Got Botox a month ago, 33 units on my forehead & between my brows, what could be causing tension, tingling, & flattening brows?

While it is difficult to comment accurately, patients can sometimes experience disturbances in facial expression after a neurotoxin treatment due to "rebalancing" of the muscles of facial expression. Simply put- your muscles have been weakened intentionally, your brain is figuring out again how much signal to send these muscles to achieve a given outcome

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

I have some questions for you to consider. Was this your first Botox treatment? If not, did you go to a new injector? Did you have your usual amount of Botox? Did you have some residual Botox in your forehead from a previous treatment? Now that I have you thinking, there can be a number of answers to your question. The muscles in the forehead hold up your eyebrows. Some people are very sensitive to the amount of Botox used in their foreheads and the eyebrows can flatten and drop. Too much Botox for the person or placement over the lateral, outside end, of the brow can flatten and drop the brow. The good thing about Botox is that it wears off. I suggest you speak with your injector, send them some photos or better go in and talk to them. Hopefully the injector has notes of the injection pattern and will be able to go over them with you. Make plans for how much Botox to use next time and what injection pattern to use. Don’t be afraid to try it again. Good luck.