How to Fix Severe Arching of Eyebrows After Botox?

Question

Can I rectify the 'joker' type eyebrows following Botox?

Kenneth D. Steinsapir, MD · Answer

Dear Kleo
I am reluctant to send you back to the same doctor.  Use your judgement regarding this.  No one will be more motivated to help you than the original doctors.  However, some practitioners are basically hopeless at problem solving.  
As Dr. Persky points out, this arched brow is from an overly central treatment.  The central brow comes down and the lateral brow over acts to compensate.  More BOTOX can be placed to achieve a better balance.  
However, if your doctor was good at placing a balanced treatment, you would probably not have this type of treatment result in the first place.  Look at my website and read about microdroplet BOTOX which is based on an entirely different treatment paradigm.  
This goofy effect will also be better in 6 to 8 weeks but you might very well feel compelled to have it treated before that time.
Dr. Steinsapir

Michael A. Persky, MD · Answer

Hi Cleo,
Sounds like you have the dreaded "Diablo" brow.   Usually caused by too much central forehead (frontalis muscle) Botox, and none laterally.  
It is usually correctable with 2 to 4 units of Botox placed in the lateral frontalis muscle above the arch of the Joker brow.
Get a copy of your injection records so that you can avoid the Joker look in the future.
Good luck and be well.
Batman

Bryan K. Chen, MD · Answer

Fortunately your problem has a pretty simple fix - a couple more units of Botox to each side of the forehead, above the peak of each brow ought to take care of your problem
Good luck.

Edmond A. Zingaro, MD · Answer

This problem can often be resolved by injecting more Botox is very specific areas.  Obviously, you need to return to your doctor for examination and possible additional injection.

Min S. Ahn, MD, FACS · Answer

The peaking that you describe occurs because there is excessive pull of the forehead muscle. This can be corrected easily by placing 2 units of Botox above each peak in the forehead.

How to Fix Severe Arching of Eyebrows After Botox?

Answers (5)

Answer: Botox

Answer: Botox

Answer: A litle Botox in the forehead

Answer: A litle Botox in the forehead

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Everything you need to know about Botox

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How to Fix Severe Arching of Eyebrows After Botox?

Answers (5)

Answer: Botox

Answer: Botox

Answer: A litle Botox in the forehead

Answer: A litle Botox in the forehead

Browse related questions

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.