Why is my Botox now causing eyebrow droop?

I am 37 & have been getting botox for 2 yrs now, every 4 months. I was injected 22 units in July. In Sept, I noticed my eyebrow drooping (~2 months later). The injection sites have been the top of my forehead & all along my brow & crow’s feet. I went back in Nov & let the dr know, she then injected me at the same places but no more than 20 units. Now they are heavy & more droopy. It feels like they are getting heavier and more droopy as time passes. Is this the botox wearing off? Due to being consistently injected in my eyebrows for 2 yrs., will they remain droopy after botox wears off? Thanks.

There are really only two things that can cause this –  too much Botox or not optimal locations for the injections.   As you all know, I am in the Less-Is-More camp regarding Botox! The Botox problems I see when I go to the grocery store,  to a movie, watch television or out to party, are almost always TOO MUCH BOTOX or bad positioning.   My advice would be to let it wear off for about 6 months and then go back, explain the problem and try again with that doctor or find another doctor at that point.

You’re only 37 also, you may need to extend your interval out to 5 or even 6 months to avoid the over Botoxed look or just use less.   Hope this helps, Dr. I

Dr. Brandith Irwin, MD

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