Can an endoscopic brow lift gone wrong be treated with Botox after surgery for temporary improvement? (Photo)

The most important thing to establish is whether you have normal movement of the the frontalis muscle on the lower, i.e., right, side of the brow. If you do not, there may have been some injury to the frontalis branch of the facial nerve. Most likely the nature of this injury is a neurapraxia, most commonly due to pulling and stretching or compression of the nerve branch.  If such an injury is suspected, this could be confirmed by nerve conduction studies.  Most commonly, even if such an injury has occurred, the nerve will return to function after several months. In the interim, the higher brow could be dropped to a level more symmetric with the lower one through judicious injection of botox, while you wait for nerve function to return on the right side.  If muscle movement of the frontalis appears normal on the lower side, then a revision procedure may be in order. You did not mention what kind of fixation was used. If endotine fixation was used, the endotine on the right side may be adjusted fairly quickly and this may resolve the issue.  If a formal revision surgery is required, you would be well advised to wait three to six months before embarking on such a procedure.

It seems that you are very nervous about your browlift recovery. I suggest you remain patient - time will heal your eyebrows and allow the results to take shape. Only once you are fully healed should you consider Botox or any other follow-up treatments for that matter. I suggest you consult your board certified facial plastic surgeon so that he can monitor your progress and be a soundboard for your concerns.

Asymmetry of the eyebrows after an endoscopic brow lift is not uncommon.  Botox can be used for temporary improvement while the brows are healing.  Re-operation should always be delayed for 6 months to insure the tissues have healed completely.  Sometimes a touch   up minilift can be done on one side only to improve the asymmetry.  This minilfit can often be completed in the office without anesthesia and much less downtime.  In cases where a more complete revision is required would entail a trip to the operating room like your intial procedure.