Left eyebrow immobile after facelift. What can I do? I do not want to have Botox

Hello, hope you are well. This is a challenging situation, and almost certainly the result of an injury to the frontotemporal branch of the facial nerve. Interestingly, electrotherapy has not been proven to be helpful and may actually be harmful during facial nerve recovery. At 15 months after the injury event, the prognosis for full recovery is poor. Continue physical therapy, assuming it is with a facial NMR specialist. Consider an EMG of the forehead muscles for a better sense of your prognosis for recovery. If reinnervation is not occurring, the options for reanimating the forehead by other means are very limited. A brow lift, and/or botox to the contralateral side are the mainstays of treatment to restore symmetry.

Wishing you the best,
Dr. Tower

If you have complete loss of movement, then most likely, the temporal branch of the frontal nerve was transacted during the procedure.
The standard of care for this is to wait and see.
Generally nerve regeneration will occur but the degree of recovery depends on the level of injury.
if the nerve endings are immediately adjacent to each other, then usually the nerve regeneration will find the nerve and regrow. And attempt at finding the transacted nerve and doing a nerve repair is probably not realistic.
The simple answer your question is yes Botox on the moving aspect. It’s probably your best option.
If you have zero moment at 15 months, it is relatively unlikely you’re going to get full movement back and you may end up with permanent paralysis of your forehead. Reanimation surgery is usually not done for the frontalis muscle.
I’m sorry this happened to you.
I wish I had more optimism and could give you some realistic options that could help but I think you may need to accept the reality of the outcome.
Having surgery involves risk, and when it happens, it can be devastating.
Most people assume it won’t happen to them.
Best,
Matt Hagstrom, MD