How could an “evil” eyebrow look occur with Botox/Dysport?

Dr. Irwin
June 25, 2015
Hi, After receiving a small amount of botox on my lower and upper forehead for the first time, I have had a very curious result! Whilst the outer portion of my brow (near my ears) has lifted slightly, my inner eyebrow (near my nose) and dropped and curved, so my brows are in a wiggly line and have completely changed shape. They look like 'evil comic-book' brows!The dropped section has caused a crease to push on to my eye, so it's definitely different from my pre-botox eye. I have returned to the lady who injected my botox, who says it was not her fault, and couldn't think what had caused it? Do you have any ideas? many thanks Holly

Well……….I know you’re probably not happy about this problem, I wouldn’t be either…..and you know your friends are going to tease you probably forever about this!

Here is a technical possibility on the “how” part.   When the glabella (the 11s) are injected it tends to drop there, just slightly, almost imperceptibly usually.   If the injections are low in the glabella or you are just quite dropped there naturally, it may fall quite a bit …..so that’s the medial part.

The lateral brow has lifted in reaction and also, if she injected just under the brow, it releases the brow depressor muscle and pops the lateral brow up.  Thus the new odd shape.

You may need to find a dermatologist who can help you.  The lateral brow can be dropped by injecting just slightly above it and then next time, the Botox for the 11s may need to be adjusted higher.   Your old shape should be back.

I hope that makes sense!  Dr. I

Dr. Brandith Irwin, MD

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