I Recently Tried Botox for the First Time - Bad Result! Eyelids Pulling Every Time my Eyebrows Move at All? (photo)

Question

Can It Be Fixed? 10 units injected in the forehead, glabella and brows. Forehead smoothed out nicely but eyelids pull with even the slightest movement. Doc told me that I have loose skin over eyes that can only be corrected surgically. Only comments I am getting are "what is wrong with your eyes?" Not the effect I was going for. I am 48.5 years old

Dara Liotta, MD, FACS · Answer

While its hard to tell 100% what's going on from a few still photographs, my guess would be that you have some residual action of the lateral 1/3 of the eyebrow from the lateral frontalis muscle that was not relaxed with your Botox injection. This can happen when the frontalis is not relaxed properly at its lateral aspect. A very small amount of Botox injected laterally and high (almost to the hairline) should improve your results. While I do agree that would benefit from a blepharoplasty, I also think that your Botox result can be improved with a touch-up.

Jose Barrera, MD · Answer

Botox for the forehead and glabella can be very effective when injected in the right quantity, location, and concentration. By what you mention, you did the receive the right amount to relax the muscles of the forehead and labella. The location may be an issue as to why you wrinkled afterwards. Also, check with your injector and make sure you are receiving the correct concentration when injected.

Houtan Chaboki, MD · Answer

Botox helps smooth wrinkles around the eyes, such as the forehead. Results are temporary and last about 3 months. When the upper eyelid or eyebrow pull up after Botox, most plastic surgeons will recommend a little more Botox to help relax the muscles. Another option is just to wait until the Botox results go away. Some patients may need plastic surgery to help lift the eyelids or eyebrows, to reduce pulling effect. Speak with your plastic surgeon or dermatologist to review options.

	Dr. Chaboki

Jhonny Salomon, MD · Answer

You can have it repaired with additional Botox injections. You should see your injector and get it corrected.

Steven Wallach, MD · Answer

First, it is importnat to knwo exactly where the botox was injected. The maount of units is pretty low. I fyou have redundant skin in the upper lids, that may require removal.  Best to be seen in person to be properly evaluated.

I Recently Tried Botox for the First Time - Bad Result! Eyelids Pulling Every Time my Eyebrows Move at All? (photo)

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I Recently Tried Botox for the First Time - Bad Result! Eyelids Pulling Every Time my Eyebrows Move at All? (photo)

Answers (8)

Answer: Botox results

Answer: Botox results

Answer: Botox and results

Answer: Botox and results

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.