Got Botox for the first time, one eyebrow is higher than the other. I am unsure what is best to do? (photo)

My doctor is board certified.

Doctor Answers 13


How much time has passed since your treatment?  I fit is less than a week then you should wait to see if there is a change in the other side.  Your injector can then judge better what to do in order to balance your brow position better.

Got Botox for the first time, one eyebrow is higher than the other. I am unsure what is best to do?

Thank you for your question.

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Brow asymmetry

Its a little hard to tell from your picture how much difference there is.  However, I would wait at least 2 weeks then have your injector look at it as in may require a little extra Botox to balance it.  Usually an easy fix.  It may resolve on its own in that time.   Hope this helps

Dr. ODell

Got Botox for the first time, one eyebrow is higher than the other. I am unsure what is best to do?

Hello, and thanks for your question and photo. This could likely be fixed with placement of additional product. I suggest following up with your physician. Best of luck, Dr. Frucht.   

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Got Botox for the first time, one eyebrow is higher than the other. I am unsure what is best to do?

Hello Jan79,

Botox takes time to work.  It reaches its maximum effect in about 7-10 days.  If it hasn't been that long, then I would continue to monitor your result.  If it has been more than 2 weeks, then your option is to add more Botox to drop the higher eyebrow.  

I'd recommend you always receive your treatment from a core aesthetic physician injector such as a facial plastic surgeon.

I hope this helps and good luck. 

William Marshall Guy, MD
The Woodlands Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Eyebrow asymmetry after Botox

In most cases, this is easily fixed with additional Botox. Keep in mind that often we start off asymmetric. This requires some forehead Botox to keep the higher one from lifting as much or raising the lowered one by placement around the brow.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 26 reviews

Brow asymmetry after Botox

As you are well aware, this is not an uncommon occurrence especially with inexperienced providers. The picture you have posted is not a good clinical picture for a proper evaluation. Recommend seeking treatment by an experienced board certified dermatologist, facial plastic or general plastic surgeon to minimize such maloccurances.

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

Brow Asymmetry After Botox

Thank you for your question and for sharing your photograph.  Sorry that you are having some concerns about your postprocedure appearance.  Some asymmetry can occur while the Botox is taking effect.  I would suggest that you allow 2 weeks after Botox treatment to see your final result.  At that point, if you continue to have any concerns, please be sure to see your doctor for an in-person reevaluation to fully address your concerns and to determine the best course of action.  Any brow asymmetry can often be corrected with just a few units of Botox.  Hope this helps and best wishes!

Asymmetry following Botox

Thank you for sharing your question. Your problem is correctable with additional Botox. See your doctor for follow up evaluation. Good luck.

Botox results

This is not uncommon after Botox injection and can easily be corrected. A small amount of Botox (usually 1-2) units injected a few centimeters above the raised eyebrow solves the problem. In your case I would use as low a dose as possible because you do have some excess upper eyelid skin and its important that not too much Botox be used which could cause ptosis of the eyelid/brow. 

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.