Facial Injections: Info, Prices, Photos, Reviews, Q&A

There are a few reasons why the eyebrows would droop. First, if too much Botox is placed in the forehead (Frontalis muscle) or if the Frontalis muscle is penetrated and the Botox runs down the frontal bone.

Sometimes, the Botox affects muscles remote from the site of injection. There is no remedy but time for this problem. However, if the lateral eyebrow has dropped then an injection into the lateral orbicularis oculi muscle will sometimes relieve the problem. (Paul Vitenas, Jr., MD, Houston Plastic Surgeon)

Botox and Eyebrow Position

Botox is often used to give a slight lift to the eyebrows by treating the brow depressor muscles. Often in the same treatment, the frontalis muscle (which elevates the brows and also causes horizontal forehead lines) is treated.

Botox Can Cause The Eye Brow To Droop

The balance of these treatments is key in getting pleasing results. If the frontalis is treated more significantly than the depressors, then the brow will tend to descend and crowd the eyelids. (Mark J. Lucarelli, MD, Madison Oculoplastic Surgeon)

Botox works by weakening muscles. There is a flat band of muscles that goes from your eyebrows up to your scalp. If that muscle is overtreated, you will not be able to lift your eyebrows, and if it is severely overtreated, it will not maintain its natural “tension” that keeps your brows in place, thus allowing them to droop or even just feel heavy.

Luckily, this is temporary, and will wear off as the Botox does, but be careful not to allow yourself to be overtreated. (Jessica J. Krant, MD, MPH, New York Dermatologic Surgeon)

Botox Can Diffuse To Other Muscles And Cause The Eye Lids To Droop

Botox and heavy lids

Eventually, as we age, we get to a point that our foreheads have drooped so much that we can’t have the same number of units of botox as we have had repeatedly in the past.

We have to start injecting only the upper not mid or lower forehead, and make sure that we do inject the glabella, between the eyebrows, at the same visit that the upper forehead is done, to avoid drooping of the forehead. (Ronald Shelton, MD, Manhattan Dermatologic Surgeon)

Technique is important to avoid eyebrow droop with Botox

It isn’t so much a matter of quantity, but precision with where the Botox is placed to avoid eyebrow droop. The horizintal lines that appear in the forehead are the reult of constant contraction of the muscles that elevate the brows, and since Botox works by relaxing muscles it follows that some droop of the eyebrows can occur.

Droopy Eyes After Botox

Part of the technique is to consider counteracting this by using some in the muscles that pull the eyebrows down (these are the ones that cause “crow’s feet”) but that is very difficult.

It usually works well if not too much is placed over the lateral eyebrow, and it can be very difficult to accept that if there is a line there it is best left alone. (Richard Baxter, MD, Seattle Plastic Surgeon)

Botox and eyebrow droop

Botox can very easily cause ptosis or a sagging eyebrow when injected incorrectly. In fact, it does not take an awful lot of Botox to cause this problem. This condition occurs when too much Botox is placed in the muscles above the brow that pull upward.

Relaxation of this muscle with Botox causes the brow to sag. We wondered if the practitioner that caused the problem was also the same one that was providing the injections for the previous 4 years. Switching practitioners always involves a bit of risk, especially when switching to one less experienced.

Having Droopy Eyes After Botox Is Quite Unusual Today

When a practitioner knows the location and dosing well for your particular facial anatomy, sometimes it makes sense to stick with him/her as results will generally be consistent. (Harold J. Kaplan, MD, Los Angeles Facial Plastic Surgeon)

Poorly placed Botox CAN cause eyebrows to become heavy and drop

The eye brows are kept up by the pull of the Frontalis muscle. With time, as there is more forehead skin, increased work is required by the frontalis to keep the brows up. The work of the frontalis to wrap up a wider area of forehead skin is manifested by the appearance and deepening of transverse forehead lines.

If the injector is inexperienced or ignorant of frontalis function, he/she will not understand that the muscle portion just above the brows should NOT be weakened by Botox.

Temporarily Drooping Eyelids

She injected a frontalis muscle which was working full time holding your brows up. The moment this area of the frontalis was taken out, the brows were no longer held up and dropped like a rock.

This SHOULD improve in 4-6 months when the Botox effect wears out. Next time, I would ask a Plastic Surgeon, ENT or dermatologist to PERSONALLY inject you rather than an underling or worse a spa injector. (Peter A. Aldea, MD, Memphis Plastic Surgeon)

Take your pick: Brows up or Brows down with Botox

The eyebrow position is a delicate balance between the:

• Muscles that pull it up (the forehead), which elevate
• Muscles that pull it down (the eyelid), which depress

The Great Thing About Botox Is That It Always Wears Off

Botox can be injected into the:

• Elevators (lifters), which will cause the brow to drop
• Depressors, which will cause the brow to rise (chemical brow lift). (Otto Joseph Placik, MD, Chicago Plastic Surgeon)

Botox may prematurely relax the eyebrows

Botox Cosmetic is produced by Allergan and is a commercially available form of Botulinum serotype A. Botox inhibits the release of arch and relaxes muscle tone in the areas of injection. If injected into the area of the forehead directly above the eyebrows, it may cause premature relaxation of the eyebrows.

This can be prevented by judicious use of the Botox by an experienced plastic surgeon or dermatologist. (Raffy Karamanoukian, MD, FACS, Los Angeles Plastic Surgeon)

Excessive amounts of Botox may cause droopy eyebrows.

Excessive amounts of Botox may cause droopy eyebrows. Also, injection of Botox on the forehead, if placed too low and close to the eyebrows, may cause them to droop as well. Search for a board certified provider with years of experience in Botox injections to perform your injections. (Leyda Elizabeth Bowes, MD, Miami Dermatologic Surgeon)

There Are Two Ways You Can Get Droopy Eyelids After Botox

Eyebrow drooping can occur with Botox Cosmetic in a number of ways. Sometimes the needle penetrates the Frontalis muscle of the forehead and some of the Botox Cosmetic drips down the eyebrow area. Other times it diffuses to the eyebrow area.

Although it can occur, it usually does not last very long. (Thomas Guillot, MD, Baton Rouge Plastic Surgeon)

Botox effect to cause eyebrows to droop

The forehead is composed of elevator muscles and depressor muscles to raise and lower the eyebrows. It is a dynamic balancing act. Botox is a neuromuscular blocking agent and when it is placed in the select muscles of expression in the eyebrows, it will have an effect to either raise or lower the eyebrows depending upon which group of muscles it is placed in.

The Effect Of The Lazy Eye Should Be Gone When The Botox Wears Off

The experience of the injector is of critical importance to make sure they know exactly where to place the product. (William Portuese, MD, Seattle Facial Plastic Surgeon)

Too much Botox can change eyebrow position

Botox injected in the forehead will relax the muscles that elevate the eyebrows. A large dose can lower the eyebrows so we usually start with a small amount in the forehead, often only 10 units. This can gradually be increased if the patient likes the effect and is not noticing any change in brow position.

Fortunately Botox will wear off if a patient notices drooping of the brow. (William Andrade, MD, Toronto Plastic Surgeon)

Botox can cause eyebrow droop

Botox relaxes the muscles it is injected into. When too much is placed in the forehead muscle, or it is placed to low, it can cause a droopy brow. It can also cause uneven movement of the brows, such as the “Spock” look where the outer corners of the brows will raise while the middle is paralyzed.

These problems usually occur when the injector isn’t familiar with facial anatomy or doesn’t properly target the correct muscles, but can also occur if the Botox happens to migrate away from its intended injection site, maybe due to over-dilution.

The good news is that it will go away as the Botox wears off. (Matheson A. Harris, MD, Salt Lake City Oculoplastic Surgeon)

Droppy Eyebrows

Eyebrows that drop can be more of a technical, injector issue more than a side effect of Botox. The injector may have injected too much Botox in that area, or injected it into the wrong area.

This effect will wear away, but can take the full 3-4 months for your body to metabolize. The best way to avoid this is to choose an expert injector from a reputable clinic. (Cory Torgerson, MD, PhD, FRCSC, Toronto Facial Plastic Surgeon)