What can I do about Drooping Eyebrows after Botox? Since Botox is a temporary treatment, this problem will usually go away on its own over time without any treatment necessary. However, this will take about four weeks and most patients do not want to wait that long.
The Frontalis is the muscle in your forehead which controls the raising of your eyebrows. After 2 weeks, if you still feel heaviness, try gentle eyebrow raising exercises and blinking your eyelids rapidly for 30 seconds. Do this 4 times daily for 2-4 days as it may help resolve the heaviness.
Lid and Brow Ptosis Treatment
Lid and brow ptosis from Botox usually appears a few days to a week after being injected. Usually, it gets better after three to four weeks.
Spock brows happen when Botox is injected only at the central part of the upper forehead, leaving the sides untouched. When the central forehead is weakened and the outer sides remain active, it causes the central brow to drop and the outer brow to appear like it's lifted too high. The result: Spock brows.
Eyelid ptosis can be treated with α-adrenergic eye drops. These eye drops cause contraction of the upper portion of the tarsal muscle, known as Müller's muscle, creating a 1- to 2-mm elevation of the upper portion of the eyelid, which is usually sufficient to make the eyelids more symmetric.
Although ptosis may persist for the whole duration of effect of treatment with botulinum toxin type A, it will usually settle more quickly and eyelid ptosis will often settle within 3 to 4 weeks and brow ptosis within six weeks.
How long does eyebrow heaviness last? Rest assured, heavy eyebrows after Botox are temporary. The heavy sensation will completely go away once your Botox wears off in 3 months. But it usually becomes less noticeable after a week or two.
Over time, repeated contraction of the frontalis can cause horizontal wrinkles on your upper forehead. Botox treats these wrinkles by relaxing your frontalis muscle; this can make it difficult to raise your eyebrows.
However, BOTOX results are day by day, as it takes a few days to settle into place. Some patients may see the impact of their treatment as early as 3 – 4 days, but most people begin to see results in about 10 – 14 days.
The simplest is to do a “liquid brow lift.” This is when I use a neuromodulator (Botox, Xeomin, Dysport, Jeuveau) to lift the brow, When properly done, neuromodulators can adjust the dynamics of the muscles to result in a lifting of the brow.
When Botox is applied to problem areas around the eyebrows, the muscles relax and the skin on top of them becomes smoother. The muscles around the eyebrows are pulled upwards, elevating the eyebrows and making a patient's eyes appear more open. Patients are thrilled to find they look alert, peppy, and rested.
Too much Botox in the forehead muscles can cause the eyebrows to droop, making the upper eyelids look very heavy and hooded. The face may look angry or sad all the time. Too much Botox around the eyes can dramatically affect facial expression. The face is simply frozen.
If the Botox is placed too low or if it migrates down, the Botox can affect the lower part of the muscle and cause a droopy eyebrow. Sometimes when your eyebrow goes down, it can make your upper eyelid heavy too, making it look like droopy eyelids.
The key is to balance the forces between the forehead elevators and depressors. Typically, a “Spock Brow” is due to overtreating depressors and/or undertreating elevators in the outer half of the forehead. It can be corrected by placing a small amount of Botox into the elevators in the outer forehead.
How Long Does a Droopy Eyelid Last After Botox? A droopy eyelid can last from several weeks to several months or until Botox wears off. Patients usually notice the first signs of this side effect within the first week.
This occurs as a result of migration of the toxin into the muscle that raises the eyelid (levator palpebrae superioris muscle – pink in the picture). A slight miscalculation, like making the injection too low in the forehead muscle, can cause eyelid drooping after Botox.
After the Botox is injected, the eyes can become very irritated and dry, and can go quite bloodshot and red. This irritation can then increase into blurred vision and the inability to see correctly.
Because the frontalis muscle is an eyebrow elevator, placing too much product too far laterally in the forehead can entirely block the frontalis muscle and lead to a droopy eyebrow. In patients who are younger, typically in their mid-30s to early 40s, usually this is not a significant consequence.
It takes effect generally 4-5 days post-injection with peak effects at approximately 2 weeks.
The signs of brow ptosis consist of brows at or below the superior orbital rim. As discussed, patients typically have more temporal brow droop than medial brow droop. Prominent brow ptosis may give the appearance of significant dermatochalasis.
What causes droopy eyebrows? Droopy eyebrows are usually caused with age. As the muscles in the face weaken, it can cause the eyebrows to gradually lower. Sometimes they can also be caused by other conditions such as cancer, facial nerve weakness, and trauma.
'You'll start to see an effect after 3-5 days', instructs cosmetic doctor Rita Rakus, 'however it may take two weeks for maximum results to kick in'. When you go in for your first Botox treatment, it is important to know that you are not going to see results immediately following your injections.