I had vertical lines on my forehead done with Botox and the 11s . The result was evil eyebrow look. I want to try again (Photo)
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Doctor Answers 10
Botox and Glabella
It sounds like you simply need a little Botox in the forehead to counter act the Botox in the glabella which should be easily accomplished in your follow-up. Best, Dr. Green
Evil, peaked eyebrows following Botox
Muscles in the face for facial expression start at the bone and pull on the skin while those on the rest of the skeleton start on a bone and pull another bone across a joint for motion.
Those muscles used for facial expression are weaved in such a way that different muscles may come together to create different appearances even in the same area such as those between and over the brow.
Botox is an injectible muscle relaxer. The results are determined by relaxing those muscle fibers injected. The evil, peaked appearance of your brow following Botox is due to your unique distribution and weave.
After allowing the full onset of Botox, at 10-14 days, return to your injector for a easy "tweak" of Botox into the frontalis muscle just over the peak and the arch will gently round-out.
The corregator muscle is the primary muscle to create the inter-brow number "11" crease(s). When these muscles are paralyzed, a second muscle around the eye called the orbicularis oculi muscle is recruited by your brain to create this similar expression. Options to diminish the crease line include:
Botox of the orbicularis fibers creating the recruitment response,
Filler in the "11's" to resist the recruitment of skin by the orbicularis.
These techniques are for the skilled and talented. Find a Board Certified, well experienced Plastic Surgeon, ENT Facial Surgeon or Dermatologist to provide this level of injectables.
I hope this has been helpful. All the best!
A little touch up is needed
Dr. Quenby Erickson
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Evil eyebrow look after Botox
In patients with an expressive forehead who receive an injection in a V fashion in the area of the 11's it can lead to the evil eyebrow look (Mephisto look) that you are talking about. Prevention with different injection techniques is nice but since you have it you can receive a few touch up injections on the outside of the forehead area to improve it. In the photo your hair is covering the 11s which makes it difficult to comment on suggestions. You need to be careful with fillers in that area as it is a high risk area for complications. Resurfacing procedures and a few surgical procedures can be of benefit to improve that area.
I hope this helps and good luck.
You need a touch up
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Because Botox works in a dose-dependent manner, you may do better with a slightly lesser dose of forehead Botox in the future. In the meantime, your best bet is to return to your treating injector to discuss your concerns. Your injector may feel that touch-up treatment is appropriate after examining you, and will note your results for a modified plan in the future. Good luck!
Evil eye look with Botox
Evil eyebrow look
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.