1. Botox to Enhance Your Eyes Kimberly Cockerham, MD Associate Professor Stanford University Plastics-Orbit- Adult Strabismus Zeiter Eye Medical Group, Inc.

2. THE EYES... are windows to the soul.

3. BROW POSITION AND BROW SHAPE IN THE UPPER FACE

4. MALE VS. FEMALE

5. MORE “FEMALE”

6. MORE MALE... OR MORE FEMALE?

7. SUMMARY: It’s all about the lips and eyebrows.

9. GOAL –BROW ELEVATION –BROW ADDUCTORS IMMOBILITY VERTICAL LINES –IMPROVED SYMMETRY Upper face / glabella

10. Factors affecting Botox Dose Previous response to BTX treatments Gender Muscle size & Location Age Skin Quality( sebaceous vs. fine) Racial,ethnic and cultural effects

11. Injection SITES Usually at 5 to 8 sites mid pupil injection at about <1cm above orbital rim

12. How Deep? / DEEP!

13. BEFOREAFTER

14. BEFOREAFTER

15. BEFOREAFTER

16. Forehead Assesment: Narrow or Broad narrow

17. Forehead broad

18. How Deep? Periorbita superficial

19. CROW’S FEET central zone radiating from the lateral canthus 1 wk after tx 1cm 2.5 un ( 3 sites)

20. CROW’S FEET Wheal & Mash

21. Botox + Filler = Liquid Facelift Age 42: no surgery / no laser Before and After