Botox feels like it is slowly moving down my face and now I can't move eyes or brows. Should I be concerned? (Photo)

Thank you for your question and photos.  It appears that you do have puffiness as a result of your Botox injections.  It will take anywhere from three to six months for the effects of Botox to dissipate.All the best,

Thank you for your questions and photographs, and I am sorry to hear about your Botox issues.  Depending on the concentration of Botox used, there is some spread that takes place that can affect other muscles nearby.  This is what seems to have occurred.  If its been 6 days, there is not much more effect that the Botox is going to have and I anticipate your eyelid swelling to start to spontaneously resolve.  Try to sleep on a couple of extra pillows at night to encourage the swelling to recede, but its largely a matter of time. Hope this helps!

Thank you for the question. Without knowing exactly where and how much Botox was injected it is hard to know what the problem is. Your description is not typical for Botox injected properly. Since you are unhappy and anxious, you should try to speak with the doctor who injected you by phone or make an appointment with an expert while on your vacation. Good luck.

Botox is a great injection for the areas that you described.  It appears from your photo that too much Botox was injected in the forehead which has made your eyes appear swollen and too low.  Proper amounts and placement of Botox in small amounts "baby" Botox is key to a good result.  Your swelling will relax and disappear over the next 6 to 8 weeks.  Please keep us posted.

It appears you were probably injected with more Botox then you need/wanted. This will gradually improve as the Botox wears off. The full effect of Botox takes 3 to 4 months to go away, but you should get improvements before then. Unfortunately, there really isn't much to be done to reverse the situation. A very skilled injector might be able to help raise the brow by placing injections in the depressor supercilii muscle and some in the lateral brow.

It is likely that too much botox was placed in the upper forehead (frontalis) muscle causing the eyebrow to drop.  This is what is giving the appearance of swelling above your eyelid.  This will slowly wear off within 6-8 weeks.  

Six days after your injections, your Botox has pretty much settled. It will gradually wear off over the next 3 to 4 months. More Botox will just give even less movement.

Your situation is not common in terms of untreated areas being affected but it is listed as a possible complication.  The good news that the botox will wear off in 3-6 months.  The bad news is the botox will wear off in 3-6 months.  Hopefully these unwanted effects will disappear soon and you can enjoy your Botox treatment.  There are eyedrops to temporarily alleviate the drooping of the eyelids.  In the future, one may try injecting less Botox units, adjusting the anatomic locations of the injections or trying Dysport or Xeomin instead of Botox.Hope this helps and take care,Dr Chang

Overall, complications are rare and only temporary but they can occur within the first 2 weeks after an injection. Complications may include paralysis of other nearby muscles, temporary eyelid ptosis (dropping of eyelids, 2% risk, lasts 2-3 weeks), temporary brow ptosis (dropping of eyebrows, 2% risk, lasts 2-3 weeks), cross-eyes, ectropion or edema of the lower eyelid, dry eyes, double vision, transient headaches (10%), local numbness (lasting 2-3 weeks), flu-like symptoms, rash at the injection site, pain at the injection site, infections, and bruising. It looks look you may be developing some ptosis. If it is persistent or you are worried, set up a follow up
appointment with your dermatologist.