Botox is Not Working To Lift My Brows, and My Outer Eyebrows Are Frozen

Thank you for your question. Shaping the brows is one my favorite parts of using Botox. It requires a very detailed understanding of the underlying anatomy as well as assessing each individual while they are animating their brows. By carefully placing Botox in the muscles that depress the brow, you can cause the brow to rest and relax in a lifted position. There are limits to how much you can lift, and for some surgery is better option. Incorrect assessment or placement can also lead to the reverse effect, so overall technique is critical. You can also shape the brow different. For example, you can raise the tail of the brow vs creating a raised arched brow vs creating a raised horizontal brow. It depends on the individual's desired brow aesthetic goals. I would consider this a very advanced technique so I would query your injector on their experience in this area. An in person assessment would help to discover why you cannot reproduce your first result.  It would be assessing the dynamic movements of your brow.  I would recommend visiting with an experienced injector in your area.

Without examining you it is impossible to say what is the cause of your eyebrow changes.  Possibly, the filler is not all dissolved by hyaluronidase, and the weight of the filler is restricting some motion.

The location or placement of your last several Botox injections may be causing this problem.  Your description seems consistent with being injected too high on the lateral (sides) of the forehead that would then cause the appearance that you described when lfiting your forehead.  Injecting here is not how a lateral brow lift is achieved. 

We would suggest telling your story to a new injector to see if this provides a better outcome.

Look at my microdroplet method described on my website.  Encourage your doctor to read about this method and do this treatment for you.  This will make a profound difference for you.

You probably have Botox still in the brow area, this is why more Botox is not working. I would not do anything for 6 months and then retry the Botox again.

It sounds like you had too much Botox injected into your frontalis muscle, which is the muscle that elevates your brow when you contract your forehead.   Too much Botox in the frontalis will cause an eyebrow droop.  The lateral eyebrow lift is achieved by injecting small amounts of Botox into the tail of the eyebrow to block the lateral orbicularis oculi muscle.  This is the muscle which pulls down the lateral brow when you close your eyes.  I would let everything wear off and then try a different injector who is skilled in using Botox to shape the brow. 

Please do nothing until all of your muscles are functioning normally.  You have had too many procedures done in too short of a time frame.  Once everything has worn off, start Botox again slowly.  Be sure your injector stays away from your upper lateral brow, does not inject past your mid pupillary line, and stays at least one centimeter above your brow at all times.  This will allow movement in your lateral brows.

If you had a nice result with botox and now after a repeated injection you do not, perhapos you need someone else to perform the injection.

It is possible that there is still Botox action at the muscles that control the eyebrows since you had several Botox injections in a short period of time.  Each Botox injection lasts 3-4 months.

What you don't mention is whether your eyebrows are frozen in their natural position, higher or lower than normal.  It is possible to lower the height of the brows if they are too high (the famous Spock eyebrow), however nothing but time will fix the brow that has been dropped (brow ptosis) by injecting Botox closer than 2-3 cm above the brow.

A photo would be helpful.  I recommend not doing anything for the moment and give it several weeks to see how things settle down.  Then, when the function is beginning to return, you can decide what you want to do next.

I find this question academically thought-provoking & would love to hear follow up on this case. The muscles of facial expression insert into the dermis to move the skin. I question if hyaluronidase did not dissolve that point of insertion resulting in permanent inability to raise the brow.