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Will Uneven Botox Results Get Better?

I had Botox 3 weeks ago in between my eyebrows. I was told this would help give my eyes a little lift, since I don't have bad scowl lines in between my eyebrows. My right eye raised more than my left, which looked a little droopier! I went back for my 2 week check.She added 1 cc to my right eye to lower it a little, now it is droopier than it was before Botox! she put 2ccs in the outside corner of my left eyebrow to help the center lift more, but it doesn't look any better!

Is it too soon to tell,? Should both eyes improve?

Asked 43 months ago by J. Dunn in Statesville NC
Sort 17 expert answers by:
+1

Two options for bad Botox results

Without being able to evaluate you directly it's tough to say exactly which technique (or the amount of Botox units) that should be used to correct the situation. In fact, given that you have been injected three times, it may just be better to wait. You have a couple options: Wait 3-4 months for the product to wear off and find a new and qualified injector to do the work correctly. Find a new and qualified injector now to see if the results can be fixed.
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
+3

Please make sure you are going to a qualified injector

J. Dunn, This is a good question. Botox works by paralyzing muscles. This effect is beneficial to reduce dynamic wrinkles on the forehead, glabella (between the eyebrows) and the crow's feet areas around the eyes. When Botox is injected the balance between the facial muscles is disrupted. This is advantageous for people who need to correct brow position. By injecting Botox under the brow, the orbicularis occuli muscles around the eye are weakened and the later brow raises. When Botox... more
David Shafer, MD
New York Plastic Surgeon
+1

Let it wear off...less next time.

Hello,   The eyebrow lift some say they get with Botox is very inconsistent. I would let the current treatment wear off and consider not having that part of the treatment next time.   Best Regards,   John Di Saia MD
John P. Di Saia, MD
Orange Plastic Surgeon
+1

Botox asymmetry

On occasion a patient may experience asymmetry of their eyebrows in the acute period following Botox. If this occurs, it is of no concern. Generally most cases will correct on their own in 2-3 weeks. If they dont, return to your dermatologist for correction with Botox which can be done.
Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
+1

Uneven Botox correction

You should see the effect of the Botox injection within 2 weeks.  Most people see changes within 7-10 days.  Touch-up treatments work very well, when needed.  However, if the Botox has diffused to an unwanted location, you will have to wait until the effect is worn off (4 months) before you can start again.  Discuss your concerns with you doctor.
Randy J. Buckspan, MD
Austin Plastic Surgeon
+1

Eyelid droop with Botox

This happens, but it will go away. Stop the Botox for now and in 4 months have your doctor use less above your eyes or place the injections farther from each eye. These strategies reduce the risk of eyelid droop.
Daniel J. Ladd Jr., DO
Austin Dermatologist
+1

Botox results uneven after 2 weeks

Botox is great for the area you received your treatment between the eyebrows. After two weeks from the treatment you will have the full effect of the Botox. Everyone has some asymmetry to their face and Botox should be tailor made to your needs. For example you might need a little or less on one side. The great thing about Botox is that if you have a bad result it will go away in 3-4months.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

Uneven Botox or Dysport results can be fixed

Sometimes certain facial muscle groups require more doses of botulinum toxins. So it is not uncommon to return to your board-certified physician so he or she can make minor adjustment, e.g. booster shots.
William Ting, MD
Bay Area Dermatologic Surgeon
+1

Uneven Botox

Remember, everyone has some asymmetry before Botox is given.  Afterwards it can be a bit tricky because one side will always be a bit stronger and so touchups can help, but often they do not get it exactly even.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

How to fix uneven Botox results.

    Thank you for the question. As you no Botox is a wonderful way to erase wrinkles in the upper part of the face and around the eyes. Botox works by relaxing the muscles that create the wrinkles and skin. When a patient has uneven results after Botox is possible to fix them. The best thing to do is to wait 1 to 2 weeks more to determine the final result of your Botox treatment. Once you have reached this stage the treated areas may be assessed to determine if... more
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Uneven Botox Results

From what I can tell by your question my recommendation would be to wait for the total affect of the Botox to wear off and then start over.  Muscles work with and against each other to make facial expression and movement.  An expert injector should be able to look at your face and determine which muscle would benefit from Botox to create symmetry.  Once the wrong muscle is weakened it is difficult to treat and you often end up chasing the problem.  Give it a few... more
Michael L. Workman, MD
Portland Plastic Surgeon
+1

Wait it out

It is usually possible to "touch-up" an uneven Botox result one to two weeks after treatment. However, if the first "touch-up" caused more uneveness then you end up chasing your tail and I would NOT recommend a second touch up. The Botox will gradually wear off over the next several months and you will be back to normal.
Todd Minars, MD
Miami Dermatologist
+1

Uneven Botox results can usually be fixed

If your results are uneven at 2 weeks or later, which is when the maximum results should be apparent, then an expert injector can usually make you look more even by adding a little Botox to one or the other sides. Muscles in the face are like pulleys which raise and lower eyebrows and other structures. Sometimes we start out with natural asymmetries which can often be corrected with the proper placement of Botox in different amounts to each side of the face. Sometimes an asymmetry can occur... more
Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon
+1

Uneven Botox result will go away in 3 or 4 months.

Hi. Stop and do nothing else for 4 months.  I know that this kind of result following Botox is very upsetting, but further treatment can make you worse.  Best to be patient and wait for Botox effect to wear off.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Uneven Botox results 2 weeks later

Botox results BEGIN to be seen as early as three days but may take as long as a week to show in full. Two weeks after the shots - you are seeing the final result. Great Botox results do NOT come from following the Allergan template that so many injectors follow. The results come by knowing and understanding facial anatomy and how to shift muscle balance in your favor. For this reason, I strongly recommend that people get their Botox from a Board certified Plastic Surgeon (www.PlasticSurgery... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Maximum effect is within the first 3 days

The botox effect is maximum after 3 days. After that it starts to go away, so there should be no further change. The good news is that after 3 months, you should be back to where you started. You need a well qualified physician to inject the Botox and understand what you want.
William B. Rosenblatt, MD
New York Plastic Surgeon
+1

Botox = Balance

The appropriate use of botox is to balance the face not provide further asymmetry. Often times there are preexisting asymmetries which need to be accounted for preinjection. Even so, there are instances at followup when you many need a unit here or there to balance the face further. You may want to give your face a little time before returning to this injector. One of the good things about Botox is that its effects are temporary. If you don't like it, its effects will be gone in a few... more
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
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