Post Botox brow drop? (Photos)

had Botox done 3 weeks ago to soften the lines on my forehead and I was told that an eyebrow lift would be achieved. My forehead looks amazing but both of my brows dropped and now I have a mean and tired look. Every time I loook in the mirror I want to cry. Is there anything that can be done to fix or make the problem less apparent?

Doctor Answers 17

Botox causing Brow ptosis.

I am sorry that you have this complication after your botox injection. Correction of forehead lines which are very close to the eyebrow can lead to brow ptosis with a flawless forehead. Sound medical knowledge of anatomy, experience with injectables, taking a very detailed history, examination and evaluation of each and every individual is very essential before doing any neurotoxins. I educate all my clients about having moderate correction rather than brow ptosis. It is easier to do a touch up later. The forehead muscles are very sensitive to neurotoxins. The duration of botox is dose dependent and there is no reversal agent. Unfortunately you will have to wait for these effects to subside and it will be normal again. Do your diligent research before you choose your injector.

Forehead lines must be treated carefully.

Trinityaaa, I’m so sorry to hear you’re unhappy with your results. Unfortunately, when using Botox to treat forehead lines, there is always a risk of dropping the brow position. A conservative dose, placed very high on the forehead ( just below the hairline) can significantly reduce that risk. I would encourage you to contact the office where you were treated. If your doctor cannot alleviate the problem, the good news is that your brow position will return to its normal position in 3-4 months. Hang in there!

If you haven’t already, make sure to enquire about your doctor’s credentials and experience. A board-certified dermatologist or plastic surgeon who specializes in Botox use will be best positioned to address your unique anatomy and goals. 

Sue Ellen Cox, MD
Raleigh-Durham Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

Need better photos

We need better photos to help you.  However, most of the time you can correct the brow lift with more botox injection in different places.  Please provide us with better photos.  Also, go back to the doctor who did the botox and see if she/he can help you.

Andre Aboolian, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 59 reviews

Too much forehead botox

it is important to make sure the glabella and lateral brow are injected to prevent a droopy brow from forehead injections. Second, fewer units in the forehead may be a better option to prevent a drop to the brow. A conservative approach may give you the results that are desires. Let's your provider know and next time, he or she can adjust the number of units

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 35 reviews

Brow drop.

Unfortunately your forehead muscle was relaxed too much that made your brow drop.  This is ok in men but not women!  The good thing is that this is not permanent and will eventually go back to normal.

Lawrence Broder, MD
Cedar Park Family Physician
4.7 out of 5 stars 23 reviews

Brow drop

Thanks for your question and photos. Fortunately, this is not permanent and may have been caused by the technique of your injector. You may want to consider visiting a board-certified dermatologist for a second opinion or wait until it wears off in 3-4 months. Hope this helps. Best, Dr. Katz

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Brow drop after botox

Many patients tell me they want Botox in the forehead but I always have to clarify what look they want .  If you had some higher forehead lines then botox high on the forehead would have likely worked without the brow drop.  Some patients tell me they want the forehead injected when they really mean the Glabella complex area above the eyes.  Did you get both done or just the mid or upper forehead?  Anyway, It's best to let it wear off as it may even improve over the next couple of weeks but not be completely resolved until the Botox wears off.  I agree that doing the crows feet may allow the outer brow to pull upward and give some improvement.  Hope it improves soon.

Er. ODell

Heavy brow after Botox

Thank you for your question Trinityaaa. I am sorry to hear about your situation. Botox is a purified protein used to address wrinkles associated with facial expressions such as the horizontal lines on the forehead seen when one raises the brows. If the Botox is placed too low on the forehead the shape and position of the brow may be affected. Typically the brow will appear lower and may feel heavy. For my patients who have a droopy brow from a previous treatment I place a small amount of Botox in the corner of the corner of the brow to counteract it. The good news is that most people enjoy their results for 3-4 months so it is not permanent. Please consult with a doctor for specific recommendations.  Good luck!

Alex Eshaghian, MD, PhD
Encino Physician
5.0 out of 5 stars 1 review

Brow droop after Botox

Dear Trinity,

Sorry this didn't work out the best for you. It seems like the treatment did soften the forehead but in your case you were using your forehead muscles to keep the heaviness off your eyelids. 

When the forehead muscles were relaxed with botox, they fell to their normal condition.

I'd suggest working with an expert injector in your area and ask for a Botox Browlift which would improve the lift of the eyebrow region.

I hope this was helpful. 

Adam Scheiner, MD
Tampa Oculoplastic Surgeon
4.3 out of 5 stars 33 reviews

Botox result

Hello, and thanks for your question and photos. I'm sorry you did not get the result you had hoped for. The good news is that the results will wear off over the next 3-4 months, but you'll likely start to notice improvement in the next few weeks. Moving forward, in order to determine the best treatment plan for you, I recommend an in-person consultation with an expert. Best of luck, Dr. Frucht.   

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 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.