If you relax only one of these areas with Botox and the other muscles are not relaxed, the position of your eyebrows can change. This is where you can get heavy eyebrows. The feeling of heaviness in your eyebrows is because it is harder to raise your eyebrows. This happens if you only relax your frontalis with Botox.
The eyebrows can start rising even before the full effect of Botox on the forehead wears off. It might take 4-6 weeks, but the eyebrow will be back to it's normal position for sure. Sometimes, we can help the eyebrow to lift by giving Botox to the muscle that pulls it down, Orbicularis Oculii.
When we over treat one muscle in relation to the others, a change in balance occurs that does not look natural. This is a very common issue in treating the forehead muscle (or frontalis). Under treatment on the other edge of the muscle causes the "any" arch, while over treatment in the middle causes heaviness.
Usually, a small amount of the Botox spreads to the nearby central area of the frontalis muscle. This makes it harder to raise the inner eyebrows. However, the outer part of the frontalis muscle is working normally. So the outer eyebrows are lifted and you see a peaked appearance.
We can also inject small amounts of Botox above the lateral aspect of the eyebrows to lift droopy brows and open up the eyes. By strategically injecting toxin into key areas of the glabella and brow areas, the forehead will be raised, and you will look more relaxed with a more youthful appearance.
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.
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.
Specifically, injections on the forehead or between the eyes may spread into the eyebrows and cause the brow to lower, causing a droopy eyelid. In most cases, droopy eyelid occurs between one and three weeks after treatment, and patients typically experience this adverse effect for just a few weeks.
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.
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.
This is a side effect of Botox treatments, which can be caused by having an injection done too close to your eyebrows, which pushes them down and in turn, makes your eyelids droopy and puffy.
Answer: Spock Eyes after Botox
In the event there's a Spock eyebrow on one or both sides, this can be easily corrected with a few touch up units of Botox to the lateral forehead muscles on the affected side(s). Your original injector should be able to do this for you.
The arch of the eyebrows after botulinum treatment is higher than desired. This is a subjective finding. There may be diagonal tension lines in the skin from the upper eyelid to the tail of the eyebrow. When you raise your eyebrows, there is movement on the sides of the forehead, but less movement centrally.
The good news in your case is that Botox is temporary. The effect on your brow will improve somewhat in about a month and should be back to its original appearance in 3-4 months.
Too much Botox in the frontalis muscles can cause the eyebrows to arch too high on the forehead. The face looks surprised all the time. 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.
Yes, Botox can cause droopy eyelids if it is injected in the wrong place or if too much is used. Because Botox is a muscle relaxing toxin, if it is injected into the muscles that hold the eyelids or eyebrows up, then this can cause the muscles that pull the eyelids down to be more emphasised.
Eyelid droop often happens when the person giving the treatment doesn't have proper training and enough experience. They can inject Botox into the wrong area or use a dose that's too high, which leads to muscle weakness and droop. You could have trouble fully opening your eyes or vision problems.
Botox is a temporary treatment. The treatment can last three to seven months, but the droopy eyelids will typically go away in four to six weeks.
You can also have a quick laser skin tightening treatment on your upper forehead. This will pull the eyebrows up and correct the heavy feeling. Sometimes you will need multiple laser skin tightening treatments and you can do them once a week.
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.
'Spocking' usually occurs 1-2 weeks after anti-wrinkle treatments. It is described as funny-looking eyebrows that are too high towards the outer end, especially when you raise your brows. Often, they are overarched and make it look like something is not quite right.
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.
Yes, Spock eyebrows are an easy fix. You just need to wait for botulinum toxin to be in full effect, meaning you need to wait 10-14 days and then go back to your doctor's office.
A question we're often asked is can you treat the frontalis muscle on its own. Without the others areas which are the glabella and the obicularis oculi. Generally we advise against this because of the slightly heavy brow caused. Although, you can just treat the glabella and the crows feet area by themselves.