Is there any way to fix this Botox mess?

If I understand your question correctly, the posted photo shows you trying to elevate your brows.  It appears to show over-activity / over-elevation of the medial portion of the brow, which gives you the worried / anxious "Nathan Lane" look.  It should be possible to improve this by injecting your medial brow / frontalis, to allow the medial brow to purposely drop down, giving a more balanced shape.

Hi there! Thank you for your question. Botox takes 10-14 days to take effect so the final results may look different. Be patient and wait the full two weeks and if you still aren’t satisfied with your results you can schedule a review with your practitioner. A treatment plan can then be put in place to correct the results. If you do leave the Botox as it is it should wear off on its own in around 3-4 months.
Hope this helps!
Best Wishes
Dr. Rupert

Thank you for your question and photos! it looks like you are experiencing brow ptosis or ‘brow droop’ as a result of poorly placed Botox. This is a complication that occurs when Botox is placed too deep and/or too close to the eyebrow in the frontalis muscle. A brow lift is achieved when Botox is placed appropriately in the orbicularis oculi muscle. I recommend following up with a different injector if you are uncomfortable going back to this provider. A highly experienced injector may be able to improve the appearance of your brow droop. Fortunately, the results are not permanent and will slowly reverse over the next 3-4 months.
Best of luck,
Dr. Kian

This is most likely because of poor placement of the Botox. You need to wait 2 weeks for the Botox to fully kick in. Then an in-person examination is needed to assess muscle function and determine whether this can be fixed by adding more expertly placed Botox, or just wait it out until the Botox wears off. If you are not comfortable with your current injector then I would recommend finding another physician injector who has experience in dealing with Botox complications. Hope this helps.

It will take 1-2 weeks for final results with Botox. Botox results last up to 3-4 months and can be softened with venus legacy and thermage treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Thank you for sharing your question and photographs.  I know waiting is difficult but I would allow at least 2 weeks to pass before assessing your results as Botox can set in at different times in different parts of the face.  Your current appearance may have been the result of too much Botox over the peak and outer portion of your eyebrows and MAY be improved if your 11's is treated as well as your upper crow's feet.  Otherwise you may have to wait the full 3-4 months to have the botox already administered resolve.  Hope this helps.

I would not assume that the injector who did this will have any insight on how to fix this. You will need to find a very experienced injector in your area who knows what they are doing. Fortunately there are many experienced botox injectors in your market. You can also look on my Microdroplet® lift website which has a directory to Microdroplet injectors. This method can be used to address your issue.

Based on the photos you sent I think the asymmetry can be corrected by injecting in the correct spots. Revisit your doctor for a touch up.

Its hard to tell from the photos you sent, but it sounds like you had more Botox in your forehead than usual and cant lift the outer part of your brows. Adding a small amount of Botox to the tail of brow area may help a little , but probably wont make a big difference. I would discuss the issue with your doctor - the problem will improve as the Botox wears off. 

Thank you for your question and for sharing your photographs AlicaBunny. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.It is difficult to make an assessment without a formal exam in the office where I can view the skin in multiple angles and observe wrinkles formed with facial expression. However, I hope the information provided here is useful.The pivotal studies used 20 units of Botox in the forehead area above the brows to address the horizontal lines seen when one raises the brows. These studies demonstrated that the peak results are seen 14 days after the treatment and most people enjoy their results for 3-4 months. At that point, a maintenance treatment is recommended. While some people start to see results as early as the next day, it can take two weeks for full results so patience is important. We have our patients return two weeks after their treatment to assess their results via photographs. At that time additional units may be added if necessary.The pivotal studies for the horizontal lines on the upper forehead were published many years after doctors had been using Botox. In these studies, 20 units of Botox were used to treat this area. However, in my experience I find that anywhere from 10 to 20 units works well in this area. For patients with narrow foreheads a lower dose may be used and those with a broad forehead generally require higher doses. I have also found that the full results in this area are seen by two weeks. Therefore, we have our patients return two weeks after their treatment to assess the results via photographs. At that point additional units may be used if further enhancement is desired.When patients present with concerns about specific wrinkles in the upper face such as the frown lines, I always assess and usually treat the other wrinkles in the upper face including the horizontal forehead wrinkles and crow’s feet. The reason is to maintain a harmonious and natural balance to the appearance of the upper face. The muscles in the glabella which are responsible for the formation of the frown lines serve to pull down on the inner brows when a person frowns. Similarly, the muscles around the eyes which are responsible for the formation of the crow’s feet seen when smiling (orbicularis oculi) are also responsible for pulling down on the brows, but in this case the outer brows. On the other hand, the muscle in the upper forehead which is responsible for the formation of the horizontal forehead wrinkles when a person raises the brows (frontalis) serves to pull the brows upward. If one of these muscles is relaxed with Botox and the others are not, the other muscles will still be active. This will lead to an unbalanced and unnatural appearance of the upper face where the brow can be elevated, depressed, or uneven in shape or position. Therefore, I recommend that my patients take a global approach to the upper face when receiving Botox treatments and treat all three of these areas. Sometimes bunny lines on the bridge of the nose are also treated.If I had a patient who looked like the person in these photographs I would likely recommend treatment of the glabella and crow's feet. This would relax the muscles in these areas, smoothening out the wrinkles in the central forehead and providing a lift to the eyebrows.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.

After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.

Please consult with a doctor for specific recommendations. Good luck!