Eyebrow Droops After Mini-lift. Doc Suggesting Botox? (photo) Doctor Answers, Tips
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Eyebrow Droops After Mini-lift. Doc Suggesting Botox? (photo)

I had a mini face lift 4 days ago. My lower face looks great (still swollen), but my right eyebrow now droops! It is frozen and I can't move it up. I am very frightened. My board certified PS said when I come in to have my stitches removed next week he will evaluate me and try botox to lift it till the nerve heals. But I am concerned about how this would even work if the muscle is already immobile! What is your professional opinion on this? See my photos.

6 Doctor Answers | Asked by Pat in PA
+2

Pretty early after surgery.

You are definitely demonstrating a right frontal nerve injury. At 4 days I would not be overly concerned about this. However, it can take several weeks to several months to fully recover. Early activity in the distribution of the nerve is a good sign. I would not be in a rush to have BOTOX placed. I think seeing the nerve recover will be important for reassurance. Nerve injuries that have not recovered by 6 months are unlikely to improve. more
+1

Eyebrow Droops After Mini-lift. Doc Suggesting Botox?

It is very unlikely that your right brow will be permanently weakened.Usually the nerve is stretched or otherwise temporarily stunned. This should come back and patience will serve you very well. With regard to Botox, treating the right side would have minimal impact (slight elevation of the outer part of the brow) and would not cause the movement to return any faster. However, treatment of the left side would decrease its function and provide you with better symmetry while the right side... more
+1

Eyebrow droop

Usually the weak nerve is just bruised and not cut. This usually improves in the next several weeks to months. If permanent, brow lifting or Botox on the opposite side could help.

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More than likely the function will return after 2 weeks to 6 months. In the meantime, Botox can be used not to lift the drooping brow, but to paralyze the the working brow so they will match. If in the long run, there is no return of movement, continued use of Botox might be warranted or a unilateral brow lift might help. Many years ago, I treated a patient who had a drooping brow from an old Bell's palsy by lifting both brows and deliberately cutting the nerve to the good brow. The... more
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There are many different causes of a drooping eyebrow. If an eyebrow droop is acute (i.e. new or came on relatively suddenly), here are some of the possible causes: Bell's Palsy--one side of the face becomes partially paralyzed Post-surgical injury: Immediately after surgery, one can experience paralysis of muscles from the anesthesia. This often lasts for up to 6 hours and resolves completely within 24 hours. Additionally, post-surgical swelling can cause heaviness of an... more
+1

Eyebrow Droops After Mini-lift. Doc Suggesting Botox?

Thanks for the posted photos but it is way early to advise. If the swelling decreases than you still have poor right lateral eyebrow issues than I would try BOTOX or a lift of the area. But again very early in healing phase.
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Comments (1)

Pat in PA 20 Feb 2013
I just realized that I never followed up with a report on my condition here. I was told by my doctor that the drooping was a result of a bruised nerve because a bleed had to be controlled with cauterization and he said the heat caused the nerve to "jump". It took a couple of months, but all is normal with that brow now. I decided not to have any botox, but instead temporarily held the eyebrow up with surgical tape hidden under my bangs. Now almost a year after this surgery, I have been very happy with the results. If I can figure out how to add an "after" photo I will post it here. Not sure where I can do that.

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