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I Had Botox in my Upper and Lower Forhead Area (Only) but Now I Look Angry All the Time?

asked 11 months ago by Grant
Latest answer by Ronald Shelton, MD
Question viewed 408 times
Tags: frown, frown lines, not working, permanent

I have recently had a botox treatment. The problem is I can not raise my eyebrows very much at all now but I can still frown very hard and even in a relaxed position I am frowning now? so my concern is if I go back and have more in the lower brow between my eyes will this relax my frown look? or freeze me into a perminent frown?

13 answers to I Had Botox in my Upper and Lower Forhead Area (Only) but Now I Look Angry All the Time?

Frown Lines After Botox!!

Hi Grant. We have had the same issue with patients before, but only after making them aware that the dosing they are requesting (forehead only) can cause exactly the problem you are experiencing. In most cases, we see them back a couple weeks later to treat the "glabella" or the area between the eyes where the frown lines occur. Dr. Goldberger said it best when he used the word " unopposed". This means that because certain muscles have been... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox and brow "sinkage"

Hello, This is one of the biggest mistakes injectors make, and is due to a lack of understanding the dynamics of the facial muscles. I often see new patients with this complaint. I explain daily at length the importance of respecting the frontalis muscle which is certainly responsible for horizontal lines but more importantly it functions to support the brow. I explain this as a "tug of war" between this muscle which elevates and the... more

Peter Malouf, DO
Dallas Dermatologist

mytotalskincare.com

It sounds like you would benefit from a Botox treatment to your frown muscles.

I read your concern. If your forehead was injected without addressing your frown muscles, you may have droopiness of your eyebrows and a stern appearance. 25units of Botox to your frown muscles may help improve your appearance. Consider getting a second opinion. Regards from NJ. see video

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Look angry after Botox to forehead

Botox can cause the eyebrows to drop or limit their movement. If the center, of the forehead is weak and doesn't move this allows the outer areas, of the eyebrow, to raise up giving an angry appearance to the face. I have treated patients with this expression, that had received the Botox elsewhere. I place additional Botox to the outside (tail) of the eyebrow to remove the angry appearance.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

I Had Botox in my Upper and Lower Forhead Area (Only) but Now I Look Angry All the Time?

It sound like they paralyzed your forehead and left your frown muscles working unopposed. That is why you are frowning all the time. In this is the case, more Botox to the frown lines will help. It won't reverse anyything. Next time you get injected, you should go over all this information with your physician.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

An experience physician will be able to recognize what needs to be done.

An experience physician will be able to recognize what needs to be done. If your Botox was injected by an experienced physician who also understand the relationship between your forehead, eyelids and the rest of your face, he/she will be able to tell you what is best. If the Botox was injected by a novice injector, they may not know what went wrong. I would recommend that you always go to someone who has broad experience in a wide range of cosmetic procedures. more

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Botox in forehead

The forehead is a tricky area. I pretty much try to stay away from treating the lower forehead to avoid brow ptosis. Patients who already have brow ptosis I prefer not to treat the forehead till the brow ptosis is corrected surgically. In your situation, a little Botox in the frown muscles will help.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon

www.facialsurgerydr.com

Permanent Frown After Botox

Botox performed properly can yield wonderful results. The problem is that Botox treatment has been so trivialized that patients think anyone can do it, and anyone with access to it thinks they can administer it. While this is of course an exaggeration, proper treatment with Botox requires an understanding of the facial muscles and how they affect expression, as well as an appreciation for facial aesthetics. These are not qualities possessed by every injector.... more

Alan Brackup, MD
Philadelphia Oculoplastic Surgeon

Angry after botox

The frontalis muscle of upper forehead is the trickiest area for injectors. I think you have brow ptosis from too much or poorly inject Botox. Adding more Botox to the glabellar area may reduce your frown but will not raise the eyebrow. Try to exercise the forehead as best you can and the ptosis will eventually clear. Always seek an experienced doctor for Botox.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

You are describing an improper BOTOX treatment.

Properly done, BOTOX is fantastic. It provides lift at the brow, softens forehead lines, and makes us look refreshed and relaxed. Improperly done, it has the opposite effect. It can make us look monsterous with bizarre muscle recruitment lines. You have gone to an injector who does not know what they are doing. It is possible to have a counter treatment to balance what has been done. However, even if you elect to do nothing, this treatment will eventually... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

You have brow ptosis

Sounds like you have brow ptosis [excessive relaxation of the forehead, so you can't raise your brows]. One of the things that makes BOTOX® [and other formulations of BTX-A] so safe is that it does completely wear off, so your forehead ["frontalis muscles"] should be back to normal in 3-4 months, or less. If you have your upper forehead treated again, maybe just have half the dose. In a new patient, I prefer not to treat the frown lines and the forehead lines on the... more

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon

Botox for glabella

It does sound as if you need more units injected into the triple muscle component of the forehead glabella, between the eyebrows, to reduce the frowning. Your physician should be able to determine this on physical exam. see video

Ronald Shelton, MD
Manhattan Dermatologist

Botox effect

Botox works great for forehead lines and the satisfaction rate is over 90%. If you have a result that you are not satisfied with you should discuss with your surgeon to see what options you have.