Botox can cause the eyebrows to move like a "see-saw"

Scott Trimas, MD answers: Can too much Botox cause eyebrows to drop?

I have been getting Botox for about 4 years and everything has been great. This time when I got it, it made my one eyelid look like it was a double eyelid (kind of baggy).  However, I thought I noticed that my eyelid needed a lift before I went this time, but now it's worse. And both my eyes are baggy in the corners. Both my eyes feel heavy. I'm 40 years old but never had any of these problems before. Will this go away when the Botox is out? Did she give me too much??


Scott Trimas, MD
6 months ago

Botox can cause the eyebrows to drop in position especially if too much is injected into the elevators of the forehead. The balance in eyebrow position depends on precise administration of botox into the depressors and elevators of the forehead. If too much botox is placed into the muscles that elevate the forehead, then the net result is a downward or heavy position to the eyebrows often creating the look of a heavy upper eyelid. The opposite can be done if too much botox is placed into the depressors of the eyebrow and the net result can be a surprised or sinister appearing eyebrow. Both can be remedied either by allowing the botox to wear off or by administering additional amounts to the opposite muscles to reverse the downward or upward pull of the eyebrow muscles. This is kind of like a "see-saw" and if one person weighs much more than the other the see saw will land on that side.

I hope this helps

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