I Just Got Dysport and my Brows Lowered- How To Counteract?

Hi Ninette.  Sorry to hear about the negative experience.  Although ptosis (sagging eyelids or brows) is a potential side effect of Dysport injections, it is not common for experienced injectors.

The good news is that the remedial treatment it sounds like you had may help if it was done correctly.  If you do not get the results you are looking for, check the link below and call our office as we are in Los Angeles and would be happy to offer a free consultation.  

Generally this services that drop the forehead weaken the frontalis muscle.  This paralysis leads to unopposed action by the eyebrow depressors.  These muscles are hard to treat selectively using standard methods.  I have develop a patent method call microdroplet botulinum toxin (also call micro brow lift) that allow selective treatment of just the eyebrow depressors.  For a counter treatment, I generally advise getting out a few weeks from the original treatment and then having counter treatment.  Over the course of time, the forehead treatment will wear off and the counter treatment will have a stronger effect.  In the future, avoid having this type of disabling service.

Thank you for your question. Brow ptosis can occur when an injector uses to high of a dose when treating the forehead muscles or when the forehead is injected too low. Dysport typically lasts about 3-4 months. I recommend following-up with your injector to discuss your concerns as it may be possible to raise your brow with touch-up Dysport. Best of luck!

The first thing at you need to do is go back to the physicians office that did the procedure and show them your concerns. Any time that you receive these medications for frown lines, e number one side effect is lid ptosis, which is the dropping of the lid. If you had your forehead done as well as your crows feet, it may be difficult to fix. There are eye drops that can help with lid ptosis, but the only real fix may be with time, when the dysport wears off.

Greetings~

You do not have to have droopy or flat brows in order to treat horizontal forehead lines.  Technique and dosage are very important when injecting the forehead for just this reason so it is important to find an injector with a great deal of experience. The newest injections that were done may help to weaken your natural brow depressors and give you a bit of a lift until the forehead wears off and returns to normal.  The best remedy now is time.  There is nothing more to counteract the effects of the Dysport.

Good luck and hang in there~

Dr. Grant Stevens

Treating horizontal forehead wrinkles with a neurotoxin such as Dysport or Botox can be very complex so it is important to make sure your injector is an experienced and board-certified dermatologist or plastic surgeon before you begin treatment.  In order to soften the expressive forehead lines, you have to relax the large muscle that goes across the forehead.  Unfortunately, this is also the muscle that is responsible for keeping your eyebrows up in a nice arched shape so the injection must be done carefully to maintain that.  The product should always be injected in small amounts and not be injected too low on the forehead to prevent brow drooping.  The muscles at the outer edges of the brow should also be injected to provide a slight lift.  Luckily, the product will wear off in a few months and you will go back to normal, and it may even soften up a bit in a few weeks and your brows will start to arch again. 

This dropping can happen for more than one reason. One would be treating the forehead wrinkles only. Some patients ask for this and it can result in lowering the brow to get rid of the creases.Y ou are not raising  the brows  which would happen if other areas were treated at this time. The other way that it can happen is with too much dysport, especially if too low or if you are just very sensitive.  Some of this might resolve way before all the dysport wears off.

Unfortunately it sounds like your frontalis muscle has been overinjected or injected so low that it has caused your central eyebrows to drop down. I understand the feeling of heaviness, but as the Dysport starts to wear off a bit, it won't be so bad in the coming weeks. I know you want to hear a good counter strategy, but really, an improper injection of Botox or Dysport will just take time to wear off. I usually won't inject people for a minimum of 10 days after their initial injections to try to counter something like this with additional injection. Mostly, I'd recommend you find a different injector, and I've never heard someone say "this skin had to go somewhere". That just seems silly.