Had Dysport Injected a Week Ago in my Forehead but my Eyebrows Got Raised in a Way I Have Permanent Wrinkles over Them? (photo)

First--to reassure--this will resolve as the effects of your treatment wear off. You won't get permanent wrinkles.

 

Some conservative treatment with botox/dyport can help with the appearance for now. Whenever I don't achieve the expected or ideal result with my patients, I do my best to fix the problem for free, and explain exactly what's going on. If you initially saw a plastic surgeon who you think is experienced, go back to her or him and they should be able to help improve the current look. If you get the sense this was due to injector inexperience, consult someone who can do better.

 

Dealing with complications--our own and those of other physicians-- is one of the more challenging parts of being a surgeon. It's also one of the most important.

 

Best and Happy New Year.

Thank you for your question.  It appears that quite a bit of Dysport was used to smooth your forehead.  The only area which appears not to have been treated is the area above your outer eyebrow.  When Dysport or Botox are injected into the forehead, the muscles in the area  of injection are paralyzed.  The outer brow tends to lift upwards giving a more dramatic arch.  In your situation, your outer brow wrinkles can be softened with a tiny dose of Dysport into each brow area.  Your doctor should consider a very tiny dose, because if too much is injected, your outer brows will fall.  I would also suggest speaking to your doctor and see what he/she feels.  Best wishes!

Hello, and sorry to hear about the issue you experienced following Dysport treatment. In general, side effects from Dysport injections can include the following:

1) Bruising
2) Headaches
3) Eyelid ptosis
4) An expressionless appearance - (if too much is injected, or the injections are not performed properly)
5) Minor swelling

Duration and onset of side effects can vary from patient to patient, but generally will subside following a over a few weeks to months.

In addition to these side effects, the brow can be elevated. You can have another treatment to help fix your issue. In your particular case, about 5 units of Dysport can help relax the brow to a normal position. It is important you choose an experienced injector for this, as you do not want the injections to be overdone. This may cause brow or eyelid ptosis to take place, and leave you with an entirely new problem. I hope this helps, and good luck to you!

This can be a common occurrence with both Botox and Dysport.  Often times a conservative treatment just above the active areas can help to soften the area.

Dysport is tricky to use close to the brow. The usual concern is the dropping down of the brow called 'brow ptosis' which does not look good and eye feel heavy. To avoid this situation doctors put the dyport higher up in the forehead but not close to the eyebrows. If a person is young then Dysport can be injected even close to the eyebrows.

Typical dose for me is Glabella 60units, Forehead 60units. If I am concerned about eyebrows dropping down then I use only 30units in the forehead and spread it evenly.

You need 10units of Dysport close to each brow and it will fix your problem.

Best regards

Dr. J

Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.