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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.

Asked 36 months ago by MCSBG in UK Scotland
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+2

Not a Problem

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.
Scott E. Kasden, MD
Dallas Plastic Surgeon
+2

Drooped angry look can be corrected

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 experienced with Botox who doesn't just inject everyone the same way.
Brenda Dintiman, MD
Fairfax Dermatologic Surgeon
+1

Inner eyebrow droop

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 circular muscles that form a loop around each eye). I would voice your concern first to your injector. If you are not satisfied, consider seeking a second opinion from a qualified... more
Bryan K. Chen, MD
San Diego Dermatologist
+1

Botox and Brow Position

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.
Daniel Reichner, MD
Newport Beach Plastic Surgeon
+1

You need a smarter BOTOX doctor.

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 of the forehead that are still able to contract are recruited to lift the eyebrow. This is where those funny post-BOTOX looks come from. In some cases, the doctor has done such a... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
+1

More Botox May Help

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 expressions can be altered (for the better or the worse). There are various reasons why your brow may have formed an unnatural shape. When the forehead lines were treated, the muscles weakened were those... more
Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
+1

You may need filler or more Botox

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 pretty basic information that your board certified dermatologist or plastic surgeon would know, so I suggest you return to her/him, or get one if that is not the type of provider you... more
Mary Lupo, MD
New Orleans Dermatologist
+1

It is unlikely you need more Botox

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, and he or she should be able to do a much better job.
Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon
+1

You likely had a low brow

You likely had a low brow in the first place, and by completely relaxing the frontalis muscle (the muscle which raises your eyebrows and causes horizontal lines in your face) your brow has dropped, as there is nothing to counteract this effect. Sometimes, if this happens on the outer part of your eyebrow, we can successfully get that brow back up with a little more Botox around the eyes. Where you are experiencing difficulty is in the inner brow. This will be very hard to get back up. Your... more
Brian S. Glatt, MD
Morristown Plastic Surgeon
+1

Botox and the brow

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.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Time for a new procedure

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 muscle tight to elevate the brows. Unfortuantely, the botox took this away and now you can see how much your brows have dropped. In addition the wrinkles are still there because... more
Christopher L. Hess, MD
Fairfax Plastic Surgeon
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