What can I do to fix my uneven brows after Botox? (Photo)

Thank you for your question! Typically uneven brows following a Botox treatment can be fixed with a few more units to the effected brow to either try and lower or raise it. Of course if that does not work, the Botox will wear off in 3-4 months.

Thank you for your question! Typically uneven brows following a Botox treatment can be fixed with a few more units to the effected brow to either try and lower or raise it. Of course if that does not work, the Botox will wear off in 3-4 months.

Botox, Dysport, and Xeomin lock the release of a chemical called acetylcholine, which triggers the muscle contractions that create wrinkles. Botox, Dysport, and Xeomin essentially paralyze the muscles and stops them from contracting. Results from these treatments are visible within 3-7 days with results that can last anywhere from 3-4 months. Follow up with your injector to discuss your concerns and options. Hope this helps.

Thank you for your question and for sharing your photograph flip_flop. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.It is difficult to make an assessment without knowing the dose used and the exact placement of the product. However, I hope the information provided here is useful.In addition to addressing various wrinkles, Botox can also be used to adjust the position and shape of the eyebrows. It works the same way as it does when addressing wrinkles, namely by relaxing muscles. In the upper forehead, there are muscles that move the eyebrows up and other muscles that move the eyebrows down. The muscle that moves the eyebrows up is on the upper forehead; this is called the frontalis muscle. It is responsible for the horizontal lines seen on the upper forehead when one raises the eyebrows. The muscles that pull down on the eyebrows are located between the eyebrows and at the corners of the eyebrows. The muscle group between the eyebrows is called the glabellar complex. There is another muscle that goes around the entire eye called the orbicularis oculi muscle. The portion of this muscle under the tail of the eyebrow is responsible for pulling down on the tail of the eyebrow. When any of these muscles is relaxes with Botox the position of the eyebrow can be adjusted. When treating the horizontal lines on the upper forehead seen when one raises the eyebrows, if the dose is too high or if the placement of the product is too low it can lead to the feeling of a heavy eyebrow, difficulty raising the eyebrow, or downward movement of the eyebrow. This can also lead to downward movement of the eyelids, making a person appear tired. It also can make it difficult to apply eye makeup. To correct this Botox is placed in the antagonistic muscles, those in the glabella and orbicularis oculi which pull down on the eyebrows. This will raise the position of the eyebrows. These two areas can be treated with Botox to provide a brow lift. To do so 4-20 units of Botox are used in the glabella between the eyebrows and 2-12 units of Botox per side are used at the tail of the brow and/or the entire crow’s feet region.When Botox is used in the upper forehead, if the dose is too high or the placement is too low it can result in the feeling of heaviness in the eyebrow or even lower the position of the brow. In order to reduce the risk of this possibility, I use a conservative dose in the area and place the product high on the forehead, sometimes near the hair line. Additionally, I recommend that my patients simultaneously receive a small amount Botox between the brows and at the corners of the brows. This will relax the muscles that pull down on the brows to counteract this effect and provide a harmonious balance to the position of the brow. The results are assessed two weeks after the treatment. If there is any asymmetry a small amount of Botox can be placed in the upper face for correction.
Sometimes after a Botox treatment a peaked appearance of the eyebrow is seen. This is sometimes called the Spock or Mephisto look, which makes a person appear surprised or sinister. It is also called the Jack Nicholson look, after the appearance of his eyebrows. This can occur if the muscles that pull the eyebrow down are relaxed with Botox. It can also occur if the upper forehead only is treated. In this case the inner portions of the muscles are relaxed preferentially over the outer portions of the muscle. This allows the outer portions of the muscle to pull up on the tail of the eyebrow. While some people desire this appearance, others do not. This effect can be corrected by placing a small amount (1-2 units) of Botox in the upper forehead approximately midway between the eyebrow and the hair line at the peak of the brow. This relaxes the muscle that pulls up on the tail of the eyebrow, thereby restoring a natural appearance.If I had a patient with the concern described here I would likely recommend additional units in the upper forehead slightly to the right of midline and on the upper left side of the forehead.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.

After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.

Please consult with a doctor for specific recommendations. Good luck!

Uneven brows after Botox can often be fixed as long as one is still in a more raised position. The more mobile high brow can usually be dropped. See whether your doctor is comfortable trying to touch this up. Good news is that either way , in three mos it will be gone

I recommend that you followup with your injector to discuss your results. Of course, if you don't trust your injector, you should still followup with another experienced aesthetic physician to see what can be done to improve your result. 

Hello and thank you for your question. I see that you have some brow asymmetry after botox injection. This can happen if the injections were not placed symmetrically. Follow up with the physician who injected you and they should be able to treat the brow asymmetry with additional injections of botox. 
I hope this helps and wish you all the best.

Inzhili Kitto, M.D.

Plastic Surgeon
Instagram: @dr_Kitto

Without having ever seen you prior to the treatment or your photographs prior to the treatment, it is difficult to answer your question. You should go back for a follow-up with a treating physician and good luck from New York City

It is always best to see the doctor who originally injected you. If you are a new patient it is a matter of learning your musculature and placing the treatment in the most effective areas for your need's. For any new patient who is having Botox for the very first time, we take before pictures and ask them to come back for after pictures a week later. It is very important to see how the patient responds to the injection as it can always be tailored. 

Once a treatment plan is in order and desired results are achieved-the amount of Botox used for both the initial treatment and follow up treatment are combined for the routine visit 3/4 month's after. In short, the total amount of Botox used for the first and second visit is combined in one visit for your routine appointment. It is important to feel comfortable with your injector and to be happy with your results. Call the office you were injected by and see them for a follow up. They are able to place Botox in specific area's to level out your brow's creating a more desirable look. 

Hi there. Thanks for your question. If you trust your injector, I would highly recommend a followup visit! Forehead treatment is what most often affects the brows and while it can be tricky based on individual anatomy, it is also easily adjustable most of the time! If you don't trust your injector, be sure to go and see a new injector so that you don't have to live like that for 3 months!
Best,
@DrKatNP.trilogy