Will Botox in my forehead help my eyes/face when I look down? (Photo)

Question

When I look down, my eyes look very strange. It’s not aesthetically pleasing or attractive. It almost looks like my nose widens too. Is there anything I can do? I’m open to suggestions!

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photo and describing your concern so clearly. First, I want to reassure you that the appearance you're noticing when you look downward is often a result of normal facial anatomy and the way facial muscles, eyelids, and soft tissues change with different expressions and head positions. We tend to be much more critical of these angles than anyone else viewing us.

Based on your description, I don't think forehead Botox alone is likely to significantly change the way your eyes or nose appear when you're looking down. Botox works by relaxing specific muscles that create dynamic wrinkles or alter brow position. It doesn't change the underlying structure of the eyes, nose, or facial proportions, so it may not address the concern you're seeing in this particular position.

In some individuals, a carefully placed Botox treatment can create a subtle brow lift by relaxing the muscles that pull the eyebrows downward. This may make the eyes appear slightly more open when looking straight ahead, but the effect is generally modest. It's important to avoid over-treating the forehead, as excessive relaxation can sometimes make the brows feel heavier or even accentuate eyelid hooding in certain people.

The change you're noticing in your nose may actually be an optical illusion. When the head tilts downward, the relationship between the eyes, cheeks, and nose changes, making the nose appear wider or more prominent in photos. Camera angle, focal length, and lighting can exaggerate this effect even further.

If your goal is overall facial balance rather than treating forehead lines, it may be more helpful to evaluate the entire upper face, including brow position, eyelid anatomy, and facial proportions, rather than focusing on the forehead alone. Sometimes a combination of subtle treatments—or no treatment at all—is the best answer, depending on the underlying anatomy.

From what you've shared, I don't see anything that appears unusual or concerning. The features you're noticing are common when viewed from a downward angle and are often far less noticeable to others than they are to ourselves. If you do pursue Botox, it should be with the understanding that its primary benefit would be softening forehead lines and potentially providing a slight brow lift, rather than dramatically changing how your face looks when you look down.

Camille Cash, MD · Answer

Botox works by affecting the injected muscle's ability to contract, resulting in a softening of lines and wrinkles.  It can also be used to slim the jawline, improve a gummy smile, and many other desired effects.  I encourage you to meet with an expert injector to discuss your concerns and learn what Botox or other treatments can do for you.

Scott A. Smith, DO · Answer

We would suggest scheduling a consultation to evaluate your concerns. Without seeing you in person, it is difficult to asses your concerns.

Will Botox in my forehead help my eyes/face when I look down? (Photo)

Answers (3)

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