Crumpled, droopy brow hasn't improved 16 months after Botox. What can I do?

Question

Pics four months apart. I got Botox 16 months ago for the first time. My forehead was firm and I had no issues but I had some stress and had the extra money to try and prevent wrinkles. The dr injected around 30 units in my forehead and around my eyes and I felt tension right away. I had bad Spock brow too. Within 4 months my brow and eye lids felt heavy and loose and it looked crumpled / angry. Hasn't improved. What can I do?

Toby Mayer, MD · Answer

You need an in person examination to determine what you need to do next. See several very experienced surgeons and discuss options.

Chris Funderburk, MD · Answer

A formal exam of your facial muscles with different facial expressions is necessary to say with certainty what is going on in your case... But, it appears that the botox treatment led to hypertrophy (or strengthening and growth) of the corrugator muscle (scowl muscle) on your Right side. This could be from the pattern of muscle paralysis in the adjacent muscles causing this muscle to "overdo" it and strengthen. 
Again, you would need to be seen in consultation to verify this, but if this is the case, some Botox injected into this strong, hypertrophied muscle, may very well solve your issue. 
Please schedule your consultation with a fully-trained plastic surgeon who will have a good understanding of the underlying muscular anatomy.

Raghu Athre, MD · Answer

Botox should only last about 3 months.  I agree with the other surgeons that an in-person exam is in order.  I would like to see the mobility of your forehead/brow region along with the skin texture/character.  Though you may have some apprehension about Botox, some well-injected Botox may be in order and might definitely be cheaper than other alternatives.

William Portuese, MD · Answer

A full set of facial photographs d relative to your eyebrows are going to be required.  If you have low  set brows present relative to her facial features,  a browlift may be required. An in-person examination according to require a determination about how to best proceed.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos but an examination is really needed.   So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results Dr Corbin

Crumpled, droopy brow hasn't improved 16 months after Botox. What can I do?

Answers (6)

Answer: Droopy eyebrows have not improved after Botox

Answer: Droopy eyebrows have not improved after Botox

Answer: Brows

Answer: Brows

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Crumpled, droopy brow hasn't improved 16 months after Botox. What can I do?

Answers (6)

Answer: Droopy eyebrows have not improved after Botox

Answer: Droopy eyebrows have not improved after Botox

Answer: Brows

Answer: Brows

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Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.