So sorry to hear about your bad experience with Botox to your lower eyelid. Depending on the condition of your skin and lower eyelid, there are some possible treatments that could help to reduce the severity. It will be important to have a proper assessment to ascertain the situation & skin laxity. Filler is useful if there is some volume lost or to create the aegyo sal to give it some expression of smiling (since it is now too paralyzed). But if the muscle and skin in eyelid is too loose, putting in filler might just give you an eyebag instead!

From the picture given, there is still some skin laxity seen. Firstly, for the type of HIFU treatment that you did, what was the recommended number of sessions? This is because some HIFU treatments require more than 1 treatment e. g. monthly treatment x 3 sessions to see the full effect. Secondly, how long ago was the HIFU done? This is because for HIFU treatments that only require 1 treatment session, it typically takes 3-6 months to see the full effects. Thirdly, botox is not the right treatment for saggy cheeks if you're referring to botox of the masseters.

Botox typically lasts between 3-6 months for most patients The price depends on the charging practices of the clinic. Some clinics charge per area to be treated ( in this case crows feet), others charge per unit depending on how much you need after an assessment with a doctor. Apart from occasional bruising, side effects are usually rare. Unless injected into or too close to the wrong muscles, this can occasionally lead to an eyelid droop. Thus, it is important to have botox procedures done only by a qualified medical doctor.

What you have read is absolutely correct. In this aspect (wrinkles), Botox actually acts as a preventative medicine to prevent wrinkles from getting deeper and more numerous by relaxing the targeted muscle. It is a quick and safe procedure when done by medical professionals and do not have any long term side effects to date. I myself have had Botox for my facial wrinkles numerous times without complications. The effects of Botox unfortunately only lasts between 3 – 6 months and as such subsequent touch ups will be warranted.

From what I know of radiofrequency treatment, it is used for facial rejuvenation of the underlying dermal network (non-surgical face lifting). I have not heard of it being used for treating muscles. I have also not heard about electrocautery for facial muscles. This sounds like it might lead to scarring or facial muscle paralysis/deformities. Some patients with chronic pain in the head and neck may benefit temporarily from TENS (transcutaneous electrical nerve stimulation) that can reduce muscular tension.

Most frequently, dermatologists and aesthetic doctors provide botox treatment in Singapore. You may also want to read this other post about Botox in Singapore to help guide your decision in choosing a doctor.

Hi Isa , there’s no right age to start with Botox. "The right time comes when you notice strong wrinkles forming when you make expressions like raising your eyebrows (forehead lines ), smiling (crow’s feet around the eye corners) , frowning (number 11 lines between your eyebrows) . These lines are dynamic lines – meaning they only form when you express with those muscles . It’s to prevent static lines (lines which are present even when no expression) from forming .

Do inform your doctor that you want a low dose of Botox to still have natural looking expressions. It’s safer to be conservative and add on in 2 weeks’ time than to go aggressive doses from the get go. The Botulinium Toxin lasts for 4-6 months once it’s injected in.

The effect from Botox injection is only temporary. However if you use it repeatedly over the same muscle, you can expect a longer lasting result and you may require a smaller dose to achieve the same result subsequently.

The main side effects of Botox/Dysport/Xeomin is when the botox: 1. Diffuses to surrounding muscles 2. Is placed in the correct muscle, but the dosage is too high For masseter reduction with botox: 1. If the botox diffuses to the muscle in front, called the risorus, your smile will be affected and becomes asymmetrical. This gives rise to the feeling of “stiffness” in the face. 2. If the dosage is too high, the masseter muscle can become over-shrunk, and there will be a hollowness at the sides of your face.

You do indeed have a nice face as is. The only thing I would recommend is a touch of filler to your chin on the left to reduce the asymmetry there. This might create a slightly wider chin profile but will improve the harmony of the face. A frontal photograph, however, is insufficient to fully determine the underlying issue at hand and i would advise you be seen for a proper physical examination before deciding on it.

Getting a V shaped face is a common desire for many Singaporeans. There are various treatments that can help to give you a more defined and slimmer jawline apart from Botox. Treatments should be customised according to your unique facial anatomy. Non-surgical treatments to get a V-shaped face in Singapore: 1. "Small" receded chin--> Chin and Jaw Fillers - Fillers help to shape your chin and jaw line by providing volume to your chin and jaw.

Hi Michelle! The massetor acts on ur jawbone and helps chewing. Like all the bones in your body, a lack of muscular action on them would cause a decrease in bone density, that’s why exercise is recommended to increase bone density and prevent osteoporosis in the elderly. Botox of the massetor reduces the action of chewing, and thus may cause some bone resorption. However the effect is minimal and has not caused any complications to patients in my practice or in the literature. Hope that helps!

Thank you for your question. There's a couple of reasons why you could be "botox resistant". 1. Maybe the botox has worked very well and you do not have enlarged masseter muscles anymore, therefore, injecting more toxin will not shrink your jawline any further. 2. There are some people who develop antibodies to botox. You may need to use a different brand of toxin if your masseters are still hypertrophic. The only permanent ways to reduce your jawline are surgical. Either your muscle can be reduced or your mandible can be reduced or both. Hope this answers your question.

Hi, The jaw muscle (Masseter) is divided into two distinct parts, the superficial and deep. Occasionally, due to various reasons, the injection may be placed too superficially and fails to diffuse to the deeper portion of the Masseter muscle. During chewing or jaw clenching, this untreated deep Masseter may herniate through the weakened superficial layer during contraction and cause a visible bulge. Fortunately this can be remedied. I suggest you return to your doctor as he or she is the best person to know how much and how deep the previous injections were. Hope this helps.