Correcting Uneven Eyebrows from Dysport

First, you need to wait 1-2 weeks to be sure it has taken full effect on both sides. This is a simple problem to correct. If the lower brow is not creating a heavy brow appearance i.e. you like its position, then you can simple put 5-10 units above the higher brow. Remember to stay at least 2 cm above the orbital rim to avoid chance of ptosis. This problem will occur with Botox or Dysport. As an new practitioner, be sure that you get good training with hands on with experts in the... more

You would need to counteract the muscle that is lifting, so a small dose of Dysport into the frontalis on the affected side is the way to go.

You can always make brows come down with neurotoxin, but you cant make them come up until it wears off. Always note the brow position and asymmetry in the chart, prior to injection and whether the patient plucks her eye brows prior to injection. Therefore, if there is resulting asymmetry after injection you know it existed before. That being said, I tell my new patients it takes me one to two treatments to get it the way they like it. I have the patient elevate their brows to see... more

If one brow is a bit higher and both raise the forehead, I would consider injecting a little bit over the side that is stronger or more active to even them out.

The easiest way to address this would be to inject some dysport or Botox into the Frontalis muscle above the elevated eyebrow.  If you see a brow line in resting position that is elevating the affected eyebrow, inject that line.  If not, have the patient lift their eyebrows and assess where the deepest brow crease above the area of the brow elevation is and inject there.  I would start with a very low dose of 5 units of dysport and give more if it is needed at least 4 days... more

There are two muscles that control brow position. The orbicularis muscle, a muscle that surrounds the eyelid and is under the brow. It is the muscle that helps to close your eyes forcefully. The second muscle is the frontalis, which lifts the eyebrows. There are several options for this problem: 1. Do nothing...botox is temporary and will resolve with time 2. Inject some botox into the frontalis muscle above the brow. That can help to lower the brow...Its results are not slam dunk pre more

As the others have mentioned, make sure you have allowed sufficient time for the dysport to take effect which is generally two weeks. Your next criteria is to determine if the low brow is too low or the high brow is too high. In the former, you maywnat to leave the high brow alone. IF the high brow is too high, then you can lower it as suggested below with introduction of 5 units into the lower frontalis approximately one finger breadth above the brow.

I agree with the other authors.Since the frontalis muscle elevates the brow, weakening this muscle will depress or lower the brow. Generally, about 5 units will achieve the desired degree of correction although it would be useful to check the treatment record to note the dose of Dysport utilized in the initial treatment session.

Have the patient raise her brows up. Above the higher brow I would inject 5-10 units of Dysport into the frontalis muscle (upper forehead) where you see the deepest furrows above the area of the brow you are trying to lower. This should relax the forehead and allow the brow to lower and hopefully match the other side. Good luck.

To lower the higher brow, try injecting 5 units of dysport into the frontalis muslce above the higher brow. Since the frontalis is responsible for raising the brow, weakening that muscle with botulinum will relax the brow raising effect. Make sure you're in the frontalis and not the corrugator muscle. Dont inject more than 5-10 units or you could have too much of a lowering effect.