Forehead Drop After Botox?

Question

so I had a minor eyebrow/forehead drop after some injections of Botox in my forehead about a week ago.. My forehead is extremely relaxed (unable to move it), but at the same time, I feel this dull ache behind the head(occiptalis?), occured at the same time as the forehead drop..when the effects of the Botox wear off, can I expect both to go away?

Otto Joseph Placik, MD · Answer

The occiptialis pain may be due to compensatory action for the forehead Botulinum Toxin (Dysport or Botox)
	injections

Ron Shelton, MD · Answer

If your sideeffects are from Botox, then yes, they should go away as the product's affect disappears. If you haven't had Botox injected between the eyebrows in the glabella region ( the number "11") this can help elevate the forhead a little to compensate for the drop. That's why it is very rare for me to inject the forehead without the glabella.

Stephen Weber MD, FACS · Answer

Brow droop or ptosis does occur after Botox treatment occasionally. It is more common if the forehead is over-treated or if the injections are extended too close to the eyebrow. In my experience, Dysport will diffuse further than Botox and can result in some unintended droop of the eyebrow. These effects will wear off completely when the Botox wears off. It would be possible to retreat your forehead again with fewer units of Botox or treat the upper forehead or use Botox rather than Dysport to avoid this problem in the future.
	Best,Stephen Weber MD, FACS

Ken Landow, MD · Answer

most often the occipital pain has nothing to do with the botox injections...however sometime it can result from your trying (consciously > subconsciously) to try to use your forehead muscles...but ask 100 people about occipital aches and botox is overwhelmingly not the issue...the eyelid droop will gradually improve beginning in several weeks to a month but may at times be hastened with some botox to the area between the eyes...the occipital dull ache if related to the botox should go away much sooner...perhaps in 1-3 weeks as your body compensates for the altered muscle dynamics...good luck

Steven Wallach, MD · Answer

The brow descending is what happens with Botox treatment. This should only be a soft drop and not a complete drop where the eyebrows are hanging over the upper eyelids.

Forehead Drop After Botox?

Answers (8)