Dysport: Q&A
Ask a QuestionCorrecting 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?
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11 Doctor Answers |
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medicine
in united kingdom
+2
Correction of uneven brows after Dysport
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.
+2
Uneven Brows
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...
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Boulder Dermatologist
+1
Dysport to Level Brows
In my practice, Dysport usually takes within 6 to 36 hours to work, so give it 3 days to be safe. Follow my good friend, Dr. Julio Garcia's recommendation, inject the side that is higher with about 5 units and this will lower the elevated brow within a day or so.
In the best of hands, this is not an unusual problem. I always tell my patients that this is possible and the second injection is on me. That way, the patients keep coming back to me because I take...
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Honolulu Plastic Surgeon
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How to Ballance Brows with Neuro Modulators
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...
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+1
Eyebrow treatment
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.
+1
Correcting Uneven Eyebrows from Dysport
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...
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+1
Lowering high brow
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
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+1
Dysport and treatment of uneven brows
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.
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The frontalis muscle elevates 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.
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How to balance Dysport
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.
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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