One Brow Higher Than the Other After Botox

An unevern face after Botulinum toxin (Dysport and Botox) is not unusual. However, the treatment is usually very simple and you may want to contact your treating physician for a touch up.

Usually when the outer eyebrow is raised, that means that the mid forehead was treated but the Botox needs to be injected further out to the sides because the outer aspect of the frontalis muscle of the forehead is overcompensating for the fact that the middle forehead muscle can no longer elevate the eyebrow areas. Just 2 units injected into this area will give you the correction you desire.  If the cheeks are falling, or if it is difficult making a smile or showing your upper teeth, then possibly some Botox was delivered to the smile muscle ( the levator labii muscle) rather than the eyelid (orbicularis oculit) muscle.  When the Crows' feet are injected in the lowest portion, the Botox should stay towards the outer aspect of the eye and not be injected on the cheekbone towards an area that falls more below the eye. If this is your situation, and it is not possible to say, then it will resume its normal appearance in a few months. Sometimes it might be the diffusion of the Botox, especially if the volume chosen for the dilution is large and the patient bends down or exercises in the first few hours after treatment. Worse case scenario, it will all go back to normal!