Droopy eyebrows & eyelids after botox - will it ever go back to normal? (photos)

Question

I’ve had botox 3 months ago and I’ve got a frozen face, droopy eyebrows, and excess eyelid skin falling down on my eyes. My eyes look hooded in the worst way possible and are asymmetrical. I know that I’ve been over treated. I’ve got injected with 40 units for my forehead, 11s, & above and below my brows. I can move my brows slightly now but I’m not noticing any improvement on how I look.. will this ever go away? I’ve heard that the eyelids never come back to normal for some people…

Jonathan Kulbersh, MD · Answer

Thank you for your question. Botox results are temporary. They typically last between 3-4 months. The side effects you mentioned (droopy brows and eyelids) commonly happen when Botox is placed too low or if it migrates downward.
 
I recommend scheduling an in-person consultation with a skilled and experienced injector. They will be able to review your treatment history, assess your concerns, and determine the best treatment plan to achieve the best possible results.

Ryan Rebowe, MD · Answer

That is a fairly heavy dose for the forehead. If it has already been 3 months, the most likely scenario is that the toxin is about to wear off and you will likely be back to normal. However, with large doses, the effects of the toxin can rarely extend out to about 6 months. It would be exceedingly rare for the effects to never correct themselves. Make sure that you are being injected by a board certified plastic surgeon, facial plastic surgeon, or dermatologist to prevent these issues in the future.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Camille Cash, MD · Answer

I'm sorry you are having issues after your Botox treatment.  Botox results are temporary typically last three to four months and wear off gradually. You should begin to see improvement in the coming weeks.

Luis Mario Salazar, MD · Answer

Hello. Thanks for sharing your cases. Botox is a treatment that doesn't last forever. There are some side effects including those you mention. If you want to go back to normal as soon as possible, you can always try facial treatments with radiofrequency such as morpheus or CO2 resurfacing laser that helps the botox effects to be gone sooner. It always comes back to normal after 4 to 6 months post treatment. Don't forget to follow up with your aesthetic physician and set a treatment plan to have the optimal results. Good luck.

Dr Salazar AestheticSolutions_

Dr Salazar AestheticSolutions_

H2T Skin and Laser Center - Norwood · Answer

Hello! the brow heaviness you are experiencing will resolve in time. Effects from Botox are not permanent. It may be that 40 units in your forehead area is too much, especially if the heaviness is persisting after 3 months. Either way, rest assured that the tincture of time will resolve this issue for you!

Jo Herzog, MD · Answer

Too much neuromodulator, for you, in forehead can cause this heaviness.  You might not have even had a lot of toxin but you might be very sensitive to what you had. Allow full movement to return, it will, and then go back to your doctor and let them know what problem was.  They will use less and stay higher up on forehead. You will be fine.

Droopy eyebrows & eyelids after botox - will it ever go back to normal? (photos)

Answers (7)

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