smooth out some of my lip lines. It didn’t plus eating is terrible BC I kept biting my lip not having any felling. Couldn’t wait for it to wear off, never again!
@@kathybayrasli6860 thank you so much. I have been thinking about a lip flip. they said a little botox with a little bit of filler - job complete. After doing my research, I shall say NO because it depends on the injector and finding one with experience is almost impossible. I shall leave my 73 yr old lips alone and enjoy the line!
After you get to the point I agree actually show this technique
Thank you🙏
Hey Tim! Would you recommend going in a bit more superficial for older clients to avoid ptosis?
GRACIAS SOY MAYOR. Y ME INTERESA LA PARTE DEL ENTRECEJO. SOLO ME APLICO 20 UNIDADES. PERO EN LAS 3 ULTIMAS APLICACIONES LA CABEZA DE MI CEJA. HA CAIDO, MIS CORRUGADORES. PROCERUS SON MUY FUERTES . YA NO SE Q HACER. LA SEMANA PASADA SE APLICO 10 . CUATRO EN CADA CORRUGADOR Y 2 EN EL PROCERUS. REGRESO EN 2 SEMANAS PARA VER SI FUNCIONO .O APLICAR NUEVAS UNIDADES. NO QUIERO NADA INVASIVO POR ESO USO EL BOTOX.
Hi Tim, For 2 years in my 60s I received 20 units of botox. Went up to 40 units and had canker sores in my mouth. Was told it was a auto immune problem. I was told that botox does not work in a 65 yo and up patients. I believe your explanation is the reason why. Dr's don't inject. Their staff does.
How do you treat Glycation?
Hi Dr. Pearce. I live in the U.S. and I have been approved for Botox for migraines (recently turned 61, Black female with slight 11 forehead lines, can't really feel them though). For migraine, is the dose the same all over the areas to be injected? Do you have a video or more info about this topic? I'm concerned about drooping. Thank you.
Very interesting! I’m in my early 60s I use Botox for neck bands-I’m hoping that over time they will start to relax on their own and I’ll need less, is this true for my age group?
They will atrophy and you will need less. They won’t “relax” on their own though.
Yes i dread my brows dropping down in the centres so i look angry i see it on a lot of people with botox.. i like my brows looking high
Any Botox in forehead has only created a brow droop 😏
Are you still practicing ? If I ever want to do any cosmetics, I want you to do it.. Your knowledge is very impressive. What is your office address if you are still practicing. Thanks.
Oh no! Good on you for sharing honestly, and at least your future patients will never experience that!
Hi Tim! I recently treated the glabella zone and did a brow lift for an older patient. She now 11 days later suffers from oedema around the eyes and says her vision is “blurred”. No eyelid ptosis. I never experienced this in a patient before.
Do you have an idea what caused this complication and if there is any way to improve it? Thank you so much in advance
Possible loose conjunctiva from the swelling causing blurriness. Conjunctivochalasis.
The creasing above my eyebrows, argh. I can't control it. I get brow drop if i get some Botox in it. It seems no onw knows how to treat it.
Now I understand why it was often not easy to know that it was you. Botox on older people.
I noticed Spock eyebrows 2 days after dysport injection, can I have it fixed right away or I have to wait to the 14th day as the injector suggested? I don’t think it would get any better, why do I need to wait?
It's better to wait until the product fully paralyses the muscle ,like the injector recommended. The toxin takes time to get to the point of maximum effectiveness and injecting more before evaluating that could lead to you getting a bigger dose and getting too paralyzed or a brown drop
I don’t think nurses trained by the supplying company should be allowed to inject. They do the same thing on everyone irrespective of their problem. They also are restricted to the amount they inject. In Australia it’s cheaper to see a nurse.
Nurses are well trained,doctors often just get the product reps to do lunch and learn and then inject as a side business to make cash.Registered nurses generally take more education in the topic and anatomy
How about having 71 units in my forehead and it not working....... 57 yo. Not having botox for years. I was told it was my fault.
I just had 2nd treatment and I felt I had been treated with a blunt needle .
Needle needed to be pushed in very firmly . I'm 54 and I wonder if you've any info on why ?
Last time I was botoxed was 4 months ago ? .
Thanks in advance
🤔43
This is why face exercise --->botox.
Maybe face exercise won't reduce wrinkles but will give volume to face.
Your information is great but we need more video drawing and live than talking may be talking on real model and Manican!??
I have lines and wrinkles all over my face, I will keep them,not worth the risk destroying Gods perfect creation!
More power to you!!
Maybe older patients over age 65 should not get botox. I'm 67 and never had botox. Now, I'm surely not going to. Lol
Some definitely shouldn't, but it can be very effective with good patient selection
@@DrTimPearcehow do you know if your a good patient? I am 71 and get Botox in my forehead ( mostly to treat the deep line in my forehead)….I have been doing it for years and find I only go 2x year
Get to the point, and show your technique
Easy
Literally can’t sit through less than 9 minutes 🤦♀️
Rude
Therein lies the problem. Understanding the root cause is the technique
The explanation of the “mistakes” like the title says is more important than pushing someone to start poking with Botox.
Save your money stay natural. Too many people insecure about their features or getting old.
Doctor...please..you are talking too fast. Dont forget that many international doctors from different non English speaking countries watching you..
I cant follow your fast speech for long time.....please be littel slow .
Thanks
Five mistakes? There is only one mistake and that is doing anything to your face that is not caused by genetic anomaly or an accident trauma. Faces are beautiful as they are into old age. What is wrong with people these days?
Great point….. talks way too much!
But great for a course in school