Is This a Normal Look After Botox?

asked 1 year ago by ANDREA B in Chile, Southamerica
Latest answer by Betty Kim, MD
Question viewed 1,683 times
Tags: eyes, forehead, female, normal

I had botox the 1st of september on my forehead and around my eyes. When im seroius it looks nice because my eyes used to have a sad look before and not now. But when i try to raise my eyebrows they go very high in the extremes. I think it makes me look weird, kind of evil. Was this botox well done or is something missing to make me look a little more natural when i raise my eyes. Was this excess of botox, lack of it or injected in the wrong place?? what can i do?

11 answers to Is This a Normal Look After Botox?

You just need a touch up

Your "spock" look can be fixed easily with a few units of Botox placed in the lateral aspects of your forehead- above the peaked arches. Return to your board-certified plastic surgeon for a quick touch up.

Betty Kim, MD
Beverly Hills Plastic Surgeon

Excessively raised eyebrows after Botox

What you are describing and your picture shows is the "Spock" effect. This is an easy problem to fix all you need is a small amout of Botox in the lateral forehead region to soften those muscles that are pulling up your lateral (off to the side) eyebrows.

Ted Brezel, MD
Long Island Dermatologist

Fixing Spock/Jack Nicholson eyebrows after Botox is easy

When Botox is injected into the main central part of the forehead, sometimes people end up with outer brow arches that raise too high and look strange in relation to the rest of their face, and their normal expressions. This is due to the outer forehead muscles not being weakened, and is a common, easy to fix issue. Go back to the board-certified dermatologist who first injected you and show her, and if she is detail-oriented and understands the anatomy, she will be able to fix that arch... more

Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

Sinister, Spock or the Jack Nicholson ("Here's Johnny!") look after Botulinum Toxin (Dysport and Botox) injection

You are describing what is called the Sinister, Spock or even the Jack Nicholson ("Here's Johnny!") look. IT usually treated by injecting small amounts of Botox into the outer forehead regions.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Botox injections

To avoid the arched brow look laterally more botox can be injected in that region to balance out the effect

Steven Wallach, MD
Manhattan Plastic Surgeon

Botox needed in lateral forehead

What you need now is a minor touch-up. It appears that the sides of your forehead possibly weren't treated, and this why you see the muscle pull in these areas when you raise your brows. This is easily fixed with a couple of units of Botox in the temporal areas (sides of the forehead).

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

Slight touch up needed after Botox injection

I would agree that a small amount of Botox in the lateral forehead will resolve your concerns. You do seem to have bruised a moderate amount. Definitely avoid any blood thinners and ice the forehead after your next injection. Best of luck.

Stephen Weber, MD
Lone Tree Facial Plastic Surgeon

You just need a little tweaking

It would be best to comment if I had also seen your "before" photo, but my guess is that you have a compensatory strenghtening of some lateral fibers of the frontalis muscle. Your doctor was likely conservative (always a good idea on first injection) and did not want to drop your brows by injecting your forehead. All it will take are a few more units in the over-active areas and in a couple of days, the look will soften.

Mary Lupo, MD
New Orleans Dermatologist

Lateral eyebrow elevation after mid forehead Botox

Your situation is easily explained by just needing a couple of units of Botox in the mid outer forehead on each side, not too low in order to prevent flattening or drooping of the eyebrow or upper eyelid.

Ronald Shelton, MD
Manhattan Dermatologist

Botox Effect Depends on the Amount Used and Placement

From your photos, it looks like the Botox is working fine, but that you could use a little more on the lateral aspects of your forehead to limit the high peaking of your eyebrows. This will blunt the response with expression, and decrease the "evil" look. I hope this helps.

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

"Weird" eyebrow position after Botox

Your Botox was done correctly and looks great at rest. When you animate your forehead, though, your lateral brows move much more than the rest of the brow, giving you a "Spock-like" look. This is easy to fix! Go back to the doctor who did your Botox, tell her your concern, and she should correct the issue by injecting a little more Botox into each side of your forehead. This will keep those lateral brows from lifting excessively and give you a great result.... more