Hoping to Correct Flat Eyebrows/harsh Look from Botox: What is the Likelihood of a Successful Outcome?

First time ever Botox injection 5 days ago for horizontal forehead lines. 40 yo. I did raise my forehead for some lift. Naturally-arched brows have gone flat, forehead appears slightly dropped (or maybe it's the brows) making for a harsh, manly look. Outer brows slant down slightly. Brows immobile except for inner brows shooting up. Cartoonish. Think Snoopy dancing when brows jump off face! I called the office, they said come back, it's easily lifted with a few small injections. I am terrified!

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9 Doctor Answers | Asked by CasiaJ

Doctor Answers (9)
Community Comments (2)

Correction of brow ptosis after Botox injection

With over-treatment of the frontalis muscle (the muscle within your forehead which raises your eyebrows), the brows can become ptotic (droopy). Although you won't achieve full correction of this unwanted look until the Botox wears off in 3-4 months, it is possible to raise the brows slightly with additional injections. Injecting the muscle at the lateral aspect of your brows/eyes (orbicularis oculi) will lift your brows somewhat.

Undesirable result from Botox in the forehead

It is unfortunate that you have had this result from Botox. This flattening or drooping is time limited. It should resolve within six weeks to three months without further treatment. Considering this, do not treat it further as with additional treatment there is a risk that it may get worse. (If this problem does not resolve within a few months then you should see a neurologist.) Most likely this occurred due to the dose and/or location of the Botox injections. ... more

Paul Carniol, MD

Summit Facial Plastic Surgeon

drcarniol.com

Botox and eyebrow drooping

You had too much Botox injected and unfortunately too close to the eyebrowns which caused droopiness. zit will go away in 3-4 months. Be more judicious in the amount and placement of Botox in the future to avoid this problem.

Too much Botox in forehead cuses eyebrow droop

It is apparent that too much Botox was injected into the forehead area, and perhaps too close to the eyebrows, causing this problem. Fortunately, it will wear off in several months, but you will have to live with the problem for now. See you doctor to discuss future dose reduction, or choose another specialist with more expertise. Good luck and don't worry!

Botox correction

I would at least return to your injector to discuss your options and have an in-person assessment. Your frontalis and possibly corrugator muscles were overinjected, which is causing your eyebrows to fall flat, and create a weird outer eyebrow droop as well, giving you a cartoonish appearance. Remember that injections are truly an art, and experience is 100% key with Botox. So if you didn't visit a core physician - derm, plastic, etc. that could be the initial problem. This is when everyone... more

Botox to forehead

It sounds like you may have had too much Botox injected into your frontalis muscle and maybe you corrugator muscle. It takes 10 days for Botox to completely set in. See your injector. i hope your injections were in a doctor's office David Ellis MD Toronto Facial Plastic Surgeon Art of Facial Surgery

How to balance effects of Botox in the forehead

Horizontal lines in the forehead develop because the muscle that elevates the eyebrows is hyperactive. The main reason becomes overactive is when it is working to hold the brow up to compensate for heavy eyelids. So relaxing the forehead muscle (frontalis) allows the brow to drop back down, making the lids appear heavy and flattening the brow shape. Sometimes it is possible to balance this effect by treating muscles that pull the brow down but it requires good judgment and... more

Botox and forehead heaviness

You sound like you're experiencing the effects of brow ptosis - which is as a result of too much product injected in the forehead (frontalis) and/or poor placement. I would follow up with your provider to have them assess before retreating.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Botox touchups - return to your provider

Botox has paralyzed your forehead muscle (called "frontalis"). Frontalis lifts the brows. Since frontalis is no longer lifting, your brows have dropped and may feel heavy. Sometimes people also complain that their eyelids have become more hooded or heavy. Once botox has paralyzed a muscle, you need to wait for the botox to wear off in order to regain the function. Oftentimes, people have improvement within a few weeks. If you return to the... more

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Comments (2)

CasiaJ 6 Mar 2013

Yes, this was done at a professional derm/plastic surgery office. Thank you everyone for the replies.

CasiaJ 5 Mar 2013

Thank you, Dr. Chiang. It was done at a reputable derm/plastic surgery office, so hopefully they will be able to lift me a bit. I have been terrified because I have Googled for hours and usually read that all you can do is wait. The derm's office assured me, over the phone, it is an easy fix and cannot worsen it; it will help or do nothing. Hoping for the best!! Not what I expected. Thanks again.

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