How would I treat eyelid ptosis and brow ptosis?

cosmeticcourse... In this short video we see Lead Trainer of Cosmetic Courses and Aesthetic Nurse Mel Recchia answer the FAQ; How would I treat eyelid ptosis brow ptosis?
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Set up in 2001 by RealSelf Top 100 Plastic Surgeon Mr Adrian Richards, Cosmetic Courses is one of the UK’s largest Botox training providers. With a diverse team of expert trainers boasting a combined 113 years of experience in the aesthetic industry and having trained and mentored over 4500 doctors, dentists and nurses we are well equipped to provide you with the knowledge, practical skills and business support to help you set up your own profitable aesthetic practice.
If your patient presents with a brow or lid ptosis, you need to establish whether it is a brow ptosis or a lid ptosis. Quite often patients will just refer to a lid ptosis or a heavy eyebrow, but to treat accurately you need to know exactly which it is. So, if it's a brow ptosis, so this would be a heavy or a dropped brow, this is going to be due to your placement of Botox, either in terms of where you've put it, or actually in fact the doses that you've used. If you have a brow ptosis it is very difficult to retract that with further treatment, but there are steps that you can take to try to make it slightly less heavy. That would involve making sure that you have adequately treated the glabella area, so make sure that the glabella area is completely still because it's by relaxing the depressor muscles here that you will then allow a little bit of elevation of the brow so this will help to lift the brow back into place. The other area that you can add a little bit of additional toxin if you feel that there's a heavy brow is just at the lateral tail end of the orbicularis oculi just under the eyebrow, so a small dose just in here will relax the depressor portion of the orbicularis oculi and that can have an effect of helping to raise the eyebrow, but once a muscle has been relaxed with Botox, it is very difficult to reactivate it, but there are small steps that you can do. Now if it's a lid ptosis, where the actual eyelid is obviously closing and you will see this very clearly, there are some drops called iopidine that you can use, now these drops, they are an alpha two receptor agonist, you put them into the eye as drops now they're not licensed for this use and they're actually for glaucoma you need to advise your patient that they can have the drops, you can give them a prescription for the drops, but you must suggest that they don't use them all the time and they perhaps only use them for maybe a meeting or a special occasion because of side effects. What the drops will do, a side effect of the drugs is that they cause the contraction of the muller muscle which is the Superior tarsal muscle which is the eyelid muscle, so you will get a temporary sort of lift of the eyelid so it will correct the ptosis. Unfortunately the effects will be there until the Botox has worn off, so you really just have to support your patient through the process. You usually find however, that a lip ptosis or a brow ptosis will resolve before the rest of the Botox has worn off, but the main thing to stress to your patients is that it will wear off and they will completely return to normal.

[@user-be5qg7mr1s]

4 things you can do to avoid surgery and fillers : 1. Ultherapy 2. Radio frequency 3 microneedling 3. Rein-A

[@sparklybubbles2680]

The heat based treatments are harmful! Melts facial fat

[@soeungsoryoun8517]

Thanks so much for your sharing informatively experiences

[@cindyeborn9290]

Thank you for this... such a relief!

[@karenderuyter2568]

Me too!! Approximately 3 more months to go:)

[@soryounnarro9913]

It is really good explanation . thanks

[@zode3485]

Thanks!

[@user-rf7wx9pv3i]

The best guidance

[@jadegeldard5691]

Iv had this droop to the point my eye is shut I'm really panicking now as the lady asnt been any good with advice iv had to have a brow lift

[@alexandriagriffin4448]

Awesome 👏

[@GOLDSTEIN106]

Double sided eyelid tape

[@aamalkhan7659]

One brow is dropping because of headache

[@glgl1472]

For as many times as I've had Botox I've actually had issues happen about five times and it's really not a very good average which makes me wonder how good injectors really are and I've had physician injectors and nurse injectors and the outcome has been about the same. So far no drooping or ptosis thank God but nerve involvement where the nerve is really irritated and it may stay that way for like 2 or 3 weeks another time this doctor I'm sure he was high harpooned me and I ended up with a bleed in my eyelid and it looked like crap for 6 weeks. Make sure Wonder how much it's really worth it since it's so expensive I usually have to have 50 units to get the effect that I want after all this time I've been using BOTOX for at least 18 years. But it is very effective. No wrinkles until it wears off and then they come back full force

[@propheticprayerfornations]

Have you ever tried 7d or 9d HIFU? it's supposed to be really good, gradual and long lasting, but you have to wait 3 weeks after having Botox to get it done

[@midnightbazaar]

Thanks for your video. I had Botox for the first time to lift a sagging brow. First dose was ok but on review 2 weeks later they injected the same number of units again to my brow. Unfortunately, in the next 8-10 days after the second top up, this resulted in ptosis of my eyelid and I am suffering from brain fog and headaches. Will brimonidine eyedrops help or do I have to bear this for the next 3 to 4 months I’m unable to go out and I’ve cancelled all my social occasions.
Should I get a MRI could this have damaged my nerves brain?
Not much help from nurse practitioners sadly .

[@mjbrownlee7979]

The droopy eye always happens to me when I get botox or dysport near my hair line .I return to my injector and she injects right on the arch of brown ..should I insist that she doesn't treat up hear hair line or is that an area that must be treated when injecting the forehead?

[@aprilcloyce7426]

I got vivace now my eye looks droopy and my brow is lower is this possible it happened on the side that was more red and painful afterwards

[@ORANGE-AKKI]

THIRD NERVE PALSY DUE TO TRAUMA RECENTLY 2 MONTHS BACK
DROOPY EYE LID ND PTOSIS ND NO LEFT SPARING
SO THEY HAD SUGGESTED EYE DROPS ND NEUROKIND TABLET
DOES IT CURE WITH IT OR NEED SURGERY

[@narasimharaju2137]

Which eye drops?

[@TheIoana360]

Did you have cases when it never returned to normal?

[@jessicabrem7704]

TheIoana360 I had it done and it never went back to normal . My eye lids both dropped down one week after and a year and a half later never improved

[@ruthie_rosario]

My right eyelid was droopy a few days at a time and I never knew when it would happen. Had an eyelid lift at 23 and 3 years later, it still gets droopy like before at random times. My doctor told me that even with multiple surgeries, sometimes surgery won’t always be helpful. You need to strengthen the eyelid muscles with the back of an electrical toothbrush for 4 minutes, twice a day. Be consistent with it and be very patient.

[@nataliawilson9477]

@@ruthie_rosarioHi Ruthie, thank you for sharing this - but could you describe a bit more what this treatment with an electrical tooth brush involves? I could never find any reasonable solution to this problem...

[@SJ-nq8lw]

Mine did not wear off. 10 months in. Help!!! What did this do to my brow. I have to hold them up to see. First time ever getting Botox.

[@AFoodReview]

Me either. It's been two years.

[@SJ-nq8lw]

@@AFoodReview omg. What symptoms are you having. It’s horrible. I’m having dry eye. Heavy eyelids and brows. Optical surgeon told me that Botox can last 18 months but it’s rare.

[@AFoodReview]

@@SJ-nq8lw my eyelid is just droopy and my Botox hasn't even gone away completely either! Technically I had xeomin though not Botox.

[@propheticprayerfornations]

I'm so sorry! I don't know what country you're in, but I'd recommend going to a Highly qualified cosmetic surgeon/doctor because they often have good knowledge of the most effective and up to date treatments.

[@jjjsdjdjdjsdjdb6976]

Hi thanks for this video. I’m 15 years old and i don’t know why but about 1 week ago I wake up and my upper eyes was very big and after one week now my eyes are hooded soo I really don’t like it and can you help me to fix that. Pleaseeeee I really need your help

[@eclipsse3050]

Hello!! Do u have Instagram?? I am also 15 yo and I believe smth similar happened to me and I cried I don't know why but I couldn't recognize me I want to talk to u :(

[@FlipGuitarist80]

I feel the same like you guys, eyebrow swollen and eyelid.

[@ronnieroo6552]

l got a brow drop over six months ago after botox and brow still not right.

[@SJ-nq8lw]

Same

[@halaali7500]

Nbx

[@mindsoulpower]

first you do NOT touch a client with gloves!!! FAILED already

[@AvsFan32]

🙄

[@huongma5933]

Why?

[@lm3729]

People are nasty, yes, you touch them with gloves