Botox 6 Months Ago?

I had botox done six month ago on my forehead and went for a follow up the following week and my doctor put in some botox this time on the lower eyebrow area as well. A few days later I noticed that my right eye lid was pulling up more than the other side and it has been like this ever since. I am afraid that this permanetly damamged my right side and will stay asymetrical forever. I have been reading that Botox is only temporarily but why has it not been better yet?

Doctor Answers 17

Permanent Damage after Botox

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   At six months, the Botox effect should be gone.  However, if you have some residual disparity, the plastic surgeon should examine you and come up with a plan. 

Botox Treatments

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Botox treatments are not permanent. In my experience, the length
of time that the treatment lasts can vary, with the majority of the patients being in the 3-4 month range.   I do have a small subset of patients that see results in the 6 month range.

William P. Mack, MD, PA
Tampa Oculoplastic Surgeon
5.0 out of 5 stars 46 reviews

Pulling After Botox

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Most of us are asymmetric and neuromodulator placement may accentuate these asymmetries temporarily, as their effects typically only last 3-4 months. When these asymmetries become highlighted, patients can return to their treating physician 2 weeks after initial injection for simple correction. It is difficult to say without evaluating you, but the initial treatment may have made you more aware of this natural asymmetry. Also, as we lose volume in our temples with age, lateral forehead lines become more prominent, and lines that may have not existed before, or were less prominent, may become more noticeable , as we lose the fat in our face with age.  I would see a board-certified dermatologist or plastic surgeon for an opinion on how to improve your concern.  Good luck.

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 91 reviews

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Botox effect will go away, be patient

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Unfortunately you had some Botox that diffused into the muscles that control the eyelid and rest assured that this effect will dissipate in less than 4 months and there will be no residual effect in almost all cases.

Botox from 6 months ago

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Botox generally lasts 3-4 months, although after repeated injections can last 5-6 months in some patients. I would not worry about any permanent damage. That said, if there is a side effect you're not happy with, a trained and highly experienced injector such as a dermatologist or plastic surgeon can typically fix it quite easily.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon

Botox 6 months ago

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The effects of botox usually last around 3-4 months. Occasionally, in a few people the effects can last longer like 6 months. If you have an undesired effect, it can frequently be improve by using small doses of botox to counteract the weakened muscles.The botox will wear off regardless.

Botox touch-up

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If your right eyelid is pulling up too much, it can be relaxed by a small amount of Botox.  Please see your doctor who can adjust your treatment.  Don't worry - the effects are temporary and may just last a month or so since only small amounts are use for the forehead.

Martie Gidon, MD, FRCPC
Toronto Dermatologist

Botox effects

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Unfortunately, sometimes botox side effects such as a lower eyebrow or drooping eyelid can occur. This can last up to six months as some folks the botox can last longer than others. There is no permanent effects of botox as it is metabolized by the body. You can consider getting some botox to the other brow to create temporary symmetry until the effects completely wear off.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews


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Botox treatments are always temporary and will not cause permanent changes.  From your description, it sounds like your injections were recent.  it takes 3 to 5 months for the Botox to metabolize.  However, if you want to help with your symmetry, it can have more Botox injected to help even out the muscle action.


Good Luck.

Botox And The Eyebrows

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It sounds like when your doctor did your botox follow-up treatment, he or she injected unevenly giving you an uneven brow. This can easily be corrected (evened out to your liking), but if you prefer to leave it alone, the effect will likely wear off over the next few weeks to months. Botox generally lasts anywhere from 4 to 5 months. 

Channing R. Barnett, MD
Boca Raton Dermatologist
4.1 out of 5 stars 8 reviews

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.