Is my face falling and is making my botox look weird bc all my muscles have moved lower? Am I going to need a facelift at 41?

Many thanks for your question. I would need to see before and after photos and see how much Botox has been injected, and in which sites, to give you an accurate answer.
However if Botox is injected too close to the brow in the forehead then it can cause the brow to drop, and if you have early signs of facial descent this can be exacerbated in some patients by Botox injected in certain parts of the face.
Either the sites of Botox injection need to be more carefully considered in relation to the changes in your face with age, or you may benefit from an endoscopic browlift and more minimal facelift procedure, such as a short scar facelift with SMAS plication, to correct the early signs of ageing.
A full examination in clinic would be needed to give you a more exact answer.
Good luck with your treatment.

I think it is important to understand that if you have loose hanging skin then botox will not make that go away.If you pull back on the skin and that gives you more the look you desire then maybe it is time to consider a lift.