After I have Botox I seem to get horn style lumps over both ends of my brows. Can more Botox be injected to stop this? (photo)

Question

I have been having Botox for ten years and I have seen many doctors but these horn shapes at the end of both brows are always visible. Where does the Botox need injecting as no doctors can seem to sort this problem. It's embarrassing as people tell me I look like I have devil horns on my forehead. I know the risks of a droopy brow so I need some good advice. See photos. Thanks

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question and photograph.  This result is because the tail of your muscle is a bit more lateral.  Your injector will need to adjust placement and units for correction.   Best of luck.

Stephen Prendiville, MD · Answer

The most plausible reason for the response you have experienced with Botox is that your Coorugator muscle extends more laterally than most.  An additional amount of Botox placed in the region may solve your problem.

Jessica Lattman, MD · Answer

Thank you for your question.  It is possible that too much botox in your forehead is causing the skin and muscle to drop, resulting in what you pointed out in your photo.  In my experience, patients can have a low brow to begin with, and giving botox to the forehead can make the brow fall lower.  There are techniques to inject botox so that the brow is gently elevated in a natural way.  I would look for a doctor that is familiar with this approach.

Vilma Di Maria, MBBS · Answer

Thank you for your question.
The reason for you "horn" is that the injector has not chased the whole muscle so the tail of the muscle has not been injected. This will not drop your brow if injected directly into the muscle. 
The tail of the muscle looks more obvious as the rest is of the muscle is not working and it tries harder so its more active. 
easily fixed!
Talk to your injector.
Hope this helps

Jessica H. Kim, MD, FAAD · Answer

It looks like your frown muscles extend more laterally than typical.  You will need more lateral placement of botox.  I would recommend showing these photos to your injector so that proper adjustments can be made.

After I have Botox I seem to get horn style lumps over both ends of my brows. Can more Botox be injected to stop this? (photo)

Answers (8)

Answer: Horn lumps after botox

Answer: Horn lumps after botox

Answer: Devil Horns after Botox

Answer: Devil Horns after Botox

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After I have Botox I seem to get horn style lumps over both ends of my brows. Can more Botox be injected to stop this? (photo)

Answers (8)

Answer: Horn lumps after botox

Answer: Horn lumps after botox

Answer: Devil Horns after Botox

Answer: Devil Horns after Botox

Browse related questions

Recommended reading

Everything you need to know about Botox

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