What Else Can I Do If I Had Unsuccessful Botox Brow Lift? (photo)

Question

After reading your advice in another question I decided to first try Botox for lifting my brows because of the heaviness I was feeling on my eyes (also because of deep set eyes?). I had it 8 days ago and I am very disappointed. I felt slight numbness for 2 days but that's it. I am still able to move my brows down and do everything I was able to do before. Is it possible that my body just doesn't respond to it? I know you don't recommend a surgical lift at age 23, but do I have any other option?

Dominic Bray, MBBS, FRCS · Answer

Thermage CPT may aid your lift a little but your brow is rather heavy for your years. This is most marked in the lateral aspect as shown by your third photo. The medial brow position is good so if you would consider surgery I would suggest a temporal (lateral) browlift under pure local anaesthetic.

	I think that would give you a pleasing and more youthful brow postion.

	Kind regards

Young R. Cho, MD, PhD · Answer

Thank you for your question.  Shaping the brows is one my favorite parts of using Botox.  It requires a very detailed understanding of the underlying anatomy as well as assessing each individual while they are animating their brows.  By carefully placing Botox in the muscles that depress the brow, you can cause the brow to rest and relax in a lifted position.  There are limits to how much you can lift, and for some surgery is better option.  Incorrect assessment or placement can also lead to the reverse effect, so overall technique is critical.  You can also shape the brow different.  For example, you can raise the tail of the brow vs creating a raised arched brow vs creating a raised horizontal brow.  It depends on the individual's desired brow aesthetic goals. I would consider this a very advanced technique so I would query your injector on their experience in this area.  
As far as how many units may be needed, this also depends on which part of the brow you want to correct.  For the inner brows, you may consider ~20 units (same as the frown line treatment).  For the middle or outer brow, I generally use up to 5 units on each side.  
You may also want to consider adding fillers to shape and raise the brow.  Combining the two products can work synergistically together. If you can still lower your brows easily, then you can consider additional Botox to weaken the brow depressor muscles.  Ultimately, surgery will provide you with the look that you are looking for.

A.J. Amadi, MD · Answer

Unfortunately, the only way to get your brows to achieve the arch that you are demonstrating in your third photo, is via a surgical browlift.

	A trichophytic [hairline] approach will give you the most reliable long lasting result.

Barry L. Eppley, MD, DMD · Answer

What you have proven with Botox is that a non-surgical approach is not enough to lift your brows adequately. It is now time to consider some form of a surgical browlift and you should get several consultations to learn your options.

Darryl J. Blinski, MD · Answer

I might try a second session with BOTOX injections to the sub eyebrow area. You may need additional BOTOX units.

What Else Can I Do If I Had Unsuccessful Botox Brow Lift? (photo)

Answers (9)

Answer: Surgical Browlift Is Needed When Botox Fails

Answer: Surgical Browlift Is Needed When Botox Fails

Answer: What Else Can I Do If I Had Unsuccessful Botox Brow Lift?

Answer: What Else Can I Do If I Had Unsuccessful Botox Brow Lift?

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What Else Can I Do If I Had Unsuccessful Botox Brow Lift? (photo)

Answers (9)

Answer: Surgical Browlift Is Needed When Botox Fails

Answer: Surgical Browlift Is Needed When Botox Fails

Answer: What Else Can I Do If I Had Unsuccessful Botox Brow Lift?

Answer: What Else Can I Do If I Had Unsuccessful Botox Brow Lift?

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Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.