Botox to Enhance Your Eyes Kimberly Cockerham, MD

Associate ProfessorStanford University

Plastics-Orbit- Adult Strabismus

Zeiter Eye Medical Group, Inc.

THE EYES...

are windows

to the soul.

BROW POSITION AND BROW SHAPE IN THE UPPER FACE

MALE VS. FEMALE

MORE “FEMALE”

MORE MALE...

OR MORE FEMALE?

SUMMARY:It’s all about thelips and eyebrows.

• GOAL– BROW ELEVATION– BROW ADDUCTORS

IMMOBILITY• VERTICAL LINES

– IMPROVED SYMMETRY

Upper face / glabella

Factors affecting Botox Dose

• Previous response to BTX treatments

• Gender• Muscle size &

Location• Age• Skin

Quality( sebaceous vs. fine)

• Racial,ethnic and cultural effects

Injection SITESUsually at 5 to 8 sites mid pupil injection at

about <1cm above orbital rim

How Deep? / DEEP!

BEFORE AFTER

BEFORE AFTER

BEFORE AFTER

Forehead Assesment: Narrow or Broad

narrow

Forehead

broad

How Deep?

Periorbita superficial

CROW’S FEETcentral zone radiating from

the lateral canthus1 wk after tx

1cm

2.5 un ( 3 sites)

CROW’S FEETWheal & Mash

Botox + Filler =

Liquid Facelift

Age 42: no surgery / no laser

Before and After