Botox for chronic migraine has made my eyebrows droop badly. Would a brow lift be suitable in this situation?

Yes, a brow lift could be a suitable solution for your situation. Botox for chronic migraines is often injected in areas like the forehead and glabella (between the eyebrows), which can unintentionally weaken the frontalis muscle responsible for lifting the eyebrows, leading to a droopy or heavy brow appearance.

A brow lift can help elevate the brows and restore a more alert, relaxed appearance. Given that migraine Botox treatments cannot be stopped, a brow lift might offer a longer-term cosmetic solution to counteract the unwanted droop while allowing you to continue managing your migraines effectively.

I recommend scheduling a consultation with a double-board-certified facial plastic surgeon. This will allow you to get a tailored approach based on your anatomy and a personalized and accurate treatment plan.

Dr. Mark Beaty
Double board-certified facial plastic surgeon

Thank you for sharing your experience. You might benefit from having your doctor inject the Botox higher in the forehead or injecting the orbicularis muscles to counteract the weakening of the muscles above the eyebrows. See an oculofacial surgeon for evaluation.
Good luck,

Botox does relax the corrugators, the muscles over the eyes, and can bring migraine relief in certain patients. Have you considered having migraine surgery and brow lift at the same time? In the same procedure you can lift the brow and treat your migraines. please check the link below for more information:

I believe you are getting injection in your forehead without getting any injection in your glabella. When we inject the elevator of the forehead without injecting the depressor of the forehead, we cause serious eyebrow ptosis. Many neurologist who do injections for migraine, are not cosmetically savie. I hope that clarify your issue. Ask them to inject the glabellar area as well next time you get injected and decrease the frontalis muscle injection to as minimal as possible.

Botox can be a wonderful solution for migraines and tension headaches in select patients, and it's nice to hear that you are finding benefit with this.
When neurotoxins are placed in the frontalis muscle (across the forehead), a side effect may be a droopy brow. This is because the frontalis is the only brow elevator muscle. So, weakening this function allows the depressor muscles to be unopposed in action.

Since you're dissatisfied with the results, you have a couple options.
One option is a chemical browlift where the neurotoxin (Botox) is placed underneath the eyebrows. By weakening these depressors, you may have a 1-3mm elevation of your brow. This may be enough for you.
If this doesn't look like it's sufficient, or you want a more permanent solution, then a browlift may be ideal.

Botox can certainly be a great thing for people with migraines. The problem is that paralyzing the forehead can make the brows droop. Often the botox can be decreased in the forehead to help keep the brows in a normal position. Surgery to raise the brows is another option. You need an in person consultation to decide what is best for you.

Photos would have been helpful. However, generally speaking, HA fillers, when injected by an experienced physician injector can achieve what is called a "nonsurgical browlift." Without any additional information or photos, all I can say is that it would be wise to consult with a board certified cosmetic dermatologist to explore this nonsurgical possibility, that, if deemed appropriate, can be accomplished in a ten to fifteen minute treatment session with immediate, on-the-spot results. Hope this helps. Best of luck.

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Hello from Boston!
If the botox was last placed 6 months or more ago you can feel confident that it is worn off and what you see is your baseline. A browlift can definitely help with this. And, the best part is that browlifting, if done a certain way, has been shown to be very effective at minimizing headaches as well. Your migraines should be less frequent and/or less severe. Browlift is one of the most frequent procedures we do in my office.
Watch our videos to learn more.

Yes, a brow lift should be able to fix this issue. Of course, an « in person » consultation is necessary.

I hope this helps,
best of luck !