Will my Indentations Above my Eyebrows After Botox Go Away? (photo)

Question

I got botox in March 2013 and noticed about a month later deep indentations above both my eyebrows. I thought they would eventually fade, but they didn't so I got botox again last week (from a well reputable provider that I spent weeks researching) hoping to flatten them and they still don't look any better. Will they eventually go back to normal? What are my options to make them better? To be honest they look worse then the fine lines on my forehead which was my initial reason for botox.

Brian C. Reuben, MD · Answer

Thank you for your question and photos.  Some additional information is needed to fully answer your question.  The key with botox is how much toxin was used and where the injections were placed.  There are many muscles in the forehead and eyebrow areas and if you had a small area treated, other muscles that are not paralyzed may be pulling on the skin creating different or new lines.  It is not uncommon to need a touch up with additional botox in a situation like yours.  I would go back to your physician and they should be able to help you reach your goals. 

	Best of luck.

Jamil Asaria, MD · Answer

From your pictures, it looks like the treatment is not completely balanced. When some muscles are softened, other muscles can try and pick up the slack by contracting too hard resulting in irregular depressions or movement. You may want to try treating the entire forehead and brow region (including your glabella-the region between the brows) to get a better result.

Dina D. Strachan, MD · Answer

Sometimes when wrinkle is removed, another is unmasked or created. Depending on the placement of the Botox, other muscles that were not as active prior to treatment are working harder creating a new line. This sometimes can be addressed by a touch up. Sometimes when one wrinkle is removed, one that was also there but less noticeable becomes prominent. It sounds likes you would benefit from discussing this with your doctor. Good luck!

Steven Wallach, MD · Answer

Whenn certain muscles are neutralized by Botox, it may cause you to want to compensate with others that do not normally do that specific motion. If you want it completely flat, them most likely you will need to deactivate the other muscles. Best for you to be seen in person.

Rebecca Baxt, MD · Answer

Botox is temporary, and any effects from a treatment will be worn off within 3-4 months. I do find that sometimes people start looking at themselves very critically after cosmetic injections and seeing things that were there before but they never noticed. Is this possible? Compare old and new photos to see.

Will my Indentations Above my Eyebrows After Botox Go Away? (photo)

Answers (7)