Dent Between Eyes After Dysport

Question

It's been 8 days since my first time Dysport injection. I still can somewhat move my brows, but the thing that bothers me is the vertical indentation between my eyes - they were not there prior to the injection and now they are very obvious, one side in particular. Could some touch up fix it or possibly make it worse? Is it not enough or too much? Is it possible that this takes over a year to go away? I can't go back for evaluation until a week later, so any comments are appreciated.

S. Larry Schlesinger, MD, FACS · Answer

I am sorry you are going through this.  I have never seen this before and I literally have done thousands of Botox and Dysport injections in this area.  The other responders have come up with some excellent comments, but the simple answer is go back and see your primary injector, and see what he or she says.  Then get a second opinion from a Board Certified Core Physician.  This does two things.  One, it gives you time to allow things to improve.  Second, it gives you a couple of hands on opinions that you can then contemplate. 

	Dysport is an excellent paralyzer and your result is very unusual and is very unlikely to reoccur.

Kenneth Dembny, II, MD · Answer

Unfortunately the pictures you included are out of focus. However these pictures are of limited usefulness because the key to this treatment solution is dynamic evaluation. The best series of pictures would include pre-treatment relaxed and maximum frown, and post-treatment relaxed and maximum frown.

	Without seeing the type and degree of muscle movement you have it is difficult to make any realistic recommendations; knowing the dose of Dysport and location it was placed would also be helpful. .

	Although others say you were over-treated I&rsquo;m not sure that is the case. You still have movement, and the vertical depressions between your brows may well be due to residual areas of active muscle.  This contour irregularity may be due to disproportionate relaxation of some muscle, while adjacent muscle still has resting tone and some movement. If some residual procerus or corrugator muscle remains active then improvement can be achieved with additional Dysport specifically placed to target the active areas. If the grooves remain after full muscle relaxation, then a soft tissue filler may be an option.

	Yes, you should always seek an experienced injector. If you have questions or concerns about your treatment similar to these, don&rsquo;t hesitate to contact your physician -- s/he may see you sooner.

	Best wishes.

Kenneth D. Steinsapir, MD · Answer

Your service has over weakened your central forehead causing it to fall.  Also the eleven lines have not disappeared.  I think you need an assessment by a very experienced injector to decide what is going on and craft a correction to your current treatment.

Kimberly Lee, MD · Answer

You need to go back to your injector to have a better assessment of what is going on as the photos are limited.  There will be two options: 1) to let the dysport wear off or 2) to touch the area up if your injector is confident (s)he can correct the area.  Please make sure you are seeing a board certified core specialist.

Mark Taylor, MD · Answer

You may need a touch up treatment to even out your results. Check back with the doctor that did your treatment.

Dent Between Eyes After Dysport

Answers (9)

Answer: Dysport

Answer: Dysport

Answer: You probably need a touch up.

Answer: You probably need a touch up.

Recommended reading

Everything you need to know about Dysport

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

Dent Between Eyes After Dysport

Answers (9)

Answer: Dysport

Answer: Dysport

Answer: You probably need a touch up.

Answer: You probably need a touch up.

Browse related questions

Recommended reading

Everything you need to know about Dysport

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