Do I Run the Risk of Eyebrow Drooping if I Have Botox Injected in Glabella?

If this is your very first botox treatment and it's only a month away from the wedding, you are taking somewhat of a chance. Not that anything serious will occur medically, but you have not had a personal experience with a particular physician who has given you Botox so you don't know how the physician will do, nor how you will respond. Look at the worst case scenario. If you had a very unusual side effect from the Botox or the physician was not as experienced as they should be in the delivery of Botox, you might develop unequal eyebrow levels and depending on the placement of the injections, even a brow drop or eyelid drop which could be impossible to fix for the wedding photographs. That said, it is very rare to cause a droop when only the glabella is treated but is it worth the chance that you get a temporary disfigurement right before your wedding, one that will go away on its own but could take months?

Hi Korki.  The answer to this question would depend for us on whether you have an injector that knows you already.  In our practice, we always being a first time patient back for a 2 week checkup to make sure that the patient is completely happy and that the injection went as planned.  This allows us to be a bit more conservative on the front end of the treatment program and allows us to get to know how our patient reacts to the treatment (how many units are ideal).

If you do not have an injector that knows you already, then we would recommend finding an experienced one or one that uses this kind of approach.  The last thing you need is for a new injector to be careless or cavalier right before your wedding.  This is a trusted relationships you are developing so proceed with caution.  Good luck.

However, the BOTOX service can be safely performed.  The key is finding a very experienced injector.  This is not the time to save some money and go to someone who does not know what they are doing.

Botox injected in the glabella is a great way to prevent the frown lines during normal conversational facial animation. 

  It would be very rare to get any effect on the levator muscle (the muscle that opens the eye) by any injections in this area unless the patient rubbed the area hard and had the product migrate to the levator.  Even in this situation, it would be very unlikely.

  Make sure you go to a skilled injector and you should be fine.

               Steven M. Lynch, M.D.

It is very rare for Botox in the glabella to change the height of the brow. However, I tell almost ALL my patients to put off anything right before a wedding. If you were 7 months from your wedding, I would say absolutely, go for it. But you can't risk being unhappy with your appearance on your wedding day, it simply isn't worth it.