Correcting uneven eyebrows from Dysport

I am a newly qualified practitioner in aesthetic practice. My client has informed me that one eyebrow has gone slightly higher than the other. I injected the norm of 5 x areas into glabella region with Reloxin/Dysport of 0.05 ml (10 units each point = 50 units in total). What would you suggest to lower the higher brow so the eyebrows become level?

3 answers to “Correcting uneven eyebrows from Dysport”

A: Uneven Brows

Shawn Allen, MD

 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... more

A: How to balance Dysport

Janet M.  Neigel, MD

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... more

A: a drop of dysport in the frontalis should help

Jonathan Hoenig, MD

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.... more

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