Dysport - Is this Spock Brow? (photo)

Question

I have gotten Dysport 4 times at the same establishment with one RN the first time and the last three with another RN, but every time the result is this (picture). Only my right eyebrow raises when i try to raise my brows. That side is also the most active and where movement and dynamic wrinkles come back once dysport starts to wear off. I went back the last two times to fix it but i wonder if my anatomy is to blame or should I look for a different injector since it always happens.

Ran Y. Rubinstein, MD · Answer

Hello and thank you for your question. It is not uncommon to naturally have one brow that is more dynamic or expressive than the other. To balance this, the forehead can be treated asymmetrically where the injection point/s above the hyperdynamic brow is slightly lower on the forehead than the other/less expressive brow to account for the increased motion. Hope this helps! Esther Litenatsky AGACNP-BC on behalf of Dr. Ran Y. Rubinstein, facial plastic surgeon in Newburgh, NY and Montvale, NJ.

Danielle Shanley, MD · Answer

It’s possible that your right eyebrow raises more due to muscle activity or product placement. If one side is more active, it might need slightly more Dysport to ensure both sides are balanced. Additionally, sometimes the product may wear off more quickly on one side if that area is more mobile or if the dose was lighter there.

It might be helpful to discuss this with your injector to see if a slight adjustment is needed for the right side. If the issue persists and your injector isn’t able to make the necessary changes, it could be worth considering a consultation with another injector to ensure they fully understand your anatomy and desired results.

Lexie Wang, MD · Answer

It depends on where they're injecting on your face as well as what the goal was. if your right eyebrow is raising still while the other isn't and they were injecting your forehead, then what that means is you just need more on the right forehead to balance out the left. if they were injecting your brow depressor muscles, then it means that they probably overdid it on your right side. what you can do is either go back to your injector and have them explain/troubleshoot what they've been doing but if they seem to not understand/be able to distinguish all the eyebrow muscles, then I would try going elsewhere.

another thing to know is that what an injector puts in you initially is always a "guess" - we need feedback to see if we hit what we were trying to target. This is why usually injectors will have new patients return in a couple of weeks so we can see if we got our desired goal or not. I'm not sure if you've specifically told your injector that this is your outcome and that you DON'T want that, but that might be helpful too because it's possible that your injector only ever sees you when you are "au naturale" , in which case they wouldn't know that you weren't getting your desired treatment goal.

Camille Cash, MD · Answer

Spock brow typically refers to when the inner portion of the brow is down and the tail of the brow goes up.  You have asymmetry of the brows as they raise.  This can be addressed with a touch up of Dysport or Botox.  Visit an experienced injector for treatment.

Anna Chacon, MD, FAAD · Answer

It sounds like you're describing an asymmetric eyebrow lift, commonly known as "Spock brow," which can occur when Botox or Dysport is injected in a way that leaves some muscles more active than others. This can happen due to individual anatomy, uneven muscle strength, or an imbalance in how the product was placed.

In your case, since it's consistently happening with Dysport and primarily affecting the right side, it may be due to:

Anatomical asymmetry: If your right frontalis (forehead muscle) is naturally stronger or more dominant, it may resist the Dysport more, leading to uneven movement.
Injection technique: The placement and dosage may not be fully addressing your muscle activity on that side.
Metabolism differences: If that side moves more as the Dysport starts wearing off, it could be metabolizing faster there.
A small touch-up with additional Dysport in the overactive areas may help balance things out. You could also discuss alternative placement strategies with your injector to achieve a more symmetrical look.

Dysport - Is this Spock Brow? (photo)

Answers (7)

Answer: Brow asymmetry

Answer: Brow asymmetry

Answer: Spock Brow from Dysport: Causes and Fixes

Answer: Spock Brow from Dysport: Causes and Fixes

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Our mission is to create a world where every investment in modern beauty is Worth It.

Dysport - Is this Spock Brow? (photo)

Answers (7)

Answer: Brow asymmetry

Answer: Brow asymmetry

Answer: Spock Brow from Dysport: Causes and Fixes

Answer: Spock Brow from Dysport: Causes and Fixes

Browse related questions

Recommended reading

Everything you need to know about Dysport

Our mission is to create a world where every investment in modern beauty is Worth It.