One Brow Higher Than the Other After Botox

This issue can be fixed by adding a small amount of botox just above the highest point of the higher brow. 

From the photo that you have provided, your brow asymmetry is apparent. Luckily, this asymmetry is easily adjusted! Depending on which brow you prefer, an injection can be placed above the brow to relax and soften it or an injection can be placed on the lower end of the brow to lift it. Going forward, I would recommend that you communicate with your injector to let them know what you’re currently experiencing. They’ll likely want to follow up with a slight Botox touch up to make sure you’re left with a more symmetrical appearance. 
Best of luck!
Kian Karimi MD, FACS

An unevern face after Botulinum toxin (Dysport and Botox) is not unusual. However, the treatment is usually very simple and you may want to contact your treating physician for a touch up.

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!

Asymmetry after Botox injections is often transient and is best approached by frequent muscle exercises and observation.  In rare cases, there is a Botox antitoxin available.

I read your concern, and I see your brow asymmetry in the photo you posted. This should be an easy fix for an experienced dermatologist or facial plastic surgeon. I would need to examine you to make specific recommendations: I would need to see if your left brow may be elevated, or if your right brow needs to be lowered. In either case, your appearance may be improved, so follow-up with your doctor. Or get a second opinion from a reputable dermatologist or facial plastic surgeon familliar with Botox treatments.

I hope this helps you.

Thank you for your question! I read your concern, and I see your brow asymmetry in the photo you posted. This should be an easy fix for an experienced dermatologist or facial plastic surgeon. I would need to examine you to make specific recommendations: I would need to see if your left brow may be elevated, or if your right brow needs to be lowered. In either case, your appearance may be improved, so follow-up with your doctor. Or get a second opinion from a reputable dermatologist or facial plastic surgeon familliar with Botox treatments. Best of luck!

You need to go back to your provider that gave you the Botox injections and have them correct this.  They will need to inject more Botox to do this, but you don't have to walk around with uneven eyebrows until the Botox wears off.  

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.