2 Weeks After Botox, Now Entire Eye and Face is Droopy

Hi Colorado.  We would strongly encourage you to return to your injector to review your before and after pictures.  You can tell a lot about the injections by looking at these.  You also may learn something yourself as we have had patients come to their 2 week checkup saying that something has changed with their face and when we look at the photos, their anatomy (in the area of their concern) is the same before and after the treatment.  

If indeed the symmetry of your face has changed with the injection, you should also be able to establish this with the photos and at the very least use that information with a different future injector.  Depending on the type of asymmetry you have, there may be other options, but we cannot say for sure as we do not know what your specific points of concerns are

Make sure any of your future injectors always take photos before injections.  Good luck.

I would first evaluate your pre-injection pictures to definitively rule out any pre-existing facial asymmetry...In terms of treatment, there are limited options, unfortunately, and your best option is likely to wait for the Botox effects to start wearing off which can take up to 3-4 months.In terms of the drooping brow on your left side, there is one option...A drooping eye-BROW may happen when the brow-elevating muscle in the forehead, the Frontalis, receives too high a dose of Botox, or alternatively, if the Botox is sub-optimally placed. Of note, it may also happen if you have a low set eyebrow to begin with, in which case any Botox to the Frontalis increases the likelihood of a brow droop. A droopy eyebrow from Botox can sometimes be improved with Botox injected into the outside part of the eye (the lateral aspect of the orbicularis oculi muscle) to generate a bit of a brow lift in that area -- by injecting more Botox and paralyzing the orbicularis muscle that normally acts to depress the brow in that area, you may get a slight compensatory brow lift...In the future, be sure to seek the services of an experienced physician injector. I think the key with Botox lies in truly understanding the anatomy of the injected area, and more importantly the variability in the anatomy between patients -- for brows, the forehead, and anywhere else you plan on receiving a Botox injection. This includes having a firm understanding of the origin, insertion, and action of each muscle that will be injected, the thickness of each muscle targeted, and the patient variability therein. As an aesthetic-trained plastic surgeon, I am intrinsically biased since I operate in the area for browlifts and facelifts, and have a unique perspective to the muscle anatomy since I commonly dissect under the skin and see the actual muscles themselves. For me, this helps guide where to inject and where not to. However, with that said, I know many Dermatologists who know the anatomy well despite not operating in that area, and get great results.Good luck.Dr Markarian

When Botox dissipates, your former appearance should return to its baseline within a few months. It is unlikely that you will experince any permanent long term effects.