Medial Brow Droop and Overarched Brow from Botox, What Can I do?

asked 4 months ago by Wes881 in Miami, FL
Latest answer by Julio Garcia, MD
Question viewed 314 times
Tags: droopy, brow

I had my first Botox treatment 5 days ago in the frontalis (conservatively) and procerus, for horizontal forehead lines. When I raise my brows, the medial brows droop while the arches go high up, creating an angry look. The area over my middle brow looks puffy when arching. I also have a chronic headache and heaviness between and above between the brows, along with a constant pulling feeling above the arches. Is there a way to correct this? I am going for my follow up next week. What can I do?

9 answers to Medial Brow Droop and Overarched Brow from Botox, What Can I do?

How to correct arched eyebrows after Botox

The details of your treatment plan are very thorough and help to address the potential problem. For example, the fact that you received a conservative dose in the forehead but experienced very arched eyebrows is related to the lateral (sides) your forehead and above the eyebrows not receiving the proper attention. Therefore, this part of the frontalis muscle will continue to pull or actually pull harder which causes the "Spock" look of the eyebrows. If this... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Overdone Botox

You might need a little Botox on the lateral forehead to depress the over-arching and more in the glabella and procerus region to weaken the depression there.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Overached eyebrows from botox

This is easily corrected by injecting botox to the outer areas fibers of your forehead muscles. In the future inform you botox injectors of this incident and clarify that you do not want it to happen again. They should know to a void over injecting the outer fibers of the orbicularis occuli in tandem with the paralysis of the middle aspects of the forehead and glabella areas (area between the eye brows).

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon

Botox

Based on your description it sounds like you may need more Botox units on the outside of your forehead to relax the the brows further. however, Botox takes about 2 weeks to see the final effect and i would not do any correction until that time because you run the risk of overcorrection. Please have your doctor evaluate. Dr. Halem

Monica Halem, MD
New York Dermatologic Surgeon

Modification of Botox for the forehead lines

Yes, you may need more units of Botox injected to the outer forehead to relax this part of the frontalis muscle so it doesn't overcompensate and pull up too much on the outer eyebrows because it struggles to pull up on the middle forehead but can't. You might need more also, to miniimize the bulge you mention. See your doctor to reevaluate. I would encourage you to wait for two weeks so that the Botox has full effect and the result you have can be modified better. more

Ronald Shelton, MD
Manhattan Dermatologist

Medial Brow Droop and Overarched Brow from Botox, What Can I do?

The effects of the Botox will last about 3-4 months and if you do nothing, everything will return as it was before the Botox was injected. If the medial brow droop is making your face look angry...a small amount of Botox can be used to lower the lateral section of the eyebrows softening this effect. Be sure that the MD that does your Botox, Dysport or Xeomin injections understands and follows the proper aesthetics of facial beauty.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

You have had an unbalanced botox service.

By analyzing how the face is pulling, yes it is possible to treatment this situation with additional BOTOX to help with the overall facial balance. Steve Fagien in Boca Raton is a Botox expert who can help you with this.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Results from Botox treatments

Hey Wes! Well to start it is a little early to see the final results it takes 10 days but I would give it two weeks before doing anything. If the problem persists you need to see a board certified plastic surgeon or some one that is experienced with administering the neuromodulators (Botox, Dysport, Xeomin). The problem sound like not enough was injected at the glabella area so you are not getting enough medial brow elevation the secound problem is not enough spread of the Botox more... more

Tal T. Roudner, MD
Coral Gables Plastic Surgeon

Correcting "Bad Botox"

One of the benefits of having your Botox done by a good Plastic surgeon or dermatologist is that they know facial anatomy and can produce the result you want while staying away from results you do not want. Another important benefit is he/ she will soon know how you will react to Botox / Xeomin and will customize the results to you. In your case, the arch can be gently lowered with a few units of Botox above its apex. Just ask your doctor to help you. Good Luck. Perer A... more