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

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?

14 Doctor Answers | Asked by Grant
+2

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
+2

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
+2

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

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+2

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.
+2

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.
+2

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.
+2

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
+2

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.
+2

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
+2

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
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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