I have lowered brow after dysport to forehead only. Can it be fixed? (photos)
Doctor Answers 8
Why did the brow "drop" after the forehead was treated with Dysport?
Treating the muscles that cause the horizontal lines in the forehead
doesn't cause the brow to "lift", but in fact, actually lowers the brow.
The Frontalis muscle is the muscle the raises the brow and causes the
"bunching" (wrinkling) of the skin in the forehead, ie., the horizontal
lines. Treating the Frontalis muscle, softens the horizontal lines, but,
also "lowers" the brow. It is the softening of the muscles that pull
the brow down, ie., the muscles pulling "below" the brow: the
Corrugator, the Depressor Supercilli, and the vertical segments of the
Orbicularis Oculi muscles - that allow the brow to drift upward (lift)
when they are weakened with Dysport/Botox. This may be confusing at
first read, but, I hope it helps a bit.
Low eyebrows after forehead Dysport
There's a technique to avoiding that...but sometimes it still happens. In these cases, I usually find that things definitely lighten up a bit (so if you are a week out, there's hope.) There are also tricks to "fix" your brows with more product. I usually offer free touch ups in these cases. Last, I always keep a good record of what I injected, and how, with all my patients. That record helps me perfect their treatments over time.
This is not your doctor's fault.
The problem here is that the typical cosmetic botulinum toxin treatment that doctors are taught to perform is all wrong aesthetically. You are a perfect example of it and so are the crazy current pictures of Renee Zellweger. The frontalis muscle is the main lifter of the eyebrows. Directly injecting the forehead to reduce lines in the forehead will precisely do that. The aesthetic price is a frozen forehead that drops the eyebrows like stones. Yes the forehead is glass smooth. But the forehead looks locked in and unnatural. Also for you, you have slight upper eyelid ptosis. Your brain compensates by lifting the eyebrows with the frontalis muscle. After treatment you can't do this because the frontalis muscle has been knocked out. Unfortunately this dropped brow crowds the orbital rim and makes you look pissed. That is not the effect you want. For a variety of reasons, we look older when the brows wad up like this at the orbital rim.
It is improbably the your injecting physician will want to acknowledge this issue. They get a bit defensive. Generally they tend to think that they are divinely gifted to inject botulinum toxin and don't appreciate opposing views.
I recommend that you carefully study my website regarding the Microdroplet botulinum toxin forehead lift methods that I developed. The method is so unusual it was granted a United States Patent. In my method, I leave the frontalis muscle alone. I use many tiny microinjections close to the eyebrows. This is where the muscles that pull the eyebrows down and make the brows pinch live. This softens that brow pinch that makes you look pissed. Because the brow depressors are weakened, the brow elevators (frontalis muscle) responsible for forehead lines don't have to work so hard to lift the forehead. This means fewer forehead lines even though there is not direct frontalis muscle treatment. The brows go up, the forehead lines are reduced, there is a softening of the brow pinch, and you are still able to move your head so no botox freeze and no klingon forehead.
What to do about your current goofy treatment? You could have a correctly treatment superimposed right now. However, generally I think it is best to let the current treatment soft just a bit before doing this. So ideally, you should have the correcting treatment in about 5 weeks. If you can't stand things, yes, you could have the service before then with clinical benefit. My full training video is available on vimeo on demand if your are interested.
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Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
You were holding your eyebrow up, the Dysport did not cause any ptosis but made you not be able to lift your eyebrow
Brow ptosis after Dysport
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