Unilateral upper eyelid hallowing after Botox of glabella (Photo)

Question

So this has happened both times I’ve had Botox. The first time, I thought it was injector error, so I went to another place (reputable practice, saw a PA with many years of experience) and it still happened again. So I’m wondering if it’s something unusual with my anatomy, and how to prevent it in the future? I would love any ideas on how to fix it if possible because the first time, it lasted 6 months. I had 20 units the first time and 16 this time. My forehead was not treated.

Camille Cash, MD · Answer

I'm sorry to hear of the issues you had after your Botox treatment.  The submitted photo shows some asymmetry but it's difficult to say what occurred without more information and a before photo.  I encourage you to return to your injector for an evaluation.  It may be that a touch up can improve your concerns.

Anil R. Shah, MD · Answer

Hello AC98! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. I am sorry to hear this! It is difficult to tell from the image. Hallowing in the glabellar complex is not typically seen. I highly recommend to schedule an appointment for an in-person consultation to help better discuss a treatment plan that addresses your concerns. I hope this helps and best of luck!

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Unilateral upper eyelid hallowing after Botox of glabella (Photo)

Answers (3)