Why is botox causing my glabella lines to look worse after treatment? (photo)

You may need filler or change to a different neurotoxin or injection technique.  I suggest going to your physician and discussing your concerns or getting a second opinion from someone new and innovative.  Best, Dr. Emer.

 botox to both the glabella and the forehead will often result in the brows getting heavier and lower, as seen in your picture.  it will feel heavy on the inner brows as you describe.  if you do botox only to the glabella and not the forehead you will not get the heavy downward result.  the botox "browlift" treatment will result in a sinister appearance where your inner eyebrows go down and outer portion of your eyebrow goes up.

Botox is probably the best treatment for improving the appearance of from lines. At the same time,each patient is different and the injections sites as well as the amount of product injected may need to be adjusted. i would consider seeing another doctor for botox and return to the doctor if the problem appears again. This may allow for small touch up that may correct the problem.I hope that helps

Dosing for the glabella alone is about 20 units.  Crows is also about 10 on each side, and forehead 8-10.  You've been under dosed.  If the Botox is placed superficial in the medial corregator area, it's possible to hit the frontalis in this area.  This causes medical brow ptosis (dropping).  It can be helped by injecting the depressor supercillii muscle.  In future, the injections need to be deeper, and more units.

Unfortunately there is no documentation of the amount and exact locations of the injections. Also to fully evaluate the situation photos that show at rest and at maximum contraction just before and then about a week after treatment are needed. Without this information it's difficult to come to any conclusion and any suggestion would be speculation. Personally, I've never had anyone who was worse after treatment. I suggest that you obtain the above documentation for your next treatment and if you should run into this problem again it will be much easier to figure out what's going on.Best wishes