High eyebrow arch on sides after Botox

I had Botox in my glabella area. 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 doctor said this is not a problem and can be easily corrected. What caused this? Did he do it wrong or does this happen sometimes? What should I expect? Where will he inject and how much Botox?

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4 answers to “High eyebrow arch on sides after Botox”

A: Botox and the Joker Eye Brow

Michael A. Persky, MD

Hi Mixibunny, or should we call you Diablo?, The arching of the lateral eyebrow in a "Mr. Spock" or "Joker" appearance is the result of activity of the lateral forehead muscle lifting too much. A properly placed injection of 2 to 4 units of Botox will "relax" your appearance... more

A: Easy fix for high eyebrow arch from Botox

Jason R. Lupton, MD

Excessively arched brows after Botox injection are typically very easy to resolve. The so called "Nicholson" brows (referring of course to Jack) are easy to relax - a few units of Botox (probably in the range of 2-4 units) are placed in the upper forehead on both sides and this relaxes... more

A: The issue here is too much BOTOX in the center of the forehead

Kenneth D. Steinsapir, MD

Dear Mixibunny What you are describing is paralysis of the forehead lifters in the central forehead. They are out! So when you try to lift the forehead, only the untreated sides are able to activate. My advise is to not worry about making faces in the mirror; 95% of the time, our facial muscles are at rest. So... more

A: Correction of high eyebrow arch after glabellar injection of Botox

William Ting, MD

Botulinum toxin such as Botox, Dysport, or Puretox (soon to be approved in the US) aims to reverse excessive facial muscle contractions (much of it involuntary) when we express ourselves. When botulinum toxin is injected in the glabella by an experienced board-certified dermatologist or plastic surgeon,... more

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