Botox and permanent atrophy??? Got botox for second time and noticed brows seem lower. Worried by what I've read.

If you were treated in the glabella region only (the area just in between and right above the eyebrows) then there is a chance some of the botox was injected into the frontalis muscle (which lifts your brows). The technique is specific for some clients and it is important to be treated by an experienced injector that is able to evaluate your anatomy and determine what dose and technique is appropriate for you. It is not due to muscle atrophy. Any adverse effects will diminish over the next few months. Good luck to you and don't give up on botox just yet! It is a great remedy for wrinkles.

I would not worry about muscular atrophy after only 2 sessions. Your brows should return to their original position once the Botox wears off. If you prefer the way that this looks, perhaps Botox isn't the right course of action for you or perhaps you should seek out another doctor who's technique might be better for your desired outcome. Good luck. 

Hello mymindisthekey,Thanks for your question.Typically after glabellar injection of Botox, the brows lift and part a little more.  If they are falling it could be due to decrease function of the eyebrow elevating muscle, the frontalis.  Did you also get Botox in your forehead?As far as atrophy is concerned, that is the desired goal.  When the muscles weaken over time, they are not able to generate as deep a set of wrinkles in the treatment area.  This leads to smoother and younger looking skin over time.You certainly can take a break from Botox and see how your eyebrow position and shape respond over the next 3 months.Good luck,Dr. Shah

I love Botox and I myself am a 14 year patient, and based on my practice and the International research, the majority of the bad results of Botox, including the Brows position, is the result of the bad technique used. Botox has passed the long term test of safety and even though secondary effects have been described, the chances are extremely low.So, do not panic most likely the bad position of your brows is the result of a transitory effect and will be better over the weeks and next time you have Botox done, mention to your doctor what happened and he/she will avoid the "risky" area.Be encouraged.Dr. Cardenas

Hello again, I have updated my answer with a web reference to better answer your question.Hi mymindisthekey.  Lowered brows occur from relaxation of your forehead (frontalis) muscle and should resolve over time as the effect of your injections wears away.  You likely are not suffering from muscle atrophy after just two injections.  The injections between the brows are what provide lifting. Be sure to review your results with your plastic surgeon, depending upon your examination, they may be able to offer a remedy and will need to adjust doses.  Hang in there!