How soon can I go back after Botox to fix Spock brows?
Doctor Answers 21
"Spock" Brows after Botox Injection
It can take up to 2 weeks to see maximum results of Botox. However, you can have this corrected right away. You treating physician can correct your “spock” eyebrows by placing a small amount of Botox above the lateral eyebrows. Best of Luck!
Correction of Botox
Thank you for your question HC155. I am sorry to hear about your situation. Botox is a purified protein used to address wrinkles associated with facial expression. The pivotal studies demonstrated that the peak effects of Botox are seen 14 days after the treatment. In our office we have patients return at that time to assess the results. At that point more Botox can be placed in certain areas for correction.
Please consult with a doctor for specific recommendations. Good luck!
Spock or peaked eyebrows following Botox
The "spock" or peaked brows seen commonly are due to an imbalance between the weakening of the orbicularis oculi (round) muscle around the eye / lateral aspect of the corrugator muscle and the frontalis (brow lifting) muscle of the lateral forehead following Botox injection.
I ask my patients to return during the 2nd to 3rd week following injection (as this is the optimal threshold of Botox function) should this imbalance occur as it is easily corrected at that time. Should it be anticipated at the time of initial injection and injected for, it could weaken the eyebrow to droop and it is most difficult to correct until the Botox has "worn off". It is possible during this 2 week waiting period that the peaked eyebrow will auto-correct as the frontalis muscles pulling the peak catch up in their relaxation.
I hope this is helpful. All the best!
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The development of a "Spock" appearance to the eyebrows that you describe can occur when botox is not injected in a balanced fashion in the forehead. The good news, is that the situation is very easily correctable with a few more units to the lateral aspect of your forehead to eliminate the Spock eyebrows. There is no need to wait for correction. You should be able to contact your injector and get a touch up anytime. Thanks for your question.
Spock appearance after Botox
- remember that Botox injections halt the activity of the muscles injected. Where you describe the injection sites,it seems the forehead over where your brow is peaking wasn't injected. This can happen even in the most experienced hands. This is easily fixed and can be done at two weeks.
Brow Shape and Botox
The most common unwanted effect of treating the "11's" with Botox is the shape change you are describing. The reason is somewhat complicated, which is the reason that it is so important to have your Botox treatments by an experienced injector. It should be stated that even an expert at Botox can have a patient with this problem on rare occasions.
In general terms Spoked brows happen because the Botox has caused the medial (close to the nose) area of the brow to droop. When that happens your brain goes to work to try and lift the brows. The medial part cant lift (in the case where it is drooping) but the lateral part of the brow (closer to your ear) can. Hence the shape that has occurred.
You have two options for treatment. One is to just wait for the Botox to wear off at which point your brows will return to the normal shape. The other is to get a light treatment of Botox above the raised part of your brow. That will improve the shape, but you eyebrows maybe droopy overall at that point. Of course that too will correct itself after the Botox wears off.
Hope that helps.
"Spock" brows happen when Botox over the lateral eyebrow is avoided . This happens often on the first time because the doctor is making sure not to relax your brows too much and it is difficult to know ahead of time how your brow will respond to botox. If you are noticing "Spock" brows, it is reasonable to call your doctor and get in any time. It is really a very simple fix of just a couple extra units of Botox.
I hope this helps!
Dr. Quenby Erickson
Botox touch up now or wait?
Thank you for your question HC155. You concerns are understandable and can happen. Typically after Botox is injected a follow up visit two weeks after the injection would be appropriate to assess the Botox at its full effect. If small adjustments are needed at that point they can be made which in your case sounds like a few units extra would be placed more laterally to soften the "Spock Brow". Moving forward your injector can note the changes to make your "Botox plan" more perfect.
Goodbye Dr. Spock-Botox and Venus Legacy
You can go back now for a touch up of Botox to address the arch. Venus Legacy treatments could help soften the look as well. See an expert. Best, Dr. Emer
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.