Lowered brow after dysport - had it 5 days ago. (photos)

Question

So it has been 5 days. I think my brow has dropped and I have very little ability to raise it. I only treated head. Now my eye lids are crowded. How can this be fixed?

Aldo Guerra, MD · Answer

Hello Julie.A lowered brow is a common side effect of Dysport. It is extremely common and can be overcome by adding a few more units into the orbicular muscle. However, I would not recommend anything until 14 days after the injection. This is a sign of early aging of the upper face and it may mean surgery for the the brows or eyelid tuck maybe necessary sooner as opposed to later.Best wishes, Dr. ALDO :)

Luis Villar, MD, FACS · Answer

Dysport, Botox, and Xeomin usually take effect within 1 to 4 days.  They last about three to four months typically, but we have documented one patient on video lasting 7 1/2 months.  Just wait it out and you will gradually return to normal.

Summit Kundaria, MD · Answer

Thank you for the question and pictures.   I think that you had too much Dysport in your forehead, or it was injected too low on your forehead.  Your brows will return to their position in 3-6 months.  You can sometimes get modest raising of your eye brows in this state by putting a little more neurotoxin (I know, it sounds crazy) under your brow.  Your eye brow is in a constant state of tug-of-war between your forehead (the frontalis muscle) that pulls it up, and your corrugator and orbicularis oculi muscles, which pull it down.  Since the muscles that pull the brow down are winning, selectively paralyzing them can give your brows a modest raise.  Good luck!

Umbareen Mahmood, MD · Answer

Hi Julie, good question, and something I go over in detail with patients when doing a facial evaluation for treatment with injectables. It's very important during the initial exam for the injector to assess whether patients have any existing brow ptosis (droop), that is compensated by the forehead muscle. This is because once the muscle is temporarily paralyzed with Dysport, Botox, etc., that lifting force isn't there, and the brow appears dropped. Fortunately, the product wears off in a few months, and your brow will look the way it did before.

Katherine A. Lane, MD · Answer

i tell all of my patients that the eyebrows and eyelids are a functional unit - they work together. the only muscle that elevates the brow is the frontalis muscle, which is what i'm assuming you had treated. over treatment of this muscle can not only lead to an unnatural 'frozen' look, but also in patients who really rely on their frontalis to lift their brows will notice a droopy brow or heavy eyelids after.
the good news is: this will wear off and it will get better
the less good news is: you might need to find another injector or have an honest conversation with your provider about what you didn't like

Benjamin J. Cousins, MD · Answer

If your Dysport/Botox/neurotoxin is injected too close to the wrong portions of the peri-ocular musculature, or if you have a low brow to start with it, unwanted side effects can happen after your injections begin to kick in after about 4-7 days. The dysport/botox can drift into unintended areas and cause "eye droop" or eyebrow drop. Still it is best to follow up with your injector and discuss your concerns as you may have to wait or out or be given a Rx for eyedrops which can help reverse the adverse effect.
 Benjamin J. Cousins MD
 Board Certified Plastic Surgeon

James Mirabile, MD, FACOG · Answer

Any neurotoxin injected improperly can result in heaviness in the forehead with the eyebrows drooping.  If "too much" BOTOX, Dysport or Xeomin is used in the frontalis muscle the result can be brow ptosis or droopiness which is apparent in your photo.
Unfortunately you must wait it out for the neurotoxin effects to wear lessen which usually takes 3 to 4 months.  Make sure in the future your injector has the experience necessary to attain your desired results.  Best of health to you!

Dan Mills, MD · Answer

Part of the evaluation before Dysport or any neurotoxin injection if whether you have a heavy brow to begin with and whether you use your forehead muscles to help raise your eyebrows so you can see. An unfortunate side effect of improperly injected neurotoxin in the forehead is ptosis or drooping. This not only affects your eyebrows, but in people with extra upper eyelid skin, this can impair vision or make it difficult for women to apply their makeup. Yes it is temporary but I understand how it can be frustrating to wait for it to wear off. In addition, sometimes the toxin gets too close to the eyelid and effects the muscles that help you open your eyes. I cannot see from your photos if this is one of your complaints, but if it is, you should go back and see your injector to see if apraclonidine drops might help. Make sure the injector you go to is either a physician or has direct supervision from a physician that is trained to do this! I hope this helps. -Dr. Mills.

Shaun Patel, MD · Answer

Eyebrow ptosis or droopiness can occur after Dysport injection if too high of a dose is used or the Dysport is injected too close to the eyebrows or if the patient is not a good candidate for Dysport treatment into the forehead muscle (frontalis). The results will soften as some of the Dysport starts wearing off at the 4-6 week mark but it may take 3-4 months for your eyebrows to completely return to normal.

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question and for submitting your photos.  I'm sorry to hear that you are experiencing complications from your Dysport treatment.  Eyebrow ptosis is not an uncommon side effect of Dysport treatments - it typically occurs when either too much Dysport is injected into the forehead or the injections are placed improperly.  Because the muscles in the forehead are responsible for lifting the brow, overly relaxing these muscles can result in lowered or flat brow.I would wait another 10 days or so, as sometimes it can take up to 2 weeks for Dysport to fully settle and for the full results to be visible.  At that point, it would be best to follow-up with your injector to discuss your concerns - he/she may be able to subtly lift your brows by injecting additional Dysport.  The results of Dysport can last up to 3-4 months, and you should start to notice gradual improvement over the next several weeks.  Best of luck!

Lowered brow after dysport - had it 5 days ago. (photos)

Answers (13)

More Dysport Questions

Dysport treatment to crows feet 2 weeks ago: I look horrible! (photos)

12 units of Dysport in each side of masseter to slim jaw (24 units total). Isn't that equivalent to 4 units of Botox per side?

Even though I obviously didn't get enough Dysport the first time, should I still see at least a slight difference?

is it best to wait for Dysport to wear off or go back and try to fix the issue? (photos)

Should I be seeing results from Dysport yet? (Photos)

Will 50 units of Botox be equivalent to 150 units of Dysport?

WE SEND PRETTY
EMAILS