Angry looks after Botox a week ago on forehead and near my eyebrows. Is this normal? (photos)

Thank you for your question in regards to Botox.It appears that you may have been over-treated. It is best to follow up with your injector to discuss your concerns.  To be sure, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.I hope this helps.

Dear Up123,

The question you ask is a very good one. First, things will
get better over the next few weeks. You do appear to have some right brow drop
in relation to the left, assuming pre-Botox state was symmetric. Your findings
are more consistent with patients who have had poorly placed or excessive Botox
between the eyebrows. If you had Botox only in the forehead, then it was
probably too low, in too high of quantity, or both. Regardless, some Botox can
be placed along the medial eyebrows, near the nose, and along the outer
eyebrows to afford some eyebrow lifting while your forehead tone returns.

Be healthy and be well,

James M. Ridgway, MD, FACS

It appears that your eyebrows have drooped a bit after your Botox injections.  I would go back to the person who performed your injections so that you can discuss options for correcting this problem.. 

Botox is commonly used on the muscles that "frame" our eyes. When we over treat one muscle in relation to the others, a change in balance occurs that does not look natural. This is a very common issue in treating the forehead muscle (or frontalis). Under treatment on the other edge of the muscle causes the "any" arch, while over treatment in the middle causes heaviness. As an oculoplastic surgeon and eyelid specialist, maintaining balance and symmetry around the eyes is the underlying goal I have with each of my botox treatments. 

I'm assuming that you are trying to raise your eyebrows in the post Botox pic. If so, the Botox did what it was supposed to do, i.e. block the forehead muscles from contracting when you try to lift your eyebrows. Unfortunately, you are now having to live with this result to a varying degree over the next 3-6 mos approximately. Since there is no pre- Botox pic with the forehead relaxed, it's difficult to say whether the eyelid ptosis was present before the injection or showed up after the injection when the eyebrows were completely relaxed. You need to go back to your original injector or seek a second opinion.

It looks from your picture that your brows have dropped, and they have dropped unevenly.  This likely indicates too much botox in the forehead, or it was injected too close to the brows or both.  It will all go back to normal in the next couple of months. In the future I'd suggest you have your botox done by a board certified dermatologist.

Treating the forehead lines (as opposed to the "elevens" can be very tricky.  The muscle that is being treated keeps the eyebrows up, so inhibiting it can then lead to an eyebrow drop, which is what your photo appears to show.  This will resolve over time, but is obviously not the effect you were looking for.  I would return to your practitioner, and see if possibly injecting a little Botox into the corrugator muscle could help.  But make sure, before you ask for this, that your injector is experienced and understands what you are talking about - otherwise, find an injector who is.Best regards,Karen

Unfortunately, it looks as though your forehead has relaxed too much and your brow has dropped.  You should have your injector see you again so that he/she can adjust your dosage for future treatments.  For now you will have to wait this out.

It seems like you may have gotten a bit too much botox or you are super sensitive to the product.Usually after two weeks the product will begin to diminish and you should get some improvement.When patients have come to my office having this problem from another injector, I have used infrared technology to heat up the forehead a bit and I have found that this diminished the results of the botox.There is also a product that can be prescribed for the droopy brow in the form of eye drops if this becomes worse, you can speak to your doctor about using the eye drops.It is important to choose and experienced injector for your next botox appointment and perhaps go with much smaller doses.