Sunken, Heavy Eyes and Uneven Eyebrow Arch After Botox in Glabella

Question

Hi, After Having Botox in Forehead I Developed a Lump Above Eyebrow, I went back to injector who suggested having glabella area treated. Two days later my eyes are heavy, sunken and one of my eyebrows is arched higher than the other but the lump is away. I wish now I'd left lump to subside on it's own. Will I return back to normal soon? I don't look right and feel awful. Please help and advise me what to do. Thank you

Ron Shelton, MD · Answer

An uneveness in the heights of the eyebrows or asymmetry often can be adjusted readily by injecting a tiny unit in the muscle that is causing that elevation. After you receive the appearance from these adjustments, your provider will hopefully know how to treat your unique anatomy the next treatment when it's due, which is usually three to four months.

Anita Patel, MD, FACS · Answer

Botox done well in the right candidate gives beautiful results. There are risks to injection, however, and it sounds like you experienced several. If Botox is injected too low or too close to the eye, it can give the brow or upper lid a droopy appearance. The eyebrow arch can be altered by the technique of injection also. It can purposely be lifted, or inadvertantly be lifted and uneven depending on how the Botox was injected. It's not simply a matter of injecting the Botox the same way on both sides, because often patients are not symmetric from side to side. The injector really needs to analyze your face individually and tailor the injection to your anatomy. The uneven appearance can be corrected with more Botox, and the heaviness you describe will go away on it's own with time. I recommend going to an experienced injector qualified to perform the procedure. Good luck!

Kenneth D. Steinsapir, MD · Answer

Dear Audreymay

	You did not indicate if your injector was a doctor or not.  Even if they are a doctor, it sounds like you need to find another injector.  This service is not a commodity: one treatment is not just like another.  Some injectors never develop a finesse for how to perform treatment.  As well meaning as your injector may be, you have had to adverse treatment effects in two treatments.  It is likely that your issues will improve over the next 6 weeks. Please wait at least that long before getting additional service.

Tal T. Roudner, MD, FACS · Answer

Audreymay it seems as if the delicate balance between the muscles that elevate your eyebrows (frontalis) and the muscles that depress your brows has been disrupted and has caused the drooping of your eyelids and that heavy tired appearance that you are experiencing. The good news it is temporary and will go away as the Botox wears off. Although the actual procedure of injecting Botox is pretty straight forward the art of learning how to balance all the muscles that are responsible for the eyebrow function is experience driven and requires in depth knowledge of the anatomy of the facial muscles.

	Regarding the "lump" that went away, it could have been swelling, small bleed or a small cyst.

	Wish you better luck next time around!!!

Ben Behnam, MD · Answer

It is hard to say exactly what is going on without seeing you but too much Botox in the forehead can give patients a heavy forehead feeling. The uneven arch can be fixed by placing Botox in the lateral corner of the eyebrow in order to give it an arch and make it look more symmetric. Either way, please go back and see your physcian again. The good thing is that Botox is temporary and the result should go away within 3 to 4 months.

Sunken, Heavy Eyes and Uneven Eyebrow Arch After Botox in Glabella

Answers (10)

Answer: Fine balance

Answer: Fine balance

Answer: Botox & Assymetry

Answer: Botox & Assymetry

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Sunken, Heavy Eyes and Uneven Eyebrow Arch After Botox in Glabella

Answers (10)

Answer: Fine balance

Answer: Fine balance

Answer: Botox & Assymetry

Answer: Botox & Assymetry

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.