Botox of forehead wrinkles made my hooded eyes more prominent. Why did this happen? They look worse than before Botox (Photo)

upper eyelids can drop after Botox for different reasons.- Botox injected too close to the lower forehead and affects the upper eyelid ligament by spreading to that area- Botox injected into too much of the forehead muscle so that it can't support the lifting of the eyebrows and upper eyelid complexExpertly injected Botox of the right amount and into the right areas minimizes the chance of upper eyelid droop especially to be paid attention in those individuals who already show some hooding or sagging of the upper eyelid skin.Fortunately all this will resolve itself usually within three months, sometimes longer.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. If you are experiencing a medical emergency proceed to your nearest emergency room.

Hello, thank you for your question. This effect can be experienced with Botox treatments in patients that have heavy lids or excess upper eye lid skin. This is because botox relaxes your forehead muscles and does not allow you to lift your eyebrows as easily. Letting the botox wear off so you can raise your brows again (decreasing the hooding) will unfortunately continue to cause wrinkles. I would discuss this further with your physician for surgical and non-surgical options. I hope this helps! 

many of my younger patients need upper eyelid surgery (blepharoplasty) early if they have hooding. often its genetic.  and there is a blanace between doing forehead botox and the eyebrows coming down. so id suggest you get them taken care of surgically this is a simple procedure, weekend downtime.  sometimes eyebrow lift is needed at same time. we do this frequently at same time in my practice with lasers to help fine wrinkles.A combination approach would give the most improvement. Movement lines and superficial wrinkles improve best with botox, dysport or xeomin.  Fine wrinkles need lasers like clear and brilliant, fraxel or erbium or co2; radiofrequency like venus viva or intensife microneedling RF; microneedling with PRP and stem cells; aquagold treatment; or soft fillers like belotero, restylane silk or refyne, revanesse versa, or juvederm volbella.  Deep wrinkles can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building.  Agressive deep peeling like phenol/TCA and J plasma can be used for deeper scarring or wrinkles.  Ultherapy is great for lifting of this are and thermage is great for tightening and improving overall texture.  Montly facialis like silk peel, dermalinfusion, salt facial, and microneedling with retinol masks can really help fine wrinkles and pore size. You really need a combinaation apporach and proper daily skin care and sun protection for the best results.  Please consult with an expert.  Best, Dr. Emer.

The forehead is the muscle that lifts your brows. If you weaken the forehead too much with Botox then your brows will droop and eyelid hooding will look worse. This is likely what happened to you. Options are to get less Botox next time, Strategically place Botox to the outer brows to help lift them, or combine Botox with other procedures such as radiofrequency or ultrasound to help lift the brows and improve the eyelid hooding. Make sure you are under the care of an experienced physician provider. Best wishes.

Because Botox relaxes the muscles of the forehead, any upper eye lid may seem more pronounced than before injections.  Once the Botox wears off, any increase of hooding should return to its pre-injection state.  There are, however, many minimally treatments to reduce and even eliminate upper eyelid hooding.