Can anything be done to alleviate a heavy brow after receiving Botox in the forehead and glabellar area?

Depends what you mean by "heavy brow." It is very common to have a feeling of "heaviness" or even a "tightness" similar to a sun burn on the forehead/brow after Botox. This will improve on its own over a few weeks. On the other hand, if your eyebrows seem lower than they did prior to the botox this could speak to the fact that your forehead muscle (frontalis) was helping to keep your low eyebrows up until the Botox prevented them from continuing to do so.  In this case, I would recommend going back to the provider who performed your Botox to see if you would benefit from some Botox to your upper outter eyelid (right under the brow) to affect the obicularis occuli muscle.  This may help partially elevate your eyebrow. It is worth an evaluation by your health care provider who administered the Botox. 
Not everyone is a good candidate for this treatment so please see a Board Certified or Board Eligible Plastic Surgeon to evaluate if you may benefit. Good luck!

This content is for educational and informational purposes only. It is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare professional.  You should always seek the advice of your physician or healthcare professional for any questions you have about your own medical condition. 

In some cases, additional Botox in the glabella and corrugator muscles will allow for a bit more lift. These 2 muscles are stronger than the thin frontalis muscle and if they are weakened sufficiently the frontalis may help lift the brows. For this reason (brow depression), I prefer to place less Botox in the frontalis muscle. Good luck

Hello,As the other panel members suggested, having certain muscle areas treated to counteract the heaviness from an over-treated forehead muscle may be an option.  This can be done by treating areas to the eye muscles that are responsible for pulling the outside tails of the eyebrows and eyelids downward.  In addition, if your injector did not treat the smaller muscles used when frowning (alongside the bridge of the nose), these can be treated to also allow for more of a lifting effect.  An over-rested forehead may happen even with the best injectors.  Making sure your current or future practitioner know what happened will be helpful in their treatment plan of using less units of Botox and/or treating higher in the forehead to avoid this heaviness.  

Hi and thanks for your question. This does happen sometimes. Fortunately, you can improve the heaviness by having your injector treat around your eyes and underneath your brows. The muscles they are targeting are the orbicularis oculii and depressor nasi. Weakening those muscles causes the brow to come up a bit. Your injector should use a smaller dose next time and make sure they are injecting high in the forehead and low in the glabella. Hope that helps.

Thank you for sharing your question. The best treatment would entail placement along the upper outer aspect of your crow's feet.  This helps weaken the muscle that pulls your brows down and can subtly improve your current result.  Hope this helps.

Sorry to hear you are having the issue with botox. In my experience the best is to just let the botox wear out over time. The wear out from the spill over effects of botox usually happens quick. 

Generally I recommend letting your current treatment age to about 6 to 8 weeks before superimposing a correcting treatment.  The heavy brow is not caused by treating the forehead close to the eyebrow as state by another poster.  It is caused by the forehead treatment that was done.  By treating the muscles that are responsible for brow depression, the brow position can be improved.  The Microdroplet Lift® controlled the placement of Botox to the brow depressor muscles.  The microdroplet injections allows a level of treatment control not possible with other treatment approaches. 

It is possible to get the feeling of a heavy brow after a Botox treatment to the forehead and glabella.  In my experience, this issue normally resolves by itself over a period of 1-2 weeks.  If the Botox was placed very low on the forehead, it is possible that the heavy brow could last longer though.  It may be possible to place some Botox under the brows to help raise them slightly as well.  

Hello, and thanks for your question. Sorry you've had some heaviness after your Botox treatment. The good news is that this will spontaneously improve, although it may take a few weeks. Having a small amount of Botox placed lateral to your eyes may help as well. I suggest following up with your physician. Best of luck, Dr. Frucht.  

In some cases, Botox can be injected around the eyes, under the tail of the eyebrows and into the depressor supercilii muscle to help raise the eyebrows and open up the eyes. I recommend that you followup with your injector to discuss your results.