Hello, thank you for your question. could you please clarify your concern and history? You describe your glabella lines (between your eyebrows) which you had treatment for, however you mention a lateral rectus muscle paralysis. This would be near impossible to achieve given the location of the lateral rectus muscle which is located on the lateral side of the eye ( ie closer to the cheek), and you had botox medially in your glabella. Did you also have botox to your crows feet (wrinkles at side of your eye) at the same time? I would suggest a review with experienced medical practitioner to reassess your concern and discuss treatment options, including botox and discuss risks with botulinum toxin injection. Botulinum toxin would still be appropriate first line treatment for glabella (frown) lines. Alternatives include dermal filler to these lines - however be aware this is a high risk area with the reported highest percentage of blindness from vascular occlusion. You could consider non injectable therapy - skin resurfacing with laser, microneedling or skin peels to improve skin quality and soften lines and wrinkles. Kind regards Dr M McCloskey
