Drooping eyebrow after Botox

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?

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6 answers to “Drooping eyebrow after Botox”

A: Wait and see, it's too early

Christopher L. Hess, MD

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... more

A: Drooping eyebrow after Botox

Otto Joseph Placik, MD

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... more

A: It is a safe bet that things will get worse

Kenneth D. Steinsapir, MD

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... more

A: Botox Drooping Eyebrow

Michael A. Persky, MD

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... more

A: Wait until full effect, then correct

Arnold R. Oppenheim, MD

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... more

A: Wait 7 days before making any adjustments

Francisco Canales, MD

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... more

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