Why wont my injector lift the other eyebrow up using Botox? I read here that it is possible?

Question

I went in for botox 3 weeks ago.I was able to see that there was an assymetry in my eyebrows. The left eye,i was able to raise the eyebrow higher but botox lifted my eyebrow which made my eye appear less puffy.On the other hand the right eye, the eyebrow would not go as high and my eyelid appeared to show a puff to it.When I went back to my injector following the 2 weeks of waiting,she said that she wont be able to lift my right eyebrow the same way as the right & decided to lower the left down.

Lorrie Klein, MD · Answer

I routinely fix eyebrow asymmetry with Botox but it is not always possible to lift it as high as the other eyebrow. Sometimes we then lower the higher eyebrow with Botox by injecting above that eyebrow.  Another possible solution is to use a filler, such as Juvederm or Voluma, under the eyebrow to lift it by restoring volume that is lost with age.  This is an advanced use of fillers so make sure you go to someone very experienced in this area.

Kenneth Hughes, MD · Answer

Thank you for submitting your concerns. Based on the information you provided you could make some changes to the arch of the eyebrow with the use of Botox. However you would want to have a second consult with a Board-certified plastic surgeon for optimal results. Best of luck.

Ron Shelton, MD · Answer

If during the treatment of Botox into the glabella to minimize frown lines the Botox relaxes the forehead muscles in the middle of the forehead, then sometimes, the outer forehead muscles overcompensates and works harder to pull up because the middle muscle can't. This can create the Mr. Spock eyebrow which is best treated by lowering it with one or two units of Botox above that area.

Jo Herzog, MD · Answer

There is a limit to how much Botox can raise a brow and it is sometimes more reliable, especially after you think that you have raised brows to their maximum, to lower the other brow if one is higher. It seems that that is what your doctor was trying to do .

Deborah Kessler Hudak, MD, MHA · Answer

It is tough to say with certainty if anything could or could not be done to lift the brow without seeing and examining your face/brows, feeling the strength of the orbicularis oculi, corrugators, and frontalis muscles---the ones predominantly involved with brow height and contour.  If your corrugator on the right side was adequately paralyzed and a bit too much neurotoxin (Botox, Xeomin, or Dysport) was injected (or made its way) into the right half of your frontalis muscle, you would indeed likely see a puff to the right upper eyelid....and then injecting into the orbicularis oculi would not help.  That is my educated guess on what happened.  I have been injecting Botox since 1992...so I have pretty much experience to draw on.

Why wont my injector lift the other eyebrow up using Botox? I read here that it is possible?

Answers (5)