Follow up: 48 hours ago I had 8-12 units of Botox in upper forehead. Is that a conservative amount for upper forehead?

Question

I asked a question about eyelid hooding and eyebrow dropping a few days ago. It's been 5 full days post and the slightly bad results are worse:( I am worried by 2 weeks they will be even worse. This is not swelling, it's hooded lids and my brows are not at their usual, nicely arched position. My eyes look small and tired. I am really sad. Is there anything I can do? If I had a small amount (I'm pretty sure it was about 8-10 units total) will it wear off faster? I am 45 years old. Thank you.

Martin Jugenburg, MD · Answer

8-12 units of botox is conservative amount  but it all depends on the placement of the botox in the forehead area. If the product was injected closer to the brows then in the upper forehead you will feel heaviness and drooping of the eye lid.  It sounds like this is what has happened to you.  I would return to your injector after 2 weeks and express your concerns. Sometimes if you get your frown lines injected it will balance out the treatment and slightly lift your brows.  Botox will wear off in 3-4 months.

Kenneth Hughes, MD · Answer

The results of Botox usually lasts 3-4 full months when the proper amount of units were injected, 10 units is a very conservative amount, the results should last less time, about 8 weeks or so

Harold J. Kaplan, MD · Answer

Hi Tessa.  With a conservative does like that, you should start to see improvement after 4-6 weeks.  The drooping improves before the Botox wears off completely.  As an option, we often inject patients from other practices that have ptosis (eyebrow droop) by relaxing the depressor muscle (as Dr. Clark has pointed out).  This injection often counteracts the heaviness you are experiencing and can sometimes resolve the issue immediately.  If you are not comfortable seeking the help of the same injector, then reach out to a new injector for a second opinion.

Jason Emer, MD · Answer

Wait 2 weeks to decide what the final outcome will be.  If you are concerned, seek another experts advice.  8-12 units is conservative, however, it is all how and where it is placed that makes the difference.  I suggest giving it a few more days and then if you are still concerned seeking a second opinion.  The botox can take 3-4 months to wear off, but most people who get this type of result feel better about it 4-6 weeks later.  I am sorry this happened to you. Best, Dr. Emer.

Sean R. Weiss, MD, FACS · Answer

Unfortunately the effects of Botox are there to stay until your body can  regenerate the nerve cell terminals where the nerve cell and muscles communicate.  This takes about 3 months.  Rest assured the effects of Botox will wear off with time.

Follow up: 48 hours ago I had 8-12 units of Botox in upper forehead. Is that a conservative amount for upper forehead?

Answers (9)

Answer: Botox and Forehead

Answer: Botox and Forehead

Answer: Hooding after Botox

Answer: Hooding after Botox

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Follow up: 48 hours ago I had 8-12 units of Botox in upper forehead. Is that a conservative amount for upper forehead?

Answers (9)

Answer: Botox and Forehead

Answer: Botox and Forehead

Answer: Hooding after Botox

Answer: Hooding after Botox

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.