Heavy, Droopy Eyelids and Eyebrows After Botox

Botox causes paralysis of the underlying muscles with the intention of decreasing the wrinkling of the overlying skin. The underlying muscles are in balance and help to maintain facial expression - including brow position. When the support of the brow height is thrown off with Botox, then the brows may drop. The answer next time, if for less Botox directly above your brows which will leave enough support to keep the brows elevated. The "heavy lids" is likely due to the dropped brows compressing the skin of the lids between the lid margin and the brow. All of this will resolve as the Botox wares off. Good luck.

Medial brow ptosis or descent of the central brow can occur for several reasons:
-Botox placed too low within the frontalis muscle along the forehead including central forehead.  The frontalis muscle elevates the forehead and by decreasing activity here the central brow can drop
-Botox placed too superficially along the corrugator.  The botox will again impact the frontalis muscle and paradoxically lower the central brow.
Botox is best injected by an experienced injector to lessen wrinkles while improving facial appearance.

Eyebrow drooping after neuromodulators like Botox, Dysport or Xeomin is a rare but well described issue, usually resulting from product placement or the amount used. 
The first thing that needs to be determined is whether it is a droopy eyebrow or a droopy eyelid. Droopy eyebrows are much more common and result from over-immobilizing the only muscle on the forehead that is able to lift up our eyebrows - choosing the right amount and placement in the right patient is key to good forehead results. Droopy eyelids come from the product getting into the wrong muscle that elevates the eyelid. 
Management of them is quite different, but both have strategies to help expedite resolution while waiting for them to resolve with time, and any experience injector should be very familiar with how to deal with them: drops for the eyelids and precise placement of Botox in the brow depressors when it is an eyebrow issue. 
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut#realself500 Physician

Typically, Botox lasts 3-4 Months and when it wears off, you should revert back to normal. We usually don't put much Botox in the lateral part of the brow so that you will get some lift in that area. It is usually placed in a V shape with the bottom of the V at the top of your nose.

We have learned over the years that injecting the forehead and the frown lines is not as easy as some of us thought early on. Skilled injectors who know what to do and how much toxin to inject into each area can do it; this is best done by a board-certified dermatologist or plastic surgeon. We are in current evaluations with that indication, and soon hopefully we can actually have an FDA indication to treat the forehead and frown lines with specific recommendations on what is not enough toxin, what is too much and how much is just right. If there is any droop, or ptosis, this needs to be corrected. If the lateral brows are raised up, theso-called Spock sign, this needs to be corrected by people who know what they are doing to correct these issues. You might want to wait until everything wears off, but I would recommend seeing someone who is really skilled here and see what can be done to minimize these effects and to takecare of things that can be easily corrected.