Why did inner brow drooped after Botox?

I had Botox 3 weeks ago on the forehead, crow’s feet and glabellar. Forehead lines are gone, crow’s feet are gone, however, my inner brow seems to be worse and those frown lines are still there, but worse, I have this angry look as my inner corners of eyebrows/brow seem to have dropped. Can more Botox help? Or has it been injected incorrectly. Many thanks in advance.

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11 answers to “Why did inner brow drooped after Botox?”

A: Botox and the brow

Steven Wallach, MD

If your medial brow has dropped significantly, and you feel that it is very heavy or creating an angry look, you  may be better off with a brow lift at this point.

A: Time for a new procedure

Christopher L. Hess, MD

This is often an uncomfortable consultation with patients. You have significant wrinkles on the forehead because you are constantly, and unconsciously elevating your brows. Age has caused them to sag. Your brain senses the change in light and vision that occurs when your brows sag so it keeps the frontalis... more

A: Inner eyebrow droop

Bryan K. Chen, MD

Injection of the central portion of the frontalis muscle (an eyebrow elevator) can drop the inner portion of the eyebrows.  Some correction can be achieved with a small amount of botox to the procerus (the muscle between the eyebrows) and the inner superior quadrant of the orbicularis oculi muscles (the... more

A: Botox and Brow Position

Daniel Reichner, MD

It sounds like you had too much Botox injected into the frontalis muscle compared to the medial eyebrow depressors( the obicularis, procerus and corregators).  The correction is the "Medial Botox Brow Lift" a small amount of botox into the depressor muscles to elevate the medial brow... more

A: Not a Problem

Scott E. Kasden, MD

The inner brows dropped because of the Botox.  You can either wait until it wears off or ask your doctor to inject more Botox below the eyebrow which will weaken the depressor muscles.

A: Drooped angry look can be corrected

Brenda Dintiman, MD

I agree that you really need to look at the muscle structure of each patient before injecting Botox.  Sounds like you have a depressor muscle that is unopposed now that your glabellar region and forehead or frontalis region has been injected.  It can be corrected but you will need someone very... more

A: You need a smarter BOTOX doctor.

Kenneth D. Steinsapir, MD

The position of the eyebrow and its shape is the result of a balance between opposing muscle groups. Muscles in the forehead lift the eyebrows. Muscles below the eyebrow pull the eyebrow down. When the lifter muscle of the forehead is weakened, the brow will fall. Depending on how this occurs, the muscles... more

A: More Botox May Help

Marc Cohen, MD

Facial expression is very complicated.  In order for our faces to make the myriad of expressions we form, there is a complex system of fine muscles that contract to pull different parts of our faces in various directions.  Botox works by temporarily weakening muscles.  In that way facial... more

A: You may need filler or more Botox

Mary Lupo, MD

The brow drop is from either lax skin or too much Botox in medial frontalis, a brow elevator. It could be improved by putting more in the procerus, a brow depressor. The deeply etched lines from years of frowning may need some Restylane to fill. If the skin is lax, only surgery will help. But this is all... more

A: It is unlikely you need more Botox

Stella Desyatnikova, MD

It might be because the Botox was injected in the forehead muscle low close to the eyebrow corner. It is difficult to say without looking at you or at least at your pictures. Probably not much you can do now, but it should gradually wear off. Next time you have the injections done, talk to the doctor about it,... more

More answers to Why did inner brow drooped after Botox?
Morristown - You likely had a low brow
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