Eyebrow arch after Botox for crows feet. Is this unusual?

Thank you for your question.Contact the provider who performed you injections for a follow up appointment to discuss your concerns. A little botox can be added to help with the arched brow. To be sure, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.I hope this helps.

Issues like what you're describing is not unusual and can be fixed relatively easily with a few additional well-placed injections.  Since Botox can take up to 7 days to take effect, I'd recommend returning to your plastic surgeon or another specialist for a "touch up" soon. Good luck!Dr. Harmych

Depending on the injection technique and placement, the shape of the brow can certainly be changed with botox application.  I frequently will "sculpt" a more aesthetically favorable brow using botox.  Occasionally botox can be applied and the brow shape will temporarily change in a less than favorable way.  This is temporary, as the botox effect lasts for about 3 months.  Following up with your doctor is important so that they can correct the problem if possible or that they can adjust their treatments in the future.

You should give the BOTOX about 10 days to 2 weeks before evaluating the full result.  You can always go back to the physician for a touch up if needed.

The wonderful thing about Botox is, that if you understand the muscles of the face, you can use Botox less or more in different areas to get the desired look you want.  If there is a bit too much relaxation in the muscles that raise the outer part of the eyebrow, you can "fix" it by relaxing the adjacent area.For some practitioners, Botox is a process that is profitable.For others, it's an art form.

Botox for treatment of crow's feet weakens the orbicularis oculi muscle which is the muscle responsible for producing crow's feet.  The orbicularis oculi muscle is a lateral brow depressor.  So when it is not functioning, the frontalis muscle in your forehead acts unopposed and can cause lateral brow elevation, which can be desirable or an undesirable look for an individual.  As previously stated, injection of a small amount of botox into your frontalis muscle laterally can relax the "peaking" of your lateral eyebrow.  What has not been mentioned yet is that there is an alternative- if the glabella (area between your eyebrows) is treated with botox, you will get elevation of the medial part of your eyebrow which can even things out.  This would in essence be a chemical brow lift, where the whole eyebrow is elevated to a degree.  Hope this is helpful information.  For more information on botox and other injectables, please visit the link below.  

Dear Bdabeachbum:When muscles are tethered to the overlying skin, they skin will crease with muscle action. In the case of the round muscle around the eye called the orbicularis oculi, radiating wrinkles in the upper outer region develop called "crows" feet develop. The orbicularis muscle closes the skin toward the inner orbit, protecting the eye from injury and dryness. It also pulls down on the skin of the brow and forehead.Botox, an injectible muscle relaxer can be used to weaken this muscle and relax the "crows" feet as you desired but will also relax the pull along the outer brow and allow another muscle, the frontalis to raise the skin unopposed creating a rounded arch or occasionally a more "peaked" arch. The use of Botox, other muscle relaxers and a panoply of fillers is both and a art and a science.It will take 10-14 days to achieve optimal results at which time a well experienced injector can modify the balance of facial muscles for expression lines and expression tone that you maybe uncomfortable with. This is the time to use a unit or two to relax a "peaked" brow arch you don't care for. You may also use fillers to soften folds, wrinkles and lines to where Botox is not best used, such as in the frontalis muscle (which may cause eyebrow drop). It is best to consult with a Board Certified "core" Plastic Surgeon, ENT Facial Surgeon, Oculoplastic Ophthalmologist or Dermatologist with deep understanding in facial expression and the use of injectibles. I hope this has helped. Have fun at the ball!

Because the lateral/vertical fibers of the orbicularis oculi muscle (crows feet) depress the lateral eyebrow, Botox treatment of the crows feet relaxes this muscle resulting in an arched brow.  Many women desire the feminine arch of the eyebrow.  If this is undesirable to you, a small amount of Botox into the forehead above the arch can easily treat it.  -Dr. Keaney

3 units on each side is a very tiny amount.  I suspect that since the arching and the temporal wrinkling are minor, you would probably be best not doing anything further before your event in two weeks.  Certainly, returning to your treating doctor for an evaluation is ideal.

If you've waited 2 weeks and there is any sort of concern, always best to followup right away with your dermatologist. A tiny injection of botox in the forehead can easily fix that. Knowing that you have this tendency, your doctor can prevent this in the future.