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One Brow Higher Than the Other After Botox

asked 1 year ago by runnermomof3
Latest answer by Brooke R. Seckel, MD
Question viewed 4,724 times
Tags: crows feet, eyebrows, forehead, uneven

I had 40 units of botox injected into my forehead and crows feet (and I think she said she was raising brows too). I am 9 days out and one brow is noticeably higher than the other, with a dent above the brow. I noticed this days ago, but thought I'd give it time, but it's only gotten worse. I also have puffiness under my eyes and it appears my cheeks have fallen? What can I do??!!

18 answers to One Brow Higher Than the Other After Botox

Botox Caused One Brow Higher Than the Other- You Need More Botox in High Brow

There are two ways to lower the One Higher Brow after Botox: More Botox in the Forehead Muscle above the High Brow to relax and lower it More Botox in the Upper Crow's Feet Muscle on the Low Brow Side to allow the Low Brow to elevate more. Decide which look you prefer. Most Plastic Surgeons would suggest that you lower the Higher Brow by injecting Botox into the Frontalis Muscle above the Higher Brow.

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

A Botox dose-adjustment may improve the appearance of your brow.

I read your concern, and I see your brow asymmetry in the photo you posted. This should be an easy fix for an experienced dermatologist or facial plastic surgeon. I would need to examine you to make specific recommendations: I would need to see if your left brow may be elevated, or if your right brow needs to be lowered. In either case, your appearance may be improved, so follow-up with your doctor. Or get a second opinion from a reputable dermatologist or facial plastic surgeon familliar... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Uneven brows after Botulinum toxin (Dysport and 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.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Botox effects.

Your brow problem is a common one and very easy to eliminate with a small dose of Botox above the higher brow. The puffiness under your eye is a result of the weakening of the muscle sling by the Botox that has migrated below the pretarsal area of the eye muscle, this will require time to resolve itself. The fallen cheek you describe is caused by the Botox migrating down to weaken the cheek elevator muscles from the injection around your eyes. Again this problem will resolve with time... more

Paul Vitenas, Jr., MD
Houston Plastic Surgeon

Botox "dent" and asymmetry treatable

You have the "spock eye" defect in which one eyebrow is being pulled up higher by the muscles on one side. The muscle contraction is giving the appearance of a dent, but once you get the touch up it will go away, along with the "spock eye". You should look great!

Daniel J. Ladd Jr., DO
Austin Dermatologist

Botox - eyebrow asymmetry

You have a problem that's easy to fix - you just need a little more botox over the higher eyebrow. Its not entirely uncommon for eyebrow asymmetry to develop after Botox administration. I'd recommend going back for a "touch up". I'm sure who ever treated you would be happy to help you even out your brows. Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Botox injections in the Forehead and around the eyes.

Brow asymmetry following Botox injections in the forehead is quite common. It can unmasked previously unnoticed asymmetry. It is very easy to fix, by adding few units of Botox ABOVE the peak that you are describing. It will bring down the brow few millimeters. Swelling under eyes and cheek droop: it is most probably due to the placement of the Botox injections. If the Botox is placed too far down under the lower eyelid some of the muscles that lift your cheeks up when you... more

Henri P. Gaboriau, MD
Seattle Facial Plastic Surgeon

Outer eyebrow is raised after Botox

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... more

Ronald Shelton, MD
Manhattan Dermatologist

Botox and brows

Often times, one eyeborw is stronger than the other. This is fairly straightforward to fix by injecting a bit more on the stronger side. As for the other issues, I would have to see exactly what the problem is during an exam.

Steven Wallach, MD
Manhattan Plastic Surgeon

Asymmetry after Botox injection

Asymmetry after Botox injections is often transient and is best approached by frequent muscle exercises and observation. In rare cases, there is a Botox antitoxin available.

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

Uneven height of eyebrows after Botox

One brow higher than the other after Botox injections to elevate eyebrows just means that the muscles that pull the eyebrow down were relaxed more on one side. Usually this resolves by itself in approximately 2 weeks, but if a small amount of Botox is injected into the forehead about 2 cm above the elevated portion of the brow (where the muscles that pull the eyebrow up are, the same muscles that are causing the dimple) that would relax the elevators and settle the eyebrow into a... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

An easy fix

It is not uncommon for Botox injections to uncover a previously unnoticed assymmetry of the brows. The side with the stronger muscle pull will lift higher. One quick and simple addition of just 2 units into the stronger side usually evens things out. There should be no charge for such minor adjustments.

Mary Lupo, MD
New Orleans Dermatologist

Injecting Botox is an Art

It seems that a person can get Botox injections at every street corner and many would have you believe that it is a commodity purchase. Your experience, although unpleasant, underscores that there is more to it than following the diagram on the package insert. Shaping the appearance of the face is not just about knowing what will happen to the muscles that are treated but also what will happen to the ones which are not. The position of your different facial... more

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

Botox with overarched brow

I agree with Dr Aldea, and absolutely enjoyed reading his eloquent answer. To fix this would be easy- to inject more neurotoxin over the arched brow- however both brows will be frozen lower for the duration of the effect. If you feel this is necessary then visit your nearest physician injector to have it addressed

Purvisha Patel, MD
Germantown Dermatologist

One brow higher after Botox

You just need a touch more Botox above the higher brow. After Botox on the forehead, it is common to see the muscle compensate by activating the part it can move. Next time we can usually compensate for that.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon

www.facialsurgerydr.com

Please go back to your surgeon for touch up

The asymmetry can be treated with little touch up and your doctor should take care of it with no charge. Call your doctor and let him take care of it.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

BAD BOTOX - WHY is One Brow Higher Than the Other After Botox?

Regarding: " One Brow Higher Than the Other After Botox I had 40 units of botox injected into my forehead and crows feet (and I think she said she was raising brows too). I am 9 days out and one brow is noticeably higher than the other, with a dent above the brow. I noticed this days ago, but thought I'd give it time, but it's only gotten worse. I also have puffiness under my eyes and it appears my cheeks have fallen? What can I do??!!" I answer you in the... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Asymmetry after Botox can usually be fixed

Your higher brow can be treated with a couple more units of Botox to drop it back down to match the lower brow. The injection should be above the brow in the lateral frontalis muscle, which stops that muscle from lifting the tail of the higher brow. Botox doesn't cause undereye bulges or fallen cheeks, but it may be that you notice these things more now that the adjacent areas are smoother. Your fallen cheeks could (rarely, I would think) be due to injection very low in... more