Balance of the eyebrows is important with Botox injections

Jeffrey Zwiren, MD answers: Fixing scary eyebrows after Botox?

I had Botox in my 11's (glabella?). It all looks fine but when I raise my eyebrows they stay down near my nose and raise up high with a real arch at the sides which makes me look kinda scary.

My Dr said this was not a problem and easily corrected. What should I expect, where will he inject and how much Botox? Also what caused this? Did he do it wrong or does this happen sometimes?


Jeffrey Zwiren, MD
4 months ago

 There are muscles that function to elevate and depress the eyebrows.  In the glabellar area, between the eyebrows, the corragator muscle functions to create the vertical 11 creases.  This muscle is a depressor of the inner aspect of the eyebrows.  When you physician injected the corragator muscle there was also some deactivation of the forehead frontalis muscle.  This has resulted in an unbalancing of your eyebrows.   To correct this problem it is necessary to weaken the lateral frontalis muscle with an additional injection of Botox.  This result, especially if it was your first time being injected is not unusual.  To avoid a plastic appearance it is best to inject the least amount of botox that will deliver the best result.  On subsequent injections you should not have the same problem. 

1 of 1 found this helpful
Helpful?
Post your question

Botox: 406 reviews

64% said it was worth it

Botox before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.