Would it be possible to inject more Botox into eyebrow to lower it or is it pretty much impossible at this point? (Photos)

Injecting more botulinum toxin (Botox, onabotulinumtoxinA) into the eyebrow area to lower it is not a standard or recommended approach and is unlikely to achieve the desired effect if previous injections have already paralyzed the frontalis muscle without lowering the eyebrow. The frontalis muscle is responsible for raising the eyebrows, and its paralysis can result in brow ptosis (drooping), but this is generally considered an adverse effect rather than a therapeutic goal[2]. If the eyebrow is already paralyzed and not lowered, additional injections are unlikely to further lower the eyebrow and may increase the risk of unwanted effects such as excessive drooping, asymmetry, or functional impairment[2].

To lower an eyebrow, the standard approach is not to inject more botulinum toxin into the frontalis, but rather to consider injecting the brow depressors (such as the orbicularis oculi or corrugator supercilii muscles) or to use other cosmetic techniques. However, these approaches are complex and require careful assessment and technique to avoid complications[2]. If the patient’s goal is to lower one eyebrow, a consultation with a specialist in facial aesthetics or oculoplastic surgery is recommended for a tailored approach.

Injecting more botulinum toxin into the eyebrow area is not recommended to lower the eyebrow and is unlikely to be effective if the frontalis is already paralyzed.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Lowering one eyebrow with Botox can be a bit tricky, especially if the initial injections resulted in paralysis rather than the desired lift. When Botox is injected into the muscles around the eyebrow, it can help relax the muscle that raises it, allowing the opposite brow to appear lower. However, injecting too much can lead to unwanted effects, like asymmetry or a heavy appearance. If the initial treatment didn’t achieve the desired result, it's important to approach any additional injections with caution. Injecting more Botox into the same area could potentially exacerbate the paralysis, making the eyebrow look even more uneven. The effects of Botox are temporary, usually lasting about three to six months. I hope this helps and best of luck!

If you no longer have muscle movement for the brow it is unlikely to lower further with more Botox. The treatment works by affecting the ability of the injected muscle to contract. Once this has been achieved additional Botox will not likely impact your result further.

Hello; Our suggestion in terms of aesthetics would be to first lift your upper eyelids.Botox will not solve your problem, we also recommend you an eyebrow lift after blepharoplasty,Because your eyelids touch your eyelashes and narrow your vision.Contrary to what you say, your eyebrows are very close to your eyes,We recommend upper blepharoplasty and 2 infinity lift eyebrow lifts to look more natural, more vigorous and better in terms of aesthetics.

Hello! I understand your frustration and appreciate you reaching out for clarification. I’ll do my best to explain what might be happening and provide some insight on possible next steps.
When it comes to altering eyebrow position with Botox, it’s important to understand that Botox works by relaxing certain muscles, and the result depends on precisely where it's injected. In your case, the goal was to lower one eyebrow, but instead, it sounds like the injection only paralyzed the muscle without achieving the desired effect.
Regarding your question, adding more Botox to lower the eyebrow is tricky. If the injection has already caused paralysis in the area, additional Botox is unlikely to further lower the eyebrow. In fact, more Botox could potentially worsen the imbalance or cause unwanted effects.
However, the brow lift or lowering effect you’re looking for can still be achieved with a more targeted injection technique. To explain in a simple way:
To lift one side of the eyebrow (like the look you're after in your second image), the orbicularis oculi muscle around the eye is typically injected in a specific pattern. Imagine your eyebrow as a clock; we would inject small amounts of Botox (around 3 units at each point) between the 2 o’clock and 5 o’clock positions.
This can be combined with a careful injection of the frontalis muscle (the muscle in your forehead). By placing around 10 units of Botox in the center of the forehead (avoiding the outer edges), the rest of the brow can be gently lifted to create a more open, balanced appearance.
It’s important that these injections are done in the right areas to avoid further paralysis or an unnatural look. I would recommend returning to your injector or consulting a physician experienced in neuromodulators to review your current anatomy and adjust the treatment plan accordingly.
I hope this gives you some clarity! Please feel free to reach out with more questions or concerns, and I’m happy to guide you further.