Extra folds in eyebrow/eyelid after botox? (Photo)

Question

I had 24 units of botox for the first time 5 days ago (forehead/crow's feet). The forehead feels very heavy and there are now extra 'folds' in the creases of the lid. Can this be fixed with more botox or should I wait 3-4 months? Does the heaviness go away?

Andrew Campbell, MD · Answer

Botox didn't cause the lid folds, you had them prior to the Botox. The problem is that you were raising your eyebrows slightly and this was preventing you from seeing the excess skin in the upper lids. After Botox, you couldn't raise your brows and the excess skin is now visible. Glabellar Botox can relax the muscles that pull the brows inward / downward, but I'd be surprised if it helps lift the brows or makes the lids look better. If you have very little to no motion in the forehead right now, I'd recommend letting the Botox wear off and getting a lower dose higher in the forehead in the future to prevent complete lack of motion. You could also consider an upper blepharoplasty (easy to perform in the office) to get rid of the excess skin in the upper lids.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

Martin Jugenburg, MD · Answer

Botox takes a full two weeks to kick in.  It is best to return to your provider and get an assessment at that time.  The forehead muscle is your brow elevator so too much botox or improper placement in this area can lead to brow droop.

Julia Ann Sullivan Miller, MD · Answer

It typically takes 7-10 days to see the full effects of Botox. Depending upon the areas that you had treated, especially if you had the entire forehead treated, there can be some heaviness of the eyebrows.  If you are still concerned with the way you look after the 10 day period, I would make an appointment to speak with the doctor who performed the injection.

Corey Frucht, MD, PhD · Answer

Hello, and thanks for your question and photo. I'm sorry you did not get the result you had hoped for. What happened is that due to the dosing and technique used, your brow has dropped, resulting in the lines you are seeing. The good news is that this should slowly but steadily improve over the next few months. In order to determine the best treatment plan for you, I recommend an in-person consultation with an expert. Best of luck, Dr. Frucht.

Steven Wallach, MD · Answer

The botox may have caused the brow to descend leading to the eyelids having extra creases.  Best to allow it to wear off in 3-4 months.

Extra folds in eyebrow/eyelid after botox? (Photo)

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Extra folds in eyebrow/eyelid after botox? (Photo)

Answers (8)

Answer: Extra folds in eyebrow/eyelid after botox?

Answer: Extra folds in eyebrow/eyelid after botox?

Answer: Botox and eyelid folds

Answer: Botox and eyelid folds

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Everything you need to know about Botox

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