I just went to the doctor and got my injection sites from her. I am 37 years old and was injected in July at 4 sites at the top of my forehead and in my eyebrows as well as the crow feet area. I was injected more than 2.5 units. In November I was injected the same places just no more than 2.5 units. It looks like she has been consistently injecting my eyebrows. Will this cause my brows to remain droopy even after the Botox wears off since it has been 2 years? Brow ptosis first began around Sept and has gotten much worse after Nov injections. Thanks.
Eyebrow Droop After Botox? (photo)
Doctor Answers 17
Will my brows remain droopy even after the Botox wears off?
The short answer to your question is NO -- your brows should return to their injection state once the Botox wears off completely, typically after 3-4 months.
That being said, your question warrants discussion of this important complication of Botox -- eye-BROW droop...
A drooping eye-BROW may happen in the following scenarios:
(1) When the brow-elevating muscle in the forehead, the Frontalis, receives too high a dose of Botox.
(2) The Botox is sub-optimally placed too low in the forehead -- it should typically be placed at least 1 cm above the Brow.
(3) Over-injection of the glabella area (between the brows).
(4) It may also happen if you have a low set eyebrow to begin with, in which case any Botox to the Frontalis increases the likelihood of a brow droop.
Ironically, a droopy eye-BROW from Botox can sometimes be improved with MORE Botox -- this time, the Botox is typically injected into the outside (top of the crow's feet) part of the eye (aka the lateral aspect of the orbicularis oculi muscle) to generate a bit of a brow lift in that area -- by injecting more Botox and paralyzing the orbicularis muscle that normally acts to depress the brow in that area, you may get a slight compensatory brow lift...
If the extra Botox does not improve the brow droop, it will likely last as long as the full duration of the Botox -- 3-4 months.
Please seek the services of an experienced physician injector.
I think the key with Botox lies in truly understanding the anatomy of the injected area, and more importantly the variability in the anatomy between patients -- for brows, the forehead, and anywhere else you plan on receiving a Botox injection. This includes having a firm understanding of the origin, insertion, and action of each muscle that will be injected, the thickness of each muscle targeted, how deep beneath the skin the actual muscle resides, and the patient variability therein. As an aesthetic-trained plastic surgeon, I am intrinsically biased since I operate in the area for browlifts and facelifts, and have a unique perspective to the muscle anatomy since I commonly dissect under the skin, see the actual muscles themselves, and learn "first-hand" the incredible variability between patients -- live, "on the OR table" -- as opposed to via lectures or a cadaver dissection. For me, this helps guide where to inject and where not to. However, with that said, I know many non-aesthetic trained plastic surgeons and other physicians who know the anatomy well despite not operating in that area, and get good results.
Eye brow drop after botox
The corragator muscle is interwoven with the frontalis muscle. The corragator muscle creates the vertical glabellar creases and this muscle is a depressor of the inner aspect of the brow so this muscle will cause an elevation of the medial brow. If the injection is performed too high or if the Botox spreads superiorly then the frontalis muscle can be effected and this causes the brow to drop. This effect should wear off in 3 - 4 months.
Botox effect wears off after a few months
Botox injected into the forehead can result in brows falling. The effect of botox will always wear off completely. The ptosis that you have noticed may be the effect of the natural aging process.
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Botox is typically injected in the upper one-third of the forehead to try and minimize the risk of a brow drop which is more common in people older than 50. Injecting the correct amount, at the right depth and placement, you should have no problems - see a highly trained and experienced physician for optimal results and safety (e.g. dermatologist or plastic surgeon).
Botox to Forehead Lines and Brow Ptosis
Botox can be administered for forehead lines high enough on the forehead to have an effect without compromising brow position.
Botox and brow ptosis
Botox wears off in ~3 months, so no, it can't cause brow ptosis long term. It's a little confusing, your description of treatment, however in the short-term, improperly injected Botox to the forehead or brow area can cause ptosis of the eyelid or brow.
Brow ptosis and Botox injections
Brow ptosis is technique dependent. If injected too low, it can cause brow ptosis. My goal is to soften the forehead look not remove all the lines.
Eyebrow ptosis following botox
Having an eyebrow ptosis or being "droopy" as you describe it is an unfortunate risk of botox injection. This can happen especially when botox is injected incorrectly into the forehead muscle and in certain areas of the brow. Most often this undesirable effect is the result of incorrect injection technique, but can happen infrequently to even the most skilled injector. Fortunately, the good news is it can often be corrected to a certain extent with small amounts of additional botox, or in the worst case scenario will wear off by 4-6 months(often sooner than that!). I agree with the other reviewers that I have a hard time appreciating your droopiness from the photos, but If this happens routinely with your doctor than it may be time to try someone new.
- Dr. Petelin
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Botox is temporary
Fortunately or unfortunately, there is nothing permanent about botox. If you unhappy with the position of your eyebrows after injection, they will gradually elevate and the botox wears off and your forehead lines return. If you decide to have botox again, you may ask the injector to avoid injecting the lower forehead to prevent brow ptosis from happening again.