Spock brow after Botox. Will it go away if Botox is stopped?

Regarding "Spock brow" with botox: This is caused from the differential placement of botox more centrally on the forehead and leaving the lateral brow and frontalis muscle untreated. There are standard techniques to minimize this issue. Residual forehead lines out laterally after a series of injections may be residual static lines from your prior botox use that may take a long time to settle. However, more commonly there is some brow droop (brow ptosis) out laterally that has developed naturally over time and is now accentuated from your botox use. Lateral brow droop is common as we age and the reason that patients consider brow lifting surgery such as a minimally invasive endoscopic forehead lift by your oculofacial or facial plastic surgeon. A full evaluation with your surgeon would help to determine the aspects contributing to your situation.

Hi @ubby. Spock brow can be easily corrected. Your injector can address this issue by adding 2 units of additional botulinum to the frontalis muscle just above the highest point of the brow arch.

I suggest following up with your physician. If you have existing ptosis, neuromodulators (such as Botox, Dysport, Xeomin, and Jeuveau) could potentially worsen your condition. Regardless, the effects of these products will diminish in 6 to 12 months, so it should all resolve in time. Best, Dr. Emer.

Hello, a high-arched brow, or "Spock brow" after Botox is usually due to the stronger, non-injected outer (lateral) portion of your forehead (frontalis) muscle becoming "over-active" compared to the weaker Botox injected inner (medial) portion of your forehead (frontalis) muscle. This can usually be corrected by injecting Botox on the outer/lateral portion of that forehead muscle. This should improve the eyebrow arching and the wrinkles. Alternatively, waiting long enough for the botox to go fully away should re-balance the forehead muscles.

Hi there! Spock brows are created by placing Botox more centrally along the forehead, allowing the lateral brow muscles to continue contracting and therefore perpetrating additional forehead lines in that area. Luckily spock brows (and the lines that come with them) are generally easy to get rid of with an additional Botox touch up in that area. At that point, the lines should smooth and your brow’s will go back to their normal appearance. Hope this helps!

Thank you for your question about the permanence of a Botox effect. The effect you are describing is actually the effect of areas that were not treated. The untreated or minimally treated areas apparently still have movement and they are the ones lifting your skin to give you the Spock appearance. You should see your physician as they should be able to quickly correct what you are seeing. In our experience Dysport is faster than Botox and correction could be noticed in just a few days. Botox did not create any permanent situation. Typically providers are reluctant to inject very close to the outer brow as doing so can flatten or drop the eyebrow. You did not give us your age nor did I see a photo, but it is very common with time for the forehead to descend. This makes the area above the outer eyebrows harder to help and may mean that Botox should not be used. Sometimes a filler underneath the eyebrows above the orbital rim will help lift a bit. Sometimes people need a surgical brow lift of some type. The first thing that needs to happen before any treatment is there needs to be an evaluation of the brow looking for the degree of descent. Patients may say they don’t want any surgery but if that is what the problem will require for a proper correction and result then that is the direction the conversation needs to go. By way of example a person who has sun damaged skin, used to smoke and is 70 years old will likely need a brow lift and will not be a candidate for any Botox or other toxin. You will be fine. Good luck!

The unwanted "Spock Brow" is easily treated with a small touch up of Botox. If left untreated the look should resolve as the Botox wears off. This typically is after 3 to 4 months, but can be longer for some patients.

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case botox is temporary. You will return to your normal muscle activity at around 4-6months. You are best waiting before seeking further treatment. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

Hi there,

Address that with your injector and yes it can be taken care of; always see a board certified physician for your injections. you should always go back a week after injections if not satisfied.

Best of luck!