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Creases on eyelid after botox. Can it be fixed? (Photo)

Hi. I've recently had botox on my forehead, crows feet and between brows. One arch is slightly higher than the other but more worrying is that this lid has now developed deep creases. Botox doctor has told me it has nothing to do with the botox but it wasn't like this before. Can this be fixed?

Doctor Answers 8

Increased upper eyelid wrinkles after Botox

April 12th, 2016
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This is probably a combination of the forehead injection and crows feet injection. There is some hyper mobility of the orbicularis oculi in the upper lateral area which is compensatory hyperactive. Perhaps some additional Botox there would help. Also, it could be related to the frontalis muscle relaxation causing slight droop of the eyebrow, making apparent some pre-existing problem with the upper eyelid. Doing nothing, this should all return to normal in a few months.

Web reference: https://stevenfweinermd.wordpress.com/2014/10/12/all-botox-providers-are-not-the-same-choose-carefully/

Steven F. Weiner, MD


Panama City Facial Plastic Surgeon
4.8 out of 5 stars 45 reviews

April 12th, 2016

Increased upper eyelid wrinkles after Botox

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
This is probably a combination of the forehead injection and crows feet injection. There is some hyper mobility of the orbicularis oculi in the upper lateral area which is compensatory hyperactive. Perhaps some additional Botox there would help. Also, it could be related to the frontalis muscle relaxation causing slight droop of the eyebrow, making apparent some pre-existing problem with the upper eyelid. Doing nothing, this should all return to normal in a few months.

Learn more: https://stevenfweinermd.wordpress.com/2014/10/12/all-botox-providers-are-not-the-same-choose-carefully/

Steven F. Weiner, MD


Panama City Facial Plastic Surgeon
4.8 out of 5 stars 45 reviews

Creases after Botox

April 12th, 2016
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This sometimes happens after muscles around an area are weakened and the other muscles compensate. this is temporary of course as Botox wears off. if you have it done again have the doctor try not to go so close to the lid when injecting and be sure you see a board certified dermatologist of plastic surgeon
Melvin Elson, MD
April 12th, 2016

Creases after Botox

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
This sometimes happens after muscles around an area are weakened and the other muscles compensate. this is temporary of course as Botox wears off. if you have it done again have the doctor try not to go so close to the lid when injecting and be sure you see a board certified dermatologist of plastic surgeon
Melvin Elson, MD

Upper eyelid wrinkles

April 12th, 2016
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There are no close up before pictures for proper comparison evaluation. If you believe that the upper lid wrinkles are related to the Botox treatment, then they will return to normal in 3-4 months once the Botox wears off and there is no need to"fix" this.
Edwin Ishoo, MD

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon
4.4 out of 5 stars 20 reviews

April 12th, 2016

Upper eyelid wrinkles

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
There are no close up before pictures for proper comparison evaluation. If you believe that the upper lid wrinkles are related to the Botox treatment, then they will return to normal in 3-4 months once the Botox wears off and there is no need to"fix" this.

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon

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Eyelid Creases After Botox

April 12th, 2016
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It sounds as if from the Botox injected into the forehead you developed these eyelid wrinkles.  This can happen often when there is some extra skin above the eyelids and then the wrinkles develop.  You may not be a good candidate for Botox in this area or need an upper eye lift.  Please consult an expert.  Best, Dr. Green

Web reference: http://www.michelegreenmd.com/botox-cosmetic

Michele S. Green, MD
April 12th, 2016

Eyelid Creases After Botox

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It sounds as if from the Botox injected into the forehead you developed these eyelid wrinkles.  This can happen often when there is some extra skin above the eyelids and then the wrinkles develop.  You may not be a good candidate for Botox in this area or need an upper eye lift.  Please consult an expert.  Best, Dr. Green

Learn more: http://www.michelegreenmd.com/botox-cosmetic

Michele S. Green, MD

Botox and Lid crease.

April 12th, 2016
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The reason you have a crease is because the brow was lifted from the Botox procedure. It can be corrected with some SMALL additional amounts of Botox to relax the lift but it has to be done VERY carefully as to not drop the brow. 
T.G. Khan, DO, FACS

T.G. Khan, DO, FACS
Fort Lee Oculoplastic Surgeon
4.5 out of 5 stars 24 reviews

April 12th, 2016

Botox and Lid crease.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The reason you have a crease is because the brow was lifted from the Botox procedure. It can be corrected with some SMALL additional amounts of Botox to relax the lift but it has to be done VERY carefully as to not drop the brow. 

T.G. Khan, DO, FACS
Fort Lee Oculoplastic Surgeon

One eyebrow drooping?

April 11th, 2016
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Is it that the arch of one eyebrow is higher or the other is lower?  Depends upon where (anatomically) you had the botox injected.  If you received botox to your forehead, there is a possibility that you have a droopy eyelid - a known complication.  However, if you received botox around your eye (in the crow's feet area), - this is where botox is injected to raise the eyebrows, you might not have received the same dosage on each side.  Speak to your doctor.  Unfortunately, the photographs are inadequate in that they don't show both eyes at the same time. 
Elliot Duboys, MD, FACS

Elliot Duboys, MD, FACS
Long Island Plastic Surgeon

April 11th, 2016

One eyebrow drooping?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Is it that the arch of one eyebrow is higher or the other is lower?  Depends upon where (anatomically) you had the botox injected.  If you received botox to your forehead, there is a possibility that you have a droopy eyelid - a known complication.  However, if you received botox around your eye (in the crow's feet area), - this is where botox is injected to raise the eyebrows, you might not have received the same dosage on each side.  Speak to your doctor.  Unfortunately, the photographs are inadequate in that they don't show both eyes at the same time. 

Elliot Duboys, MD, FACS
Long Island Plastic Surgeon

Eyelid wrinkles with Botox?

April 11th, 2016
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The pictures are so closeup it is hard to discern what is actually happening.  My best guess would be that you have some lateral recruitment of the forhead muscle(frontalis) above that particular brow, causing some extra arch to the brow and some folding/pleating of the lax upper eyelid skin.   It may indicate time for a bleph, a brow lift, a possible tightening or resurfacing of the periorbital skin.   One can always correct an overly arched brow, but I have seen in my practice that once this 'spocking' starts occuring, one either has to stop placing Botox in the forhead, reduce the amount of Botox or start talking about other options rather than relying on neurotoxins only.  
Steven Swengel, MD

Steven Swengel, MD
Los Gatos Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

April 11th, 2016

Eyelid wrinkles with Botox?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The pictures are so closeup it is hard to discern what is actually happening.  My best guess would be that you have some lateral recruitment of the forhead muscle(frontalis) above that particular brow, causing some extra arch to the brow and some folding/pleating of the lax upper eyelid skin.   It may indicate time for a bleph, a brow lift, a possible tightening or resurfacing of the periorbital skin.   One can always correct an overly arched brow, but I have seen in my practice that once this 'spocking' starts occuring, one either has to stop placing Botox in the forhead, reduce the amount of Botox or start talking about other options rather than relying on neurotoxins only.  
Steven Swengel, MD

Steven Swengel, MD
Los Gatos Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Botox - developed upper lid creases

April 11th, 2016
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Thank you for asking about your Botox.

  • The arch of the brow can be altered with Botox.
  • It is hard to comment on the eyelid creases - because the before photo isn't a close-up of the eyelid.
  • It may be an indirect effect -
  • That the Botox softened the forehead - and this led to less support of the upper eyelid skin.
  • If so, the only way to correct it would be to let the Botox wear off which it usually does in 3 months.
Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.
Elizabeth Morgan, MD, PhD
April 11th, 2016

Botox - developed upper lid creases

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for asking about your Botox.

  • The arch of the brow can be altered with Botox.
  • It is hard to comment on the eyelid creases - because the before photo isn't a close-up of the eyelid.
  • It may be an indirect effect -
  • That the Botox softened the forehead - and this led to less support of the upper eyelid skin.
  • If so, the only way to correct it would be to let the Botox wear off which it usually does in 3 months.
Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.
Elizabeth Morgan, MD, PhD

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.