Dropped Eyelids and Eyebrows After Botox Treatment 29 Units?

Botox Results: Very little movement of my eyebrows can't the lift the side of eyebrows, lids are dropped over my crease, and getting stuck. Now I look old, sad and still frown. M.D inyected me in top of the middle of my eyebrow. Is this a normal technique for frown lines only? What went wrong and how to fix it? Please do not respomd if you don't have a technical answer.

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11 Doctor Answers | Asked by fab2013

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Botox Brow Droop

Brow droop can happen. First, it is important to know what dilution ratio was used- as this affects size of the area of dispersement. Second- in patient's that have a history of brow droop with Botox, have your provider target all the depressors first (glabella- Corrugator muscles, Procerus Muscle) and Crowsfeet (Orbicularis Oculi Muscle)-- then re-asses in 2 weeks for a light forehead injection if needed to get rid of horizontal forhead lines. By weakening all the... more

Don't like Botox results

I inject into the top middle of the eyebrow, but that's usually for a full treatment where I am treating the forehead and the glabella area (the 11's between the brows). However, there are different muscles that cause the glabella area to crease and create those lines which you are referring to as "frown lines", so sometimes I will inject a few units into the middle upper ridge of the eyebrow too, but this is after I have people manipulate their faces so I can see where the muscle strains... more

Botox and droopiness eyebrows

It sounds like it diffused and causing droopiness of your eyebrow and eyelid and the combination is altering your vision - frown lines is above the bridge of th enose in between the eyebrows. Be patient, it will take time, but it will go away.

Botox

In regards to your droopy eyelids, it sounds like the Botox is impacting on the muscles in your upper eyelid - where it wasn't meant to be injected. You should see a board certified physician in your area that uses Botox for cosmetic purposes often. They can provide you with eyedrops that can help counteract this effect on your upper eyelids. In regards to your droopy brow - it's going to take 3-4 months for this to improve.

Post Botox droop

It sounds like you are very sensitive to this treatment of might have had a little too much. Brow droop has to do with forehead treatment. Less to the forehead would avoid that next time. Lid droop can occur because some botox has gotten to where we do not want it. This can be be corrected with eye drops. Patients that have loose upper lid skin to begin with are at more risk for these problems.

Brow drop after Botox

Unfortunately you will have to wait for the Botox to wear off. When injecting, if the brow appears heavy I will not always treat the lowest wrinkles to avoid this. However, this can not always be accomplished. This is a good reminder for next time to remind your doctor to not give it so low. Sometimes I inject the lateral orbicularis to raise the lateral eyebrow.

Steven Wallach, MD

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Manhattan Plastic Surgeon

How to prevent brow drop with Botox

The position of the brows is determined in large part by a balance between the muscles that elevate it and the muscles that pull it down. When the brow begins to drop, there is often a compensatory response by the muscles that lift it, which in turn causes the horizontal forehead lines (this is called "frontalis hyperactivity"). The temptation is to treat the lines with Botox, which will make them go away but then there is nothing holding the brow up. So it takes judgment, and often it is... more

Low brows and eyelids after botox

Treatment must always be tailored to the patient's specific requests. There are two distinct areas of the forehead that Botox helps: the frown lines between the eyebrows (glabellar lines) and the crosswise forehead lines caused by raising the eyebrows. The glabellar area is treated by 16-20 units of Botox with care to place the most lateral two injections at least one fingerbreadth above the inner end of the eyebrow. This avoids the potential for the medicine... more

Eyebrow droop after Botox

Without photographs it is hard to make any definite assessment. If you have concerns after any procedure, I would always recommend touching base with your injector/surgeon to make sure he is aware of the situation and can make specific recommendations for you. That being said, 29 Units is a reasonable dose for the glabella area, which is the area with the "11's," the vertical lines between the eye brows. If the medicine relaxed your forehead (frontalis)... more

Droopy Eyelids After Botox

It's hard to say exactly what happened without knowing all of the details, but drooping of the eyelids after Botox injection is usually the result of poor injection technique, or too many units injected. I don't usually inject more than 25 units on a first time patient as I believe it's always better to undercorrect and then give additional units rather than give too many at the start and end up with a poor result. Injections should be done at least 1cm above the eyebrow and not over the... more

Botox and issues

It is very difficult to answer your question without first viewing photo's of what you are referring to. Following up with your provider is the best idea, and eyelid droop or ptosis is treatable.