Angry-looking and Swollen After Botox

While it is unusual to be swollen after Botox, we have had other office's patients come into ours complaining of drooping and heaviness or the brow and eyelids from too much Botox.  

The heaviness created by incorrectly or overdosing the forehead and brow may create the angry or puffy look you are describing.  The bad news is it may be difficult to reverse (but you should visit your injector).  The good news is the result should be gone in 3-4 months.  Good luck.

treatment with botox is an art and science. It might be helpful to treat solitary areas one at a time for you to see the results and correct them if you're unhappy before all the other areas are treated.  some adjustment may be made so see the doctotr that injected your botox.

This is commonly referred to as a sinister appearaance and can quite easily be corrected by injection of additional Botox to the outer forehead region.

Hi Tin,

Return to your injecting physician and voice your concerns.  There may be an area that can be touched up to change your expression from sad to glad.  Swelling is not common after Botox injections.  Good luck and be well.

Dr. P

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. Conversely if the central brow is injected and no botox is used laterally then you get a metaphisto or devil's brow.