One Brow Higher Than the Other After Botox

Your brow problem is a common one and very easy to eliminate with a small dose of Botox above the higher brow. The puffiness under your eye is a result of the weakening of the muscle sling by the Botox that has migrated below the pretarsal area of the eye muscle, this will require time to resolve itself. The fallen cheek you describe is caused by the Botox migrating down to weaken the cheek elevator muscles from the injection around your eyes. Again this problem will resolve with time alone. These and many others are good reasons to have Botox injections done by experienced physicians who have a through understanding of this area.

Usually when the outer eyebrow is raised, that means that the mid forehead was treated but the Botox needs to be injected further out to the sides because the outer aspect of the frontalis muscle of the forehead is overcompensating for the fact that the middle forehead muscle can no longer elevate the eyebrow areas. Just 2 units injected into this area will give you the correction you desire.  If the cheeks are falling, or if it is difficult making a smile or showing your upper teeth, then possibly some Botox was delivered to the smile muscle ( the levator labii muscle) rather than the eyelid (orbicularis oculit) muscle.  When the Crows' feet are injected in the lowest portion, the Botox should stay towards the outer aspect of the eye and not be injected on the cheekbone towards an area that falls more below the eye. If this is your situation, and it is not possible to say, then it will resume its normal appearance in a few months. Sometimes it might be the diffusion of the Botox, especially if the volume chosen for the dilution is large and the patient bends down or exercises in the first few hours after treatment. Worse case scenario, it will all go back to normal!