Eyebrow Droop After Botox?

Botox usually takes 7-10 days to achieve full effect, so your eyebrow droop is unlikely to get worse.A drooping eye-BROW may happen when the brow-elevating muscle in the forehead, the Frontalis, receives too high a dose of Botox, or alternatively, if the Botox is sub-optimally placed. Of note, it may also happen if you have a low set eyebrow to begin with, in which case any Botox to the Frontalis increases the likelihood of a brow droop. You have two options:(1) Wait 3-4 months for the Botox to wear off.(2) Receive more Botox to specific muscles to counteract the droop...  A droopy eyebrow from Botox can sometimes be improved with Botox injected into the outside part of the eye (the lateral aspect of the orbicularis oculi muscle) to generate a bit of a brow lift in that area -- by injecting more Botox and paralyzing the orbicularis muscle that normally acts to depress the brow in that area, you may get a slight compensatory brow lift...In the future, be sure to seek the services of an experienced physician injector. I think the key with Botox lies in truly understanding the anatomy of the injected area, and more importantly the variability in the anatomy between patients -- for brows, the forehead, and anywhere else you plan on receiving a Botox injection. This includes having a firm understanding of the origin, insertion, and action of each muscle that will be injected, the thickness of each muscle targeted, and the patient variability therein. As an aesthetic-trained plastic surgeon, I am intrinsically biased since I operate in the area for browlifts and facelifts, and have a unique perspective to the muscle anatomy since I commonly dissect under the skin and see the actual muscles themselves. For me, this helps guide where to inject and where not to. However, with that said, I know many Dermatologists who know the anatomy well despite not operating in that area, and get great results.Good luck.Dr Markarian

A rare side effect is temporary drooping of one eyelid. This is short lived and is quite uncommon in the hands of an experienced injector. Eyelid droop may also be corrected with a prescription eye drop (Iopidine 0.5%) that you can get from a physician. This can help alleviate the droop within a few weeks to a month. However, you can also wait it out as it will subside gradually.

   Eyebrow droop after Botox can be avoided if the Botox is injected well above the brow.   Should you obtain this result, additional Botox to the orbicularis oculi rather than the frontalis may be able to improve the ptosis depending upon relative muscle bulk and strength.