Can Botox Change the Shape of my Eyes?

Your doctor is right.  You should go in tomorrow to see him/her as per their request.

The position of the eyebrow is held in place by the opposing actions of the frontalis (large broad forehead muscle) that pulls the eyebrows up, and the orbicularis oculi (the circular muscle around the eye) and procerus (the muscle that wrinkles our noses) that pull the eyebrow down.

If there is loss of soft tissue and bone of the forehead, the brows tend to drift downward.  We inject the procerus and orbicularis oculi to raise the brows by decreasing the downward pull.

When we want to relax the forehead, we inject across the frontalis to smooth out the forehead wrinkles.  If, however, the frontalis is injected too low or Botox drifts down from the sites of injection, the upward lift on the brows is diminished and the brows move downward under the action of the procerus and orbicularis oculi. Lowered eyebrows give a person an angry look.

The drift may happen due to a number of things, such as too high a dilution with a larger volume injected or touching/massaging/lying down on the sites of injection.

When the brows descend, they put more weight on the eyelids which will feel heavier.

Unfortunately there isn't anything that will counteract the action of Botox until it wears off, usually around 2 months. However you will see gradual improvement as you go along.

Not only can Botox be used to change the shape of the eyes, this is something that I take into account for every Botox injection.  Unfortunately, too many people think of a Botox injection as a commodity that anyone can do.  The vast majority of injectors have NO training in pharmacology, NO training in anatomy, NO training in physiology, NO training in medical aesthetics and cannot legally treat a complication should they get one. This is the reason that a recent study by RealSelf showed about a 30% greater satisfaction with Botox when done by a plastic surgeon or dermatologist.

For the best Botox results, use the following checklist: Is your injector one of the core specialists: Facial Plastic Surgeon, Dermatologist or General Plastic Surgeon? Do they guarantee your result at no cost?  Do they routinely perform follow-up visits to fine tune your result?  Are they one of the authorized clinics on the Botox Cosmetic website?