Ask a doctor

How Do You Treat a Puckering Eyebrow/lid?

My sister has a puckering eyebrow/lid towards the outer part of her eyebrow following Botox treatment, can this be rectified. The treatment was 4 months ago, and is still not getting any better. For those of you who just state "see a board certified doctor or experienced injector to everyones questions... you are of NO help! My sister DID visit a Board Certified Injector and has been told there is nothing he can do and i will wear off. Is there anything that can be done in meantime? thx

Doctor Answers (2)

Botox and eyebrow displacement


at four months her anatomy should have changed back to normal . if there is relaxation of the glabellar region and the middle forehead, the outer forehead muscles might compensate for the other muscles not working, and contract at a greater thereby lifting the outer eyebrow.  Repair of this is a unit or two of botox placed mid forehead in the vertical  line that runs through the pucker

Manhattan Dermatologist
5.0 out of 5 stars 32 reviews

"Puckering eyebrow/lid" or eyebrow folds can be treated.


Without a photo or video of the eyebrow/lid movement, it is difficult to know what is going on.  If the Botox treatment was on the forehead, the puckering could be caused by a droopy eyelid that was being held up by the forehead muscles before treatment with Botox, especially if it is a horizontal fold on the outer part of her upper eyelid.  She may have baggy eyelids and need a upper eyelid blepharoplasty.

If the folds are vertical, they could be filled with a product such as Restylane.  There are always options once the cause is known.  After 4 months, most of the Botox should have worn off.  Wait a few more months.  If it is still there see an occuloplastic surgeon.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.0 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.