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??

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10 answers to “Can too much Botox cause eyebrows to...”

A: Droopy eyelid

Shawn Allen, MD

There are 2 ways to have this problem from Botox injections.  If the product is placed too low on the forehead, the muscle that raises the forehead (frontalis) will be inactivated and not able to lift the brow.  A droopy brow can look like a droopy lid , but usually will correct if you pull the... more

A: Botox causing Eyebrow Droop

Daniel Reichner, MD

The botox injections have to be balanced - some above and some below the eyebrow.  This is a technique that a good plastic surgeon uses all the time.  The frontalis and obicularis oculi muscles are "antagonistic muscle pairs"  for eyebrow position - when one contracts the other relaxes... more

A: Heavy eyelids after Botox

Steven Hacker, MD

It is not unusual to report the sensation of heavy eyelids after Botox treatment. Also, ptosis , which is drooping of the eyelids, can occur after Botox injection. The incidence has been reported in various source anywhere from 3-4 % of injections. I my experience, we see it much much lower but do see it on... more

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

Scott Trimas, MD

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... more

A: Take your pick: Brows up or Brows down with Botox

Otto Joseph Placik, MD

The eyebrow position is a delicate balance between the: Muscles that pull it up (the forehead), which elevate Muscles that pull it down (the eyelid), which depress   Botox can be injected into the: Elevators (lifters), which will cause the brow to drop Depressors, which will cause the brow to rise... more

A: Too much Botox or a little in the wrong place can cause droopy eyebrows

Sanjay Grover, MD

Too much Botox or even a little in the wrong place can cause your eyebrows to droop.   As you know, there are muscles that work to lift the brow (the frontalis muscle in your forehead) and muscles that can pull down the brow (the orbicularis muscle around your eyes).  They work in balance... more

A: Droopy eyebrow after Botox injection

Maurice M. Khosh, MD

The problem that you present is most likely due to excessive Botox injection, or placement of too much Botox in the lateral forehead region. Fortunately, as the Botox wears off, your eyelid should improve. A more uncommon problem is when Botox is injected too low and it seeps into a muscle that elevates the... more

A: Poorly placed Botox CAN cause eyebrows to "become Heavy" and drop

Peter A. Aldea, MD

The eye brows are kept up by the pull of the Frontalis muscle. With time, as there is more forehead skin, increased work is required by the frontalis to keep the brows up. The work of the frontalis to wrap up a wider area of forehead skin is manifested by the appearance and deepening of transverse forehead... more

A: Botox and eyebrow droop

Harold J. Kaplan, MD

Botox can very easily cause the condition you described (ptosis or a sagging eyebrow) when injected incorrectly. In fact, it does not take an awful lot of Botox to cause this problem. This condition occurs when too much Botox is placed in the muscles above the brow that pull upward. Relaxation of this... more

A: Botox may prematurely relax the eyebrows

Raffy Karamanoukian, MD

Botox Cosmetic is produced by Allergan and is a commercially available form of Botulinum serotype A. Botox inhibits the release of arch and relaxes muscle tone in the areas of injection. If injected into the area of the forehead directly above the eyebrows, it may cause premature relaxation of the eyebrows.... more

Comments

abhakta
5 posts
31 Mar 2008

If Botox is injected into the wrong muscles or too much Botox was used in one area then these side effects may result. The good news is that this effect will resolve once the Botox wears off... usually in 3 months. You would want to get in contact with the treating injector and let them take a look. There are eyedrops available to prescribe if you have a droppy eyelid. Iodipine is a common antidote to help lift the eyelids 1-3mm. This is a very rare side effect when having Botox treated by a skilled and experienced administrator.

SmartLipoMD
95 posts
6 Aug 2008

The good news is that this problem will resolve when the Botox wears off (in 3 - 4 months) - the bad news is that you'll have to wait 3 - 4 months for the problem to resolve. . . Sorry. I couldn't resist. Botox can cause droopy eyelids if it is injected too low, pushed into the area, or so dilute that it migrates into that area. Eyedrops can be prescribed, such as iodipine and vasocon-a, to help raise the eyelid slightly. I would also recommend keeping some artificial tears to help out with dryness, too. You will be able to stop the drops when the Botox wears off. You could also have the provider perform an eyebrow lift if they determine that you have room for improvement and that the raised eyebrow will help pull the eyelid up. (You really need to have an experienced injector determine this. . . if they had problems with the eyelid droop. . . I'm not sure how I would feel about having them put MORE Botox in my face.) Eyebrow droops are usually caused by too much Botox in the frontalis muscle so that the upward pull of this muscle is compromised, resulting in the eyebrow positioning itself lower. No eyedrops or other treatments will help, unfortunately. This is a waiting game. Sorry. (But that's not the problem you presented.)

brook607
15 posts
3 Jul 2009

The same thing happened to me. And on top of that, my right eyebrow droops lower than my left eyebrow. I too thought I needed an eye lift, and now, after getting botox, my eyes look worse. I hope my doctor can fix this on my follow-up visit.

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