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Drooping Eyebrow After Botox

asked 3 years ago by dermaqueen in miami, fl
Latest answer by Scott M. Goldstein, MD
Question viewed 12,464 times
Tags: eyebrows, droopy, side effects

I have had wonderful results with Botox in the past (2 treatments in the past year). Yesterday, I had my forehead, crows feet, and glabellar lines injected. Today, I noticed that my right eyebrow is starting to droop. Will this get worse over the next few days until the Botox takes full effect? Can my doctor somehow fix this, possibly by injecting Botox further up or in another area to counteract this?

8 answers to Drooping Eyebrow After Botox

It is a safe bet that things will get worse

Dear Dermaqueen It is my experience that the effects of BOTOX begin to be evident at 2 to 3 days but are not at their maximal effect until about three weeks after treatment. Then the effect is sustained for about 3 months and then begins to rapidly diminish. Unwanted side effects may not persist nearly this long because generally, these are typically caused by only a tiny fraction of the total treatment. However, brow drop is a 100% predictable result of injecting BOTOX into the forehead.... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox to forehead will drop the brow

Botox works by weakening muscles. Since the main function of the forehead muscles is too raise the eyebrow, it is natural that weakening this muscle will cause the brow to sag and make the upper lid look heavy. Botox kicks in over the course of about a week and will last about 3 months. Fortunately the heaviness will fade with time. Often to bring balance, I like to inject above and below the brow to get the optimal contouring and desired result. However if the glabella Nd crows feet have... more

Scott M. Goldstein, MD
Philadelphia Oculoplastic Surgeon

Drooping eyebrow after botox

One of the risks of botox treatment is that muscles other than those targeted can be affected by the treatment. That risk is less likely when your treatment is performed by an experienced doctor. Botox treatment's effects are temporary. Because non-targeted muscles do not receive the full dose of your botox treatment, the effects in non-targeted muscles typically resolve well before the effects in targeted muscles. There is no way to immediately reverse the effects of botox. In some... more

James M. Pearson, MD
Los Angeles Facial Plastic Surgeon

Botox Drooping Eyebrow

Hi Dermaqueen, Drooping eyebrow after Botox is not correctable with more Botox. Wait 7 to 10 days and return to your physician for evaluation. Usually the brows recovery within a few weeks. Please take a swim for me in those beautiful South Beach waters. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Wait until full effect, then correct

My advice would be to wait for the full effect to take place an go from there. If you have a brow drop, which is more common and it sounds like you are having, sometimes injecting more Botox into the glabella region may help, as a judicious injection into the lower lateral brow. For a true eyelid ptosis ( a quaz), only eyedrops well help starting with Iodipine. The good new ils that if your brow drop is mild, as it sounds like it is now, the effect should last only a few weeks.... more

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Wait 7 days before making any adjustments

Hello Botox takes several days before the full result is appreciated so I would not make any adjustments for at least 7 days. That way you can actually see the full effect and if there is significant asymmetry it can be adjusted. If there is actual ptosis, there won't be a lot that can be done, but sometimes special eyedrops can help. It sounds like you have a very good realtionship with your Botox doctor, so keeep him/her advised of all changes and the tow of you will be able to come up... more

Francisco Canales, MD
Santa Rosa Plastic Surgeon

Wait and see, it's too early

The fact that your having droop only a day after the injection leads me to believe that this may only be effect of the tissue edema. Botox has no effect for 3-5 days so something else is going on. Botox is a paralytic and cannot elevate in the forehead except in the lateral brow when it is injected under the lateral brow. Give it time. If you truly have Botox droop there's minimal you can do.

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Drooping eyebrow after Botox

Notify your doctor but do nothing for two weeks. I have seen Botox over correct for the first two weeks and settle down after that. If after two weeks your eyebrow still droops there are a few options: If your eyelid is also drooping, there are eye drops (one is alphagan) which can stimulate the eyelid to elevate but this will not effect the eyebrow. If your eyebrow still droops, injection of Botox below the tail of the eyebrow may ease the depressor effects for the orbicularis... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

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