Botox in Forehead Dropped my Eyebrows Instead of Lifting

i have had botox twice in my forehead, both times with the same results; it drops my eyebrows so much that my eyelids droop and the whole look of my eyes is changed, and not for the best. i have prominent half moon shape lines above each eyebrow, and it would appear that these are what keep my eyes lifted, although i'm not sure if the wrinkles in my forehead are helping as well. my doc thinks i have rare opposing muscles in my forehead. do you know how botox should be administered?

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3 Doctor Answers | Asked by jen in cda in nelson,bc

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OK it sounds like your doc is a well meaning idiot.

Where your eyebrows sit is a tug of war between the eyebrow lifter (frontalis muscle of the forehead) and the eyebrow depressors (primarily the depressor obicularis oculi muscle.) It is true that the unwanted lines on the forehead are produced by the frontalis muscle. Weaken this muscle and the lines improve but at the expense of eyebrow position. This means the eyebrows will fall. I developed the MicrodropletTM BOTOX method to create eyebrow lift. By leaving... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

BOTOX and drooping eyebrows

As you know, BOTOX Cosmetic is a paralyzing agent. It is FDA approved for injection into the frown lines of the forehead, or glabella area. Injection into the forehead wrinkles (those across the forehead) is an off-label use of Botox that is well accepted.This muscle, the frontalis, acts to raise the forehead and eyebrows, so when Botox is injected in any of the wrinkles across the forehead, this muscle will relax, i.e., it will no longer lift the brows. There is an... more

Not Everyone Can Have Botox in the Forehead

Unfortunately, forehead drooping (ptosis) after Botox injections is not uncommon. This is one of the most difficult areas to treat properly. The injector must consider the tightness of your brow, the pre-existing drooping of your upper face and which areas will droop further with injections. In my Toronto clinic, we always feel the brow to see how readily it can be made to droop, by pulling downwards on the skin. In most individuals, drooping will be accentuated when you... more