Why Do I have Puffy and Vertical Lines when Trying to Raise My Eyebrows After Botox?

Fortunately you had glabellar botox to help eliminate the "11" but it also helps elevate the forehead. Without that, the forehead treatment, more than 20 units, can prevent the normal forehead function in elevating the forehead and eyebrows, so the eyebrows fall and bring with them the upper eyelids. The upper eyelids fold on themselves and when you try to lift them, the forehead isn't working well, and you may only be using the outer part of the forehead that wasn't injected by botox so there is an unusual direction of pull on the eyebrow.  This can create some vertical lines on the preseptal upper eyelid skin (between the eyebrows and upper eyelid crease). Fortunately this will all reverse itself and not be permanent. Next treatment you should probably have fewer units of  Botox  injected in the forehead. Don't try to eliminate all horizontal lines of the forehead as you need to have some muscle function to lift your forehead.

The position of the brow is controlled by muscles that pull the brow up and those that pull it down.  The frontalis muscle (in the forehead) helps to pull the brow up and also creates dynamic lines on the forehead.  So when we treat the frontalis muscle in the forhead then we're also knocking out some of the muscle that pulls the brow up.  Treating the glabella (the area between the brows) and the tail of the brow relaxes muscles that pull the brow down.  In general, it's best to treat the brow elevators lightly relative to the brow depressors to avoid getting a "heavy brow."  In response to your question, the brow elevators may have been overtreated.  This condition will resolve itself over time.

I must first encourage you that if you are displeased with your outcome, speak to your injector. No two patients are alike, and it is so important to tailor a treatment plan to your specific anatomy.   A good injector knows this and open communication is important.  It typically take two full weeks for the final results of your botox injections to "set in." In our practice, patients are seen at the two week mark to evaluate outcomes. Without seeing photographs, I agree with the above panel members that it sounds as if your lateral frontalis is still active.  This is a correctable situation and easy to avoid next time.