Botox Left Lines Above my Eyebrows? (photo)

I had botox injected to the frown area between my eyebrows, around the crow's feet and in my forehead. The Dr. said he could not inject above my eyebrows because it would cause droopy eyelids. But now I'm left with these freakish looking lines above my eyebrows, it looks horrible, what can be done to fix this? I don't want droopy eyelids, but I can't live with these lines either.

Doctor Answers 13

Spock effect

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That is called a Spock effect, named after Dr. Spock of Star Trek. The Botox in your frown lines has weakened the forehead muscles in the center but not at the sides where you see the lines. That is why your brows are up at the sides but not in the middle. . I agree that a small dose of Botox just in or above the lines will eliminate them without dropping your brows.

Edison Oculoplastic Surgeon
5.0 out of 5 stars 12 reviews

Botox and Eyebrows

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A small amount of Botox injected above the outer region above you eyebrows should correct this problem. The brow should not droop as long as the injection is 3/4 to 1 inch above the eyebrow

Joseph Fata, MD
Indianapolis Plastic Surgeon
5.0 out of 5 stars 105 reviews

Botox and forehead lines

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From the photo you've posted, it looks as though a small amount of Botox to that area will help soften the lines. Yes, too much Botox injected in the forehead will cause your brow to droop, but carefully placed injections to that active region will settle things down.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

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The "Mr. Spock" look following Botox can be treated

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Sometimes treatment of the frown lines and forehead lines leaves a peaked eyebrow. We cal that the Mr. Spock or Jack Nicholson look. A small dot of Botox just above these peaked brows can soften the look with minimal drooping of the brow.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
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A Bit More Botox is Needed

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You just need a small amount of botox into the wrinkled areas. The underlying problem is that too much botox into the forehead will cause the brows to drop, but you also see what too little can do. Botox injected into the forehead is truly an art- you want lines diminshed, brows raised (not dropped), and an overall smoothing that still looks good and healthy. The good news is that you can accomplish all of these things in the right hands. Look for a different injector next time. Good luck.

Michael R. Menachof, MD
Greenwood Village Facial Plastic Surgeon
4.4 out of 5 stars 28 reviews

Too much Botox

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What has happened here is that you have had too much weakening of the muscles in the central brow.  Now when you raise your eyebrows, the only area of the muscle left functioning is the portion over the outer eyebrow arch, hence the lines that are bugging you.  Your central brow has likely fallen relative to the outer brow as well.  The slanted peaky eyebrow look is the result.  The only way to fix this for now is to have a TINY amount of Botox injected where the creases are.  Unfortunately, your brow will probably not move at all at that point.  The good news is that everything will eventually wear off. 

I see your result frequently from other injectors, unfortunately.  The injections for the frowner muscles are frequently placed too high over the brow and extend upward from the midline in too much of a 'V' pattern.  This ends up affecting the central forehead muscle (frontalis) like I described above.  This injection pattern is done out of fear of causing ptosis (drooping) of the eyelid (not the brow, but the lid itself).  If injected in the right level in the skin and in small enough quantities, the risk of causing ptosis of the eyelid is extremely low, even when injected right above the brow.  Good luck!

Matthew Bridges, MD
Richmond Facial Plastic Surgeon
5.0 out of 5 stars 26 reviews

Botox in forehead

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There is a  delicate balance between lines and treatment and eyebrow action. You can go with a low dose of Botox in the areas of wrinkling, but it may drop your brow.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Improving appearance with Botox touch-up

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This happens commonly when the forehead is injected too high above the eyebrows and is easy to correct.  1.25 - 2.5 units of Botox injected at the lateral aspect of your brow will help to smooth those wrinkles and will also soften the arch of your brow.  

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

Botox Mishap

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This result is often termed a Spock, named after Mr. Spock from the Star Trek Saga. Not much fun, nor fascinating. Fortunately, this is much more easy to correct than Vulcan ears.

It is caused when Botox has weakened the central forehead but not the lateral portions. When you lift up your forehead muscle ( frontalis), the central part fails to move, but the lateral, unBotoxed, part does. This causes an elevation of the lateral eyebrows.

  This is very easy to correct. Two units placed slightly above the peak of the arch will drop the eyebrow. You will be quite pleased with the result. 

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Brow lines after Botox

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The lines above your brows are usually easily corrected by adding a very small amount of Botox to the lateral forehead. If placed correctly you should not experience any brow drooping. Scheduling follow up 2 weeks after your initial Botox treatment is helpful so these type of adjustments can be made easily. You should be able to get the result that you were looking for with a small touch up.

Kristin Baird, MD
Longmont Dermatologic Surgeon
4.6 out of 5 stars 11 reviews

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.