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High Arched Brow After Botox in Glabella and Forehead?

I had botox in my glabellar and forehead regions approximately one week ago and now I have one brow that arches significantly higher than the other when I raise them. It looks like I have more movement in that side of my forehead as well. Can they fix this? Where would they inject to fix this?

Doctor Answers (12)

High Arched Brow After Botox in Glabella and Forehead?

+1

 Yes, the situation can be fixed but the cause is to high of a Botox dose to the Glabella, allowing the lateral segments of the eyebrows to raise.  This situation is treated by placing some Botox in the area of the elevated eyebrows allowing them to relax.  


Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

High arched brow after Botox in glabella and forehead?

+1

A touch up can help improve the issue you describe. I would recommend visiting your provider and discussing the situation with him or her. I hope this helps, and I wish you the best of luck.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 32 reviews

Botox and arched brow

+1

Yes, this can be fixed! Return to your provider for further and best assessment, but a small amount of Botox placed where your still active in the forehead, can bring your arched brow down nicely.

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 138 reviews

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Botox and "Spocking"

+1

After injecting Botox in the forehead, having one or both eyebrows arching higher or "Spocking" (i.e. Mr. Spock in "Star Trek") can occur. This can easily be corrected with a small (1 or 2 untis) amount of Botox injected in the forehead on the over-arched side. You should see your doctor about this and he or she will likely correct this on the spot. They can also plan for a prophylactic "anti-Spock" forehead injection at your next Botox treatment in 4 months.

Arie Benchetrit, MD
Montreal Plastic Surgeon
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Arched Eyebrow After Botox

+1

Hi Marie,

Frown lines are caused by muscles (corrugators) pulling the eyebrows down and together. When these muscles are inactivated with Botox, the eyebrows move in the opposite direction producing a desirable eyebrow lift.

Sometimes one or both eyebrows will arch (peak, spike, Dr. Spock) too high. A small dose Botox "touch-up" injection in the forehead area above the arch will take care of this.However, too much Botox injected too low may produce an eyebrow droop.

Thanks for your question and good luck!

Stephen M. Lazarus, MD
Knoxville Plastic Surgeon
4.5 out of 5 stars 3 reviews

High arched brow and Botox

+1

This required a touch up with Botox and you will surely have a good outcome. I would return to the provider who did the injection. Expect to pay for the additional Botox product.

Hratch Karamanoukian, MD, FACS
Buffalo General Surgeon
4.5 out of 5 stars 5 reviews

Look like Spock after botox?

+1

This problem is fast and easy to treat with a tiny touch up of product. Just go to your doctor and they will fix it-no worries

Jo Herzog, MD
Birmingham Dermatologist
5.0 out of 5 stars 12 reviews

Arching brow after Botox

+1

Sometimes certain aspects of the brow are treated in such a way as to only allowing the tail of the brow to elevate. This can be treated with Botox over the tail.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

"Spock" brow after botox

+1

Having one or both eyebrows become over-arched (Spock Brow) after botox injections is one of the most common unwanted results. The great news, is that it is easy to fix. Placing 1-3 units of botox in the upper aspect of the forehead on the affected side will allow the brow to relax.

You don't want to place it too close to the brow - or you can end up with a I droopy brow (not as easy to fix).

I try to tell my patients to give it 1 to 2 weeks, and if they have an over-arched brow, I want them to come back in. No one wants to walk around looking too inquisitive. I do the botox touch-up at no charge.

 

 

Jennifer Reichel, MD
Seattle Dermatologic Surgeon
4.5 out of 5 stars 29 reviews

Balancing the forehead with botox injections

+1

This is not an unusual complication from a Botox injection.  We term this a Devil's brow or Metaphisto brow.  The eyebrows are a balancing act.  There are muscles  that elevate the brow and muscles that depress the brow.  If you completely knock out the elevators of the brow then the eyebrows can droop.  Your condition can be corrected by placing a few units of botox either above the eyebrow lateral to the mid pupillary line  or just under the eyebrow, laterally on the opposite side.  When I inject botox, especially on the forehead I try to inject the  minimum amount that I believe will give a nice result.  When injecting a patient for the first time, especially on the forehead, this can be very important.  Occasionally the patient will need to come in for a dose adjustment to fine tune the balance.  I always map out the locations of the injections so that we have a game plan for the next injection session.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.