Did Botox and 6 Months Later when I Frown with Brows Pointing Down There is a Ridge- Why?

asked 5 months ago by Jackie2244 in Chicago, IL
Latest answer by Harold J. Kaplan, MD
Question viewed 87 times
Tags: 6 months post-op, brow, options, raise, ridges

Got botox 6 months ago and liked it EXCEPT when I would raise my brows there was a subtle bump above where my frown would be and when I would frown with my brows pointing down- there would be this dragon-like ridge! Any experience w/ this? I went to dr yesterday and he commented on what an odd face and treated it. Today, it looks better but if I want more results, should I wait a week or another month to see him? The muscles btwn my brows aren't as subdued as the sides so still there...

5 answers to Did Botox and 6 Months Later when I Frown with Brows Pointing Down There is a Ridge- Why?

Muscle movement six months after Botox

All good feedback from panel members. However, we believe that one piece of information is being overlooked...if you are just now seeing the "ridges" (aka: corrugator muscles) six months after your Botox treatment, this is not unusual and is how muscle movement returns as the Botox wears off. If you received six months duration, than you are better off than most who experience closer to four months duration. However, if you are indicating that the... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Wait at least one week for improvement from Botox

The effect of Botox may take more than one to two weeks to see the peak results. Be patient because if you get more injected in two days after the first, it may be more Botox than you need and you may not get a natural result. see video

Ronald Shelton, MD
Manhattan Dermatologist

Botox and muscle recruitment

When Botox or Dysport are used, they will inactivate a muscle group. As compensation, as you try to move those muscles, you may recruit other muscles which may cause the lines and bumps you are describing.

Steven Wallach, MD
Manhattan Plastic Surgeon

What you are describing is unwanted muscle recruitment.

There are a variety of ways to perform a botulinum toxin treatment. Unfortunately some of these treatments cause muscle recruitment. I recommend that you try other treatments or injectors and find someone who can treat you without inducing this type of issue.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox should be mostly worn off by 6 months--"ridge" or "bump" is caused by return of muscular contraction.

You obviously had changes in your frown and forehead crease lines from your injections 6 months ago, and there may still be some muscle fibers that are partially paralyzed while others have returned to full activity. This can cause subtle (and sometimes not so subtle) abnormalities in expression. Retreatment with additional Botox, Dysport, or Xeomin (all botulinumn toxins manufactured by different companies) can reduce or eliminate those unusual contractions. You had treatment yesterday... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

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