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Eyebrow Droop After Botox? (photo)

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.

Doctor Answers (16)

Eye brow drop after botox

+1

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.  


Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Botox effect wears off after a few months

+1

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.

Melissa Chiang, MD
Houston Dermatologist
5.0 out of 5 stars 4 reviews

Botox in the forehead and possible side effects

+1

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).

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
5.0 out of 5 stars 22 reviews

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Botox to Forehead Lines and Brow Ptosis

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Botox can be administered for forehead lines high enough on the forehead to have an effect without compromising brow position.

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Botox and brow ptosis

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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.

Sam Naficy, MD
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Brow ptosis and Botox injections

+1

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.

Steven Wallach, MD
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Eyebrow ptosis following botox

+1

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

Anthony Petelin, MD
Scottsdale Dermatologist

Brow Ptosis After Botox Technique Related

+1
Thank you for your question and for sharing photos.  The good news is that once your botox wears off, things will go back to their normal state.  You will not be worse off than you were before.  Brow ptosis after botox is a result of the injection technique.  Botox can be used very effectively to shap the eyebrows by elevating them.  I would recommend you discuss your concerns further with your doctor or consult with another expert injector to get you the results you desire.  Unfortunaltely you will need to wait until some of the existing botox wears off until you can be re-treated.  Best wishes.

Robert F. Centeno, MD, FACS
Fairfax Plastic Surgeon
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Botox is temporary

+1

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.

Ramona Behshad, MD
Chesterfield Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Will eyebrow drooping continue after Botox wears off? Ask Dr Ellen

+1

The good news is that Botox does not last forever.  Whenever you decide to discontinue using it, your brow position should return to it's natural position.

Thanks for asking!  Dr Ellen

Ellen A. Mahony, MD
Westport Plastic Surgeon
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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.