Why does the skin above my eyebrows look puffy when I raise them 10 days after Botox? (photos)

Question

I had 20 units of Botox injected 10 days ago. 11 units in the upper forehead (my forehead is small) and 9 between my brows. When I raise my eyebrows, the skin above them looks puffy and thick but my brows do not look like they have fallen or gotten droopy when relaxed and they don't feel heavy. Do I just need more between my brows to relax those muscles? I definitely don't want my brow lifted so I'm concerned about injecting directly above them to relax those muscles. Any advice?

Ran Y. Rubinstein, MD · Answer

Although I don't have your photo pre Botox it appears that your brows have been over lifted which doesn't look natural. This over lifting is causing bunching of your skin over the brow like an accordion creating that fullness. Injecting a little Botox close to the brow will resolve this problem.  It won't lift the brows.  Just the opposite. Will drop them slightly back to a more natural position taking care of that fullness.

Jeffrey R. Raval, MD, FACS, MBA · Answer

Great question! I'd wait for the swelling to go down for a few more days. If you are still worried about your eyebrows looking puffy, I would speak with your injector about adding injections to your outer brows as well to create a more natural look.

Jason Emer, MD · Answer

It can take 1-2 weeks for your final results with Botox. If you're unhappy with your final results, you can have a touch-up of Botox and/or have venus legacy treatments to help soften results. See an expert. Best, Dr. Emer

Andrew Campbell, MD · Answer

It looks like you need a little more Botox above the outer part of the eyebrow to prevent that from lifting so much. The middle part of the forehead and the glabella have been treated, but since the outer part of the forehead still moves, it's lifting the outer brow too much giving a little bit of a strange look. A tiny bit of Botox above the outer brow will fix this.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

Hardik Soni, MD · Answer

Thank you for your question. From looking at your photos it appears that your brows have been over lifted. This is what is causing the bunching of your skin over your brows. This can be fixed by injection a small amount of Botox close to the brow to slightly drop the brows. I recommend having a follow up with your injector to have this evaluated and treated. Best of Luck!

Shaun Patel, MD · Answer

Your eyebrows have an excessively peaked appearance after the Botox injection. I would followup with your injector as this can be easily corrected by injecting a small amount of Botox above the lateral eyebrows on both sides.

Melvin Elson, MD · Answer

It looks like you could use some more Botox in the corrugators and perhaps a little lateral to them. be sure you see a board certified dermatologist or plastic surgeon

Why does the skin above my eyebrows look puffy when I raise them 10 days after Botox? (photos)

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