Lowering one eyebrow with Botox?

Question

My right eyebrow is more arched then my left eyebrow & I honestly prefer the lower eyebrow more, as I think it's a softer look. My doctor said it would only take 2 units of Botox to lower the arched right brow to match it with the left. My question is if there's a greater risk with eyelid droop when lowering a brow? Even with a tiny amount like 2 units? My Doc. Is a very skilled injector, but I'm curious about opinions from Other Docs. As well. Thank You

James M. Ridgway, MD, FACS · Answer

This is a great question that reveals the subtle, yet very effective potential in using Botox to treat facial asymmetries. With an experienced provider there is no greater risk of eyelid droop when lowering the brow. These are 2 separate elements and are innervated by separate muscles (frontalis versus levator). It sounds like you have an excellent provider and a reasonable circumstance to have Botox.Be healthy and be well,

James M. Ridgway, M.D., FACS

James M. Ridgway, M.D., FACS

Martin Jugenburg, MD · Answer

Botox is a great tool to correct mild asymmetry in the face.  It sounds what your doctor is recommending is good.

Mark Hamilton, MD · Answer

Botox can be used to lower a brow and only a small dose (2 units is appropriate) is placed on the forehead above the brow. Placement is well above the orbital rim, so the risks of eyelid ptosis is extremely small.I think you should be very comfortable with your doctor's plan-

Lorrie Klein, MD · Answer

Botox can definitely be used to either raise or lower brows.  This is especially useful when trying to improve symmetry of asymmetrical brows.  Make sure to go to a Botox expert who is known for customizing treatments.  If your doctor is not comfortable or confident in making your brows more symmetrical then leave and go elsewhere.  Always do your research.

Michael I. Echavez, MD · Answer

One eyebrow can be lowered with Botox and this is not an uncommon treatment.  While it is always possible to get some droop of the upper eyelid when Botox is placed in the brow, the proper placement can make this event more unlikely.  I would also say with the low dose that would be used, it would be unlikely for any eyelid droop to occur.

Jason Emer, MD · Answer

This can be done easily by using botox on the frontalis muscle of the forehead which holds the eyebrows up.  But if you have low eyelids already it will make them more hooded.  I suggest a formal consultation with an expert.  Best, Dr. Emer.

Hardik Soni, MD · Answer

Yes, you can lower the brows with Botox. There is always a risk of brow droop. Botox is temporary and lasts 3-4 months. Remember to see an expert injector.

Henry Lee, MD · Answer

Thank you for your question. Yes, a small amount of Botox into the frontalis muscle, which lifts your eyebrows, can be used to slightly lower a brow. There is a very small risk of eyelid drooping (aka ptosis) when Botox is injected to lower a brow. However, a more likely cosmetic effect you may notice when your brow is lowered is the appearance of more significant upper eyelid skin. Try this at home - look at your upper eyelids in the mirror while raising and lowering your brow. The higher your brow, the less skin there is resting on your eyelid. The lower your brow, the more skin there is. But again, actual eyelid ptosis is unlikely.

Good luck with your Botox injection!

Good luck with your Botox injection!

Kristin J. Tarbet, MD, FACS · Answer

Botox or Xeomin are excellent for achieving the results you are looking for. There are risks, but in the hands of a good injector you can expect good results

Firas Al-Niaimi, MD, MRCP, EBDV · Answer

Thank you for your question. I agree entirely with your doctor that a small amount of botox to correct (lower!) the higher brow is the best option. There is a difference between eyebrow droop and eyelid droop. A true droop in an eyelid is very uncommon and happens if botox injected close to the mid part of the upper orbit. You should not worry.

Lowering one eyebrow with Botox?

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