After Botox when I raise my eyebrows, I have large indentations where the Botox was injected. Will this get better?

Question

The injector injected a lot, more than I’ve ever had in the past into the region above my eyebrows, part of the glabellar region left and right and when I raise my eyebrows there is an indent about a nickel size on the left and the right where she injected. When I relax my face you can’t really notice anything. Was wondering will this get better as the Botox wears off? Basically this nurse injector injected too much in my opinion into small areas.

Julia Ann Sullivan Miller, MD · Answer

Without a photo it is difficult to determine your exact issue.  The good news with Botox however is that the results (good and bad) always wear off in a few months.  If you a truly concerned, I would make an appointment with your injector to discuss your issues.

Monica Boen, MD · Answer

Thank you for your question. The region above the eyebrows is particularly tricky because you want to eliminate the small wrinkles caused by the frontalis (forehead muscle), but not inject too much so that you have an indent as you are describing. Luckily, this will wear off in a few weeks! Always work with a doctor that is both board certified and a Botox expert to ensure your treatments are consistently successful.

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question.  I'm sorry that you didn't achieve the look you were expecting.  You may need to follow up with your injector to correct the issue.  However, indentations should wear off once the Botox does.  All the best!

Kimberly Butterwick, MD · Answer

Thank you for your question. Facial muscles all work together and are in balance with each other. Botox injections may seem easy, but the injector must take into account the interplay of all these muscles. The indentation marks the boundary where the Botox is working and the adjacent frontalis, which has not been treated and may be pulling that area as a consequence. I encourage you to schedule a follow up with your injector to determine whether additional Botox is needed to even out your results. This is not at all unusual, particularly when injecting a patient for the first time and is easily corrected. I wish you all the best as you continue to pursue your aesthetic goals.

Sacha Obaid, MD · Answer

Thank you for your question! I am sorry to hear you are experiencing and unsatisfactory outcome from your Botox injection. I would revisit the provider with whom you received your injection from as your area of concern may be able to be corrected but also, it will be documented in order to help to prevent this from occurring moving forward.

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry that your results have not been what you anticipated.  Without a full series of photographs, or an in-person examination, it is difficult to offer advice on what may be taking place.  I would recommend following up with your injector's office to get the best information.

Abid Husain, MD · Answer

It is impossible to evaluate without a photo, but Botox is all about placement. If your injector did not get the proper placement of your Botox to sufficiently relax the appropriate muscles, you will get indentations or puckers. It may be as simple as having a touch-up done to correct the issue. The good news is that it will eventually wear off

Camille Cash, MD · Answer

I encourage you to return to your injector to discuss your concerns.  It may be that a "tweak" may be needed to your treatment.  Regardless your prior look will return gradually as the Botox wears off over the next 3 to 4 months.

Sara Taher, MD, FRACGP · Answer

hi and thanks for sharing this question,
Uneven looks can improve and get better upto 2 weeks post injection. If you’re still not happy with your results after 2 weeks catch up with your injector. Usually a touch up can help with these issues.

Mark Kearns, MBChB, BSc, FRACGP · Answer

Hey there thanks for the question! It's difficult to tell without looking at a picture, but it sounds like this is due to restricted muscle movement and shout totally wear off as the botox does. Sometime this subtle change of muscle movement can be corrected with botox injections if necessary and I'm sure your injector would be happy to assess for this.

After Botox when I raise my eyebrows, I have large indentations where the Botox was injected. Will this get better?

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