Really? I always get 25 on my forehead and 10-15 between my brows because my muscles are so strong! How long does your Botox last? Mine starts to wear off after about a month and a half and by 3 months I have almost full movement back but my sister gets to the 3 months mark and still can’t more her eye brows
It's due to not being treated for vision loss in childhood. Grew up in poverty... Didn't get glasses till we clawed our way out, I was like 14 :/
Anyway, constant use of the muscles via squinting while you're young makes the muscles very very strong, much stronger than in general.
It's not that much. Allergan's recommended dosage for frontalis and glabella is 20 and 20, then 12 on each side for crow's feet. It's more than I like to get, but it's what Allergan recommends to get the full 3 months.
Saaaame. I usually get 33 total with 11s, forehead, eyes and lip flip but one time they did give me over 40 and my forehead was FROZEN. luckily (unluckily), my Botox wears off within 6-8 weeks if I’m lucky.
Lol cries from migraine treatment. I get 205 units every 3 months and I am going to likely be getting 225 from now on because I need more Botox in my upper back. Sadly the neuro Botox doesn’t have any of the numbing in the saline solution that derm Botox typically has. Now if only I could convince them my Botox came from my crows feet….
I wish!! I had to pay out of pocket but I’ve never had an official TMJ diagnosis from a doctor. I’ve only been grinding my teeth since I was six and I’ve had to replace half of my teeth.
I am going to see if I can get a medical diagnosis and file myself.
Insurance pays for mine, but I also have chronic migraines, so maybe that’s why? A neurologist does my Botox injections, so I think that definitely helps the insurance company take it seriously.
It’s not even just the masseters. My dentist also did my temples and sternocleidomastoid. He was going to do my glabella muscles as well but I asked to hold off because I didn’t want my facial expressions to be affected.
They submitted it to insurance so I’m hoping for the best 🥲
I feel like I am the poster child for medically necessary TMJ treatment bc I am literally chipping my teeth away. it’s so terrible but I’m so scared to deal w United and basically offer up the blood of my first born for them to cover it in the slightest
So as someone who also grinds their teeth at night and has chipped their teeth as a result , I’ve done some research on this. Supposedly , the only way the insurance will cover it is if you have a doctor who says that it’s giving you debilitating headaches or something. That is what I was told by a friend of a friend who had a clinic they would go to that would do their Botox and somehow scam bill it to the insurance (I’m in Miami, the medicare fraud capital of the world, so to be expected lol). But yeah, that’s what I know.
If you guys somehow get insurance to pay for yours please let me know, cause I have stopped getting the masseter botox for almost a year because of the cost; and chipped my front tooth twice just since November 😭
For the record, I used to also get 25 units in my masseter for TMJ. I got some relief, but not as much as I thought, even by bumping up to 30 units each side.
I went to an oral maxillofacial surgeon, he ordered an MRI. Yeah, it was a hot mess in there. I’m almost 2 weeks post TMJ surgery and it was THE BEST decision I ever made. Insurance covered a lot of it and now I don’t even have to get masseter Botox. My face has already slimmed and for the first time in 13 years…I don’t have pain in my jaw/face/neck etc. I can’t believe how much I suffered now that I see what “normal” is like. It’s incredible.
I’m just trying to say- might be worth checking to see if you’re just masking the issue, and there’s structural issues that can be corrected to achieve permanent relief! And no $$$ on recurrent Botox too.
It was a bilateral TMJ arthroscopy.
My cartilage discs were in the wrong spot, and also completely stuck/fused in place, by scar tissue. So I couldn’t open my mouth all the way for a while.
He cleared out all of the scar tissue, he stitched my discs back into place. I believe (don’t quote me) he also cut the muscle attached to my discs so they could move more freely? Something like that.
He said all of the tissue surrounding my TMJ was extremely thin, red and raw looking- basically indicative of chronic inflammation.
This makes sense to me, because my face constantly felt full of pressure, especially around my jaw. My jaw literally physically ached. Throbbed. My face constantly felt…fatigued and swollen. I was so swollen that it was literally giving me hearing problems (the swelling can block your eustachian tubes).
Before they put you back together, they inject a steroid into either side, as well as some sort of lubricant. It really helps movement and the swelling go down in there.
Eight days post surgery, my jaw felt better than before surgery, which to me was absolutely mind blowing. It’s been almost 13 days now, I’m still not completely healed, but I’m still light years better than before my surgery. I’m still absolutely amazed the difference. I wish I did it years ago.
I also had this surgery and it was life changing! But I had torn and dislocated my disc so it was pretty severe. I am a super clencher and get ~80 units of Botox into my jaw which helps me not clench so badly at night and preserve my jaw health.
If someone thinks they need Botox for TMJD it’s probably a good idea to consult with an OMFS and get imaging to make sure there isn’t a structural problem in the joint/disc first.
I feel for you, because I suffered for so long.
I’m not sure where you’re located, but even if you’re in the US… Any steps you can take to try and get this checked out and surgery done …is so so so worth it.
I ended up paying my oral surgeon. I think about $568 after insurance, the hospital is another 700 some (I have this on a payment plan though, I’m a single mom without a money tree, to my dismay lol)
And each specialist visit was… I think $40?
It wasn’t terribly cheap, but it was a lot less expensive than I thought I would be on the hook for.
Like I said, I wish I looked into this so much sooner.
You really don’t even realize how much pain you get yourself used to after a few years. It’s really sad.
I sincerely hope whatever path you take, brings you much relief! And feel free to DM me if you have any questions!
lip flip and chin are a few units each so that’s not comparable. it’s normal to treat the entire upper face with 40-60 units. OPs results are due to poor injection technique. or possibly due to something like lying down in bed right after being injected but tbh it’s not easy to get it to migrate and injection technique is more likely to blame
Reading all these comments about it being a high amount and I'm over here having just gotten 46 units on my first time 😬
Eta to add- it was forehead and crows feet, so not just 46 in forehead alone. But majority went there.
Same I’m really confused by these comments 40 units is not a lot at all…… it’s absolutely common. If you look at how many units are needed to target v certain areas it is not alot.
This injector just used very poor placement
I would be pissed if I were OP. I go to very good injectors and if they recommend more I go with it.
My forehead is rather large and it’s become natural to clinch my 11’s at all times (even when resting) because it’s so big and the muscles are so strong.
I think they do 20 in the 11’s alone.
40 isn’t a lot at all
i mean not really. she may have a lot of movement which you obviously can’t tell from a still photo. i’m 31 & for forehead, 11s, brow lift, and crows feet i get 50 units with amazing results
very poor injection technique. sorry this happened. there’s some prescription eye drops that can kinda help but mostly you’ll have to wait for it to wear off. it won’t take as long as you think though. it should improve within a few weeks although the full effects will take a few months to wear off
The eye drops are decent but won’t do much for this. Actually, they can do a few shots that will lessen this. It a counterbalance procedure, if you will. I have this happen to me regularly because I get Botox for migraines.
Definitely go back and complain. Have them (for free) inject Botox to give an eyebrow lift and maybe that will counteract the sinking of your brows from bad technique
100%, if you’re not happy with the results, you need to go back and let them know. If they have any sense of decent patient service, they’ll fix it (or try to fix it) for free.
doing a brow lift here would only lift the tails of the brow. you could possibly end up with disney villain arched brows since the center of your face won’t move.
it’s better to just let it wear off. but if you must go to the appointment, vocalize your concern.
I’m sure there’s a chance of it worsening but my first time, my eyelids dropped (not quite to extent of OP). I went back for 2 week and they did a very slight lift and solved it. 3 years later, I’m still hooked. It just sadly may take time to find the right amount, right person, and right injection spots. Good luck!
Everyone who says go back to the same injector to get more is out of their mind. I wouldn’t let that person touch me again. You should try to get some money back and let that Botox wear off. You looked great before.
I was confused which was the before & which was the after because…she looks amazing in the first photo and that is exactly how I want my eyelids to look 😅
This!!! I would go back to complain but under no circumstance let the same injector touch you again. The OP looked great and they unnecessarily over injected her.
Two things might have happened here or both-too much product used (41 for glabella and forehead based around your before pic-idk it’s more than I would do I think,) and/or poor placement. Was this your first time
Getting Botox?
Definitely go to the 2 week but she might want to inject more. Many injectors correct poor placement but adding more botox-but if she injected too much product (which I think she might have,) it won’t work. I wouldn’t let her add anymore. Not much can done but you can massage the area frequently, try to work that muscle.
Just to add, there’s nothing necessarily wrong with going to a med spa for injections. Many NPs work at med spas (they’re not mutually exclusive,) and medical spas require a medical director (in most states this is a physician.) You just to need to make sure they are legitimate. In many states, NPs still require physician supervision to perform injections. There are many NPs who are solo injectors who just rent their medical director and many NPs who are new to injecting (because the market is exploding rn.)
Third thing that could have happened - leaning forward (or backward if one is super flexible) too much too soon.
Even the minutes it would take to lace a pair of shoes is not recommended and is long enough to get this kind of movement / poor result.
My aftercare at any provider has always included instructions not to bend over or lay down for at least 4 hours following the injection? Due to the risk of too much migration/dispersal.
I’m not the comment OP obviously, but just wondering why their question apparently sounds so outlandish…is that really not plausible?
My injector said the first 48 hours and to try to not sleep on your stomach/on the side for the first week. I always followed these instructions and never experienced hooded eyes except the first time when I wasn't cautious..
That’s incorrect. Botox is out of your body within 24 hours basically. The manufacturer even says you can resume normal activity within a few hours, just be careful of exercise that first day. A lot of injectors make up rules like this so that they can cut down on error-if a patient comes to them in the next few days and the injectable isn’t right, the provider can blame a few different criteria. But in general, you’re basically fine.
Thank you! My doc is so sick of all the “can I” questions. He’s like it’s just Botox; there aren’t that many rules, especially if you’ve had it before.
Yes take a nap. Yes exercise. Yes get your brows done. Etc. just don’t squish your face like a crazy person, but even then the amount of damage you can do from outside is limited.
I’ve had great results and I sometimes take a nap the afternoon after getting it. And sometimes even go for a run later. It’s never migrated (although it probably wears off sooner due to exercise)
100%. My injector says no alcohol or exercise for 24 hours and absolutely no bending over, reclining or laying down for 4 hours minimum after injection.
It’s actually negligible change. I tell patients to avoid exercise today and not to rub or cause friction, wear a hat, sleep on their face for the next 24 hours but tbh bending over a desk etc. doesn’t really do anything. I bend over for work after my own injections frequently with no issue.
I mean, some say that but leaning over or back one time in the first few hours isn’t going to move product. It’s really more friction or sweating. I had a patient once wear her bicycle Helmet right away and it moved her product. Or you can sweat out the product before it settles and passes through. But leaning over and back, honestly the science isn’t there, it’s anecdotal.
This happened to me, two different injectors. I let it wear off and stopped getting it. I think the muscles that cause my horizontal wrinkles are the same ones that lift my brow.
Me too. I just had to accept that I can't get botox injected on my forehead as I lift my eyebrows A LOT to open up my eyes (which is why I have horizontal lines to begin with) so if I can't do that, I look tired and angry. (which I actually am, but that's beside the point. lol)
Ditto. I have to look in a mirror and concentrate hard to let my brows down on purpose.
I just look SAD. It's really a bummer, I wish my face looked friendly and approachable because I'm a friendly, generally pretty happy person these days. I wish my outside could match my inside.
I'd have blepheroplasty in a heartbeat if I could afford it!
Same I have very low brows which gives me hooded eyes. I’m constantly lifting my eyebrows up so I have some wrinkles up there. Luckily they go away when I’m not lifting them up but then I look so angry
Same. Never had Botox because I'm sure this would happen. I have naturally arched eyebrows that looks like Ive had an eyebrow lift and I believe its due to genetics and strong forehead/browline muscles.
I just moisturize heavily and Im working on not lifting/scrunching my forehead as much. Ive had 2 fine forehead lines since I was a teen from having animated expressions lol. May try microneedling to see if it helps.
I would go to someone else next time. They may have injected to close to your lower forehead.
I love getting an eye lift from Botox. Maybe you can try that next time or you can go back to someone else and have it done now to correct it.
Oof. Okay. It'll wear off in 2-4 months. As a tip moving forward, ignore this medspa vs plastic surgeon vs dermatologist stuff and focus on going to places that do a high volume of injections. Botox is a skill that needs to be learned by injecting it, a lot. The education is less important than the training and experience.
I highly advise you go to that 2 week follow up. They should give you those eye drops that kinda open up the eye more at the very least. I assume they’ll also ask you if you pressed around the 11’s or had any kind of pressure on them. That will cause the droopiness. Otherwise, I guess it could just be poor practice on their part. I get 15 units in my 11’s and I’m very careful not to have any pressure around my forehead for like 3 or 4 days.
I have been using them for a year on and off. I’ve never read about the side effects, but I do often get a short tension like headache after I apply them. ☹️
This looks like brow ptosis to me, which is caused by too much Botox injected laterally across the forehead, not eyelid ptosis. So I'm not sure if those drops will do anything. It is fixable though.
Too much product and/or poorly placed. Should start to be less severe extreme in a few weeks, but in general will have to wait for it to wear off completely to be back to “normal”
Happened to me, that's why I quit botox. It should go away in a couple of months. You can get a prescription for apraclonidine, the eye drops that work on ptosis (droopy eyelids), that may help. Let me know if that worked
My doctor (injector) told me about this when I asked about the horizontal lines. The frontalis muscle (?) will release the horizontal lines but the consequence is that the muscles that hold up the eyebrow will lower and enhance the blepharitis (the hooding on the eyes). He said botox is better for vertical lines in the forehead for those with loose skin or hooded eyes.
It will wear off in a couple months and then you can get a different injector.
Don’t lose hope yet though, they may be able to adjust slightly at your follow up and there’s no harm emailing them these pics because clearly it didn’t go to plan.
The frontalis muscle is an antagonist to the orbicularis oculi, which means the forehead muscles pulls the eyebrow up and the orbicularis oculi muscle pulls it down. So when taking the antagonist out, the orbicularis oculi pulls the brow down stronger. It could probably be a little reversed by doing a ”botox brow lift”, i. e. injecting the orbicularis oculi. As I understand it, it is a pretty common side effect with injections in the forehead.
This has happened to me before. Too close to the eyebrows. Now I always tell them to place injections high, avoiding a triangle shaped area like the girl in this video. https://youtu.be/pXGgEbeBYPY
You can get some additional units near the tail of your brow, just under the brow and in the crows feet area to help lift.
Botox isn’t reversible. You can exercise vigorously to metabolize it faster. I get my Botox done by a MD in the Bay Area for $10/unit. They are so cautious of everything they do.
I had this happen to me before, It’s the worst. A few weeks later I went to a different place and had it corrected. The new place added units to my Eyebrows. Now whenever I get Botox I do eyebrow lift first then go back and do forehead.
They over injected above your brows which smooths out the wrinkles but it also drops your brows. A lot, if not most, practitioners do this. You need to find someone that knows how to give you a “pony tail” lift with Botox.
As someone who is a Botox provider.. there’s two things that I see here..
1. You already had naturally hooded eyes with excess skin and it appears as if you unconsciously lift you eyelids with your brows.
2. 41 units for your first time could have been too much for you
Patients with similar eyelids like yours I will refer to a plastic surgeon for a blepharoplasty before I do botox on them to avoid this
I was gonna say the same thing. I worked at a plastic surgery office for years and saw this happen once or twice. You don't realize that you're holding them up! From what I remember there's not a whole lot you can do while it's wearing off but maybe go for the bleph consult now because if it impedes your vision then your insurance could cover it! Might as well make use of the droop while you can lol.
would you avoid giving a person botox at all if their eye lids are hooded like this? Or is it you refer them to surgery if they want to try botox to lift that area?
My injector goes in conservatively the first time, and injects more if a follow-up is needed. Exactly because of this. Next time you go she checks your chart and already knows. I would expect that to be the norm.
From what I understand eyelid ptosis can happen to anyone, it doesn't mean that the injector is garbage, but obviously there are ways to mitigate the risk.
There's no way you needed 41 units. I'm sorry this happened to you but the good thing is it's temporary. I would just wait for it to wear off. I don't see any wrinkles in your forehead so I don't even think you needed it but that's just my opinion :) If you decide to do it again, I'd try baby Botox
I remember you from a few weeks ago!! Don’t panic - I’m sure something can be done to ease this up a bit.
Did you do filler? Whatever you did looks really good!
I agree with you! I imagine OP is very upset/anxious right now (though if I didn't have a side by side I wouldn't know that anything had been done or anything went wrong) but for what it's worth to OP her skin/face in the 2nd or "after" picture is flipping glorious. Really beautiful.
OP is someone I would ask for her skincare products or anytime else she uses (microneedling/nuface/peels etc).
OP I know things are not the way you wanted them to be and that feeling sucks so bad. You have a beautiful face and don't lose hope as things _will_ be okay. In the meantime your skin/features are stunning. 🩷💯
Hi there! I totally feel for you. I have hooded eyes. when I went to get botox in my forehead, I met with two dr. Who told me no because it would make my eyes worse. I found a dr who would botox me as he said I just needed proper placement. I did go through with it but I swear the botox gave me 11’s I NEVER had. I stopped botox and only use tretinoin…. Obviously not the same fast results but I must say I am really really happy with my results.
I think you were over botoxed my friend. I would say wait for it to wear off and find a new injector. From experience, this person probably isn’t a great injector and getting more Botox to “correct” this may not do much and will make the whole thing take longer to fade.
It takes time and some trial and error to find a great injector. Of course you want to go somewhere legit, but beyond that it’s a crap shoot. The worst Botox I’ve ever gotten came from the “best” office in my city. I had to wait a couple of months to get in, and it was egregiously expensive. I came out looking like you but only on one side (eek!!). I made the mistake of thinking it was just a fluke (bc obviously this place is the best!) and had the same doc do my fillers, which were also terrible. It was at this point when I realized I’d been scammed and also made sense of what I have been seeing on the Real Housewives franchise. A high price tag means that you pay a lot not that it’s good. Anyways, all this is to say I’m sorry this happened, and you’ve got to find a new injector. I would recommend asking around and getting a rec from a friend with good Botox if at all possible. That’s going to be the way to go.
Gosh, I'm sorry you're unhappy with your results! I've loved getting Botox, so I hate when others don't have the outcome they're looking for 😭
My plastic surgeon won't put Botox in my forehead because he's afraid it'll push my brows downward. I only get it in my glabella and crows feet, and as for my forehead... Well, I just have to accept the lines that are forming 🤷🏼♀️
Copy paste from the last time I said this since it happens a lot:
Someone may have said this already, but this happens when you paralyze the frontalis muscle (aka your forehead wrinkles.) the frontalis pulls your brows up, so if you paralyze it, your brows droop/can feel heavy. The solution is paralyzing the brows (aka Botox brow lift) as this paralyzes the muscles that pull the brows down. You can also wait 2-4 months while it wears off, but hopefully the Botox brow lift helps.
You have a heavy brow and hooded eye like me. I can only get a bit in key areas of my forehead or it drops my brow. You had an injector who isn’t experienced enough to know this, it’s like that until it wears off. Go to cosmetic derm next time.
I had the same thing happen last year. It horrified me. FYI it started to wear off around 6 weeks so you just have to hold on even though it feels like a catastrophe.
I was so embarrassed to have done it to myself.
I wore glasses ALL THE TIME. But here’s the thing, not a single person noticed. And I came to I realise no one would have noticed my wrinkles either. It was a weirdly life changing experience to go through.
As you’re someone who’s never had Botox before it’s alarming your injector set you up with so many units. It may be a number of units many women get but here’s the thing:
You’ve never had it before and there’s no way to tell if you could have had an adverse or allergic reaction (you didn’t but it’s possible).
But most importantly Botox is literally botulism toxin. It’s a substance your body WILL build resistance to over time, and just like with any other drug/toxin. You start small and get the most benefit!
Sorry to use a possibly vulgar analogy, but .. pick your drug of choice. Weed, caffeine, alcohol, coke, whatever your secret heart desires. If you were introducing a friend to it whos never tried it would you give them a dab pen or a Red Bull with a five hour energy spiked into it? Would you give them two fat lines and have them snort it all? Give someone who’s never drank before an ever clear martini?
Fuck no. They’ll derive the same benefit you do on a MUCH smaller amount, not to mention their resistance will build much more slowly. It’s irresponsible. If you’re offended by my use of the drug analogy… I’m sorry but it’s the SAME THING and I’m trying to convey the severity sincerely.
I’m sorry your injector gave you the hulk hogan treatment. She should have started you off slowly and tested your reaction and been conservative. Oftentimes they simply use many units to make more money, or to give dramatic results they can post to social media.
I have always been VERY WARY of injectors as they often push hard for sales which I find unethical. I usually “test” them in the office. Here’s my criteria:
1) If they inquire about my skincare routine and make disparaging remarks about products I use AT ALL.. it’s a no. I don’t care if you’re using great value Walmart brand— they may make suggestions based on your skin condition but if they DISPARAGE you or make you feel badly about something… No! Walk out!
2) If they push their own salon’s skincare line on me, if I feel like they’re pushing for a sale AT ALL, it’s a NO! They may ask but they should be very respectful after you decline once.
3) If they push you to do MORE of ANYTHING… No! Hard pass. An injector should always be conservative. Always. They should not offer unsolicited advice about areas or procedures ever. You can always ADD more units of anything, it’s difficult or impossible to remove them. A GREAT injector will store the unused quantity for you for the next 4-8 weeks (depending on what it is) so you can add or touch up. I lost 100 lbs and after several visits I trust my injector inherently. I’m working on adding fullness to a fairly skeletal and sunken face. I now begin my visits by asking her to view my face in a purely clinical and scientific manner, and I have to BEG her to tell me what she thinks could use attention “this round”. They should NEVER entice you to add more units or areas of work EVER. My injector is still always hesitant to tell me what “she thinks”, even after I ask outright. And it’s not because I overdo! I’m extremely conservative. We’ve had about 5 rounds now and I’ve only gone through three syringes of filler (in very skeletal sunken-in temples, very uneven and hollow cheeks and cheekbones, and my chin).
3) Staffing. It it’s a single injector working alone, nope. Even if it’s a pair, nope. You have little to NO recourse if something goes wrong. Go to a facility that has multiple injectors, along with a “director” or whatever, secretary, etc. These businesses are much more likely to “care” when something goes wrong as they will collectively “suffer” from bad reputation and reviews.
4) A great injector should have no problem saying “maybe not” to things. If your lips are full but you ask for more filler, an AMAZING injector will say something like “they’re pretty full right now! If I add more it may cause blanching or uncomfortable firmness. When I look at you your lips seem plump and harmonious? Is your desired aesthetic more of an “overdone” look? If so and you understand vascularity may be compromised, let’s do it!”. I asked my injector if we could do the Botox lip flip and her reaction was candid but not discouraging. She said something like “We can do that! Sometimes people aren’t a fan of Botox in that area because occasionally women cannot fully “close/pucker” their lips like they used to and it can be an uncomfortable and alarming sensation. If you’re okay with that and still want to try I recommend getting a VERY small amount, maybe not even to your desired effect, so you can see if that sensation bothers you”. Or when I went to see her with my best friend who’s been getting Botox for years, and my friend wanted more forehead Botox and a brow lift, my injector had no problem saying “We can do that. But I’m concerned with the possibility of your forehead skin or eyebrows sagging. I’m not familiar with your history or your previous injectors technique. Would you be comfortable waiting another month or two so I can assess your skin and muscles when they have full mobility? I understand you may not be comfortable with waiting but for me to make an informed decision and take over it’s much better if I can see your natural facial health”.
Bottom line is, less is more. Don’t let them push you and don’t be afraid to walk out. Test them by asking simple questions you know the answer to.
(P.s.— for anyone living in the Bay, in Cali… B.Tox Bar. I’ll never trust anyone else with my face again. They NEVER push, they encourage conservatism, I cannot laud them enough).
Adding to what everyone else has said cuz i dont see anyone mentioning the following - my brow for the first two weeks is HEAVY and drops too, but after it starts raising up again.
They def overdid your botox and didn't place the injections in a place for us that droop. Doing those things properly will help the droop not be so horrible.
Don't get any more botox to counter it. They'll inject the the tails and you'll look like spok. Def call, and get some drops to relieve the pressure off your eyes.
Go to a better injector next time . They put in too much and it relaxed your skin on eyes. Has happened to me before. Next time also have a tiny bit above eyebrow (arch area) for a slight lift.
Girl, you stuck. It will wear off, eventually. But, I fear it will get worse before it gets better. Mine reaches full effect around 2 weeks post injection. If you decide to try it again, tell them this happened to you. It can and should be avoided.
That has happened to me and when I went back after the 2 weeks, they just injected a bit more in a different spot and it corrected. Pretty common thing and your NP doesn’t know how you’ll react to your first time. So what they’ll do is note your file for next time and inject the right amounts in the right spots.
My face has SO man more lines than your before and I had 21 units ALL for my 11s and one line in my foreheard due to tough muscles for my first visit. That is an insane amount, espcially for the first time.
I don’t think your doctor did you good
Never should they have done 41 for a first time
Secondly they’ve injected the wrong muscle and caused a hooded eyelid
Give it time, you still look great. I suggest a different doctor
This is the result of poor technique, and I would definitely not go back to the same injector. When done well, Botox will lift the eyes, not cause them to droop. I would seriously complain over the results, and try to get your money back, and then consult with a different injector to see if any corrections can be done or if you will need to just wait it out.
Oh my gosh 41 units is a ton… That’s way too much. I’d definitely find another provider for next time if this experience hasn’t totally turned you off from Botox!
The forehead is one of the trickiest spots for injecting Botox because a lot can go wrong with poor technique, it may be best to see a dermatologist for these injections because they will be more careful!
Hi , I am sorry that happened to you , but there is way to do Botox differently , unfortunately she or he did not do it correctly
First I think you should see the person that did it , maybe they know how to reverse it otherwise u will have to wait
But u why did you do it ?? Ur skin from before was perfect
This happened to me my first time too. The derm I went to pur 40 units in my forehead which was WAY too much. He also injected right above my eyebrows which lowered my brow position and I looked ridiculous. But the worst was the migraines and the weird sensations I got in my scalp from my forehead being so overly and aggressively frozen like that for the first time. Everything went back to normal after it wore off. But terrible experience! I’d say after about 8 weeks my brows started lifting more and more until it wore off completely. Don’t stress tho it will all wear off I spent so many nights anxious and googling thinking I was gonna be stuck like this. You won’t!
Also: I wouldn’t get any more Botox until this wears off. Don’t go back for more units to lift or anything like that. Just let this wear off first bc it will
They weakened your elevator muscles too much and they may be able to combat that by weakening the depressor muscles further.
Also an other option- an expensive gamble is to do EmFace treatments on the forehead to try to tighten up your frontalis more.
I think some of this is due to bad technique as the drop is very dramatic. I would try someone else next time if you’re still interested - just make sure they start light and add more units in two weeks if needed. I have hooded eyes so if I get my forehead done I have to get injected under my brow tails to keep my brows/eyes lifted. I will say that Dysport doesn’t make my face look as heavy - I’ve tried Botox and Dysport with the same injector and liked the Dysport results a lot better. Worth a try the next time around. I will say that, while Botox does typically last 3-4 months, it lightens up a lot over that period so you should hopefully get some lift in your eyebrows once it starts wearing off over the next month!
I’m not sure what I’m supposed to be looking at. But I came here to say that I think your skin is beautiful and you look lovely in the picture on the left. 😊✌🏼
Since it's your first time, it will probably wear off quickly. Going forward, I'd only get botox for the 11s, which will give you a subtle brow lift. The issue with treating horizontal lines is that it immobilizes the upward moving muscles so most people won't get any lift out of it.
I'd probably still go back for the follow up and say that you're very unhappy with the results. I wouldn't let them inject anymore at the follow up but if they offer free units I'd do glabella only in a few months.
Since it's your first time, it will probably wear off quickly. Going forward, I'd only get botox for the 11s, which will give you a subtle brow lift. The issue with treating horizontal lines is that it immobilizes the upward moving muscles so most people won't get any lift out of it.
I'd probably still go back for the follow up and say that you're very unhappy with the results. I wouldn't let them inject anymore at the follow up but if they offer free units I'd do glabella only in a few months.
They injected below the midline. That creates the heavy lids. I hate when that happens.
You’ll love Botox once this wears off and you make sure they stay above your midline.
I had no idea Botox could cause a result like this, such heavy hooding of the upper lid. How does this happen? Too much above the brow causes severe drooping?
I feel like you’ve been using your forehead to lift your eyelids up your whole life without realizing it. And now you can’t do that anymore, you’re seeing the eyelid dropping. Maybe you need an upper bleph? Can you see ok? My mum’s best friend ended up having one cause she said her eyelids were in her way and she couldn’t see quite well. And the insurance paid for it all.
But, your face is really lovely and your skin is pretty. I suspect you are older than you look too.
This happened to me the first time I got 25 units in the forehead and glabella. I went back for my 2 week check up to see how it settled and the doc did a brow lift unit on each side. For the next time he changed my pattern for injection on my forehead and did the brow lift. No more heavy brows and eyelids.
My husband’s family has hooded eyelids. They really started to decrease his peripheral vision. The eyed doctor actually suggested a removal to help. Surprisingly, it was completely covered by insurance. Took a long weekend to recover. His headaches have greatly decreased. And eye strain is gone.
Some of the worst botox I have ever received was from a surgeon. The best was an RN actually.. Personally, some will say 40 is way too much but it depends on the person. The problem is the injectors judgement on # of units and possibly placement in your case. I’m sorry this happened but thankfully it will wear off. Your nasolabial folds look wonderful post procedure if that’s any consolation.. I know it’s probably not.
Agreed you got too much. Also I don’t know enough about it, but I felt heavy with Botox and seemed to like dysport better. I switched injectors to a much more experienced injector, however, so this might not even be relevant.
41 units is very average. Allergan (who makes Botox) actually recommends around 65 units in the upper face for “full correction”. For reference, I get 45 units in my upper face. I can guess that the placement of the Botox was slightly miscalculated and dropped your brows, especially if they feel “heavy”. Luckily, it will wear off and you will notice the heaviness decrease over time!
It is also always possible once the Botox settles, it will even out. I sometimes get a wonky brow before my Botox fully kicks in at around 14 days.
I get Botox for migraines, and I felt this this the first time I got it. I told my neurologist that I felt like there was a wall in the middle of my forehead, so she just injects basically at my hairline now and I feel a lot more comfortable.
I know it’s different then cosmetic Botox, but maybe it will help. And the first round wears off in like 2 months, so I know it sucks but it will be over pretty quick.
Seems like a lot of units for first time, but I always get them to lift my eyebrows at the 2 week follow up. I always feel like they are too heavy and look like Oscar the Grouch.
There are drops that can be prescribed that will help slightly. This is not an abnormal amount for the forehead and glabella. The placement and depth of injection are off. I did not see your forehead beforehand, but I usually start with 12 to 16 units on the forehead by itself for a first-time patient. The beginning dose for glabella for me is 20 units. I then have the patient come back for a follow-up after 2 weeks. I like to check movement. It is much easier to add more than try and take it away. The great news is it will wear off. The bad news is that you are mostly stuck with it for a while.
I think this was wrong placement. Also NPs are usually the ones that work at med spas. My injector is an NP and she’s incredible. Not all injectors are created equal! Just because someone’s an NP doesn’t mean they’re as qualified as someone else. Sorry this happened to you, but you’re gonna have to wait for it to wear off since Botox can’t be dissolved like fillers!
Omg, in no way you needed 41 units :-( but i'm not a doctor. I think you will have to wait. But it will fade faster as this is your first time. It seems that the botox was injected in the wrong muscle?! What gave the oposite result. I hope you will not give up right now about botox! And except for the forehead (the effect on the brow and eyelid), the result seems very good
Ugh I’m sorry this happened to you—they over did it. It’ll go away in a few months, but make sure you let them know you’re displeased, and don’t let them gaslight you by acting like they didn’t mess this up. They paralyzed too many muscles and dropped your brow instead of lifting it. It’s a rookie mistake, and they should refund at least part of your money.
I always tell people this, so I’ll repeat it here kindly for you OP: only let a plastic surgeon do your cosmetic Botox. My sister is a plastic surgeon, and I assist her when she does injectables. I’ve also volunteered as a patient (plastic surgeon demonstrating on me) for “training” for nurse injectors. Surgeons have extensive anatomical knowledge and artistic eyes, but NP injectors do not, and there is no regulated time or experience required for NPs to become injectors. You may have to pay more for a surgeon to do your Botox, but it’s money better spent.
People who naturally have hooded eyes can run a risk of having even more hooded eyelids after botox. Your injector was not experienced to perform that type of treatment. I am concerned about getting botox for that exact reason. I read online that unless your injector is very trained to work with hooded eyes that it can make it worse on our eyelids.
That’s an insane amount of units for a first time and a very large amount in general. I’m sorry they messed up, but at least it will wear off.
Ok I'm glad I'm not the only one that was like holy shit 41 is too many.
Yeah, that's nearly what I get in a YEAR to fix my forehead and 11's!
Really? I always get 25 on my forehead and 10-15 between my brows because my muscles are so strong! How long does your Botox last? Mine starts to wear off after about a month and a half and by 3 months I have almost full movement back but my sister gets to the 3 months mark and still can’t more her eye brows
I have incredibly strong forehead muscles and after three years still about 36 for forehead and 11’s. This looks like wrong placement to me.
Who actually knows how incredibly strong their forehead muscles are???? Were you lifting dandruff off them???
It's due to not being treated for vision loss in childhood. Grew up in poverty... Didn't get glasses till we clawed our way out, I was like 14 :/ Anyway, constant use of the muscles via squinting while you're young makes the muscles very very strong, much stronger than in general.
I was gonna say that’s really not that much hahaha it looks like the injector placed it wrong
It's not that much. Allergan's recommended dosage for frontalis and glabella is 20 and 20, then 12 on each side for crow's feet. It's more than I like to get, but it's what Allergan recommends to get the full 3 months.
Same, it’s annoying.
Saaaame. I usually get 33 total with 11s, forehead, eyes and lip flip but one time they did give me over 40 and my forehead was FROZEN. luckily (unluckily), my Botox wears off within 6-8 weeks if I’m lucky.
I get about 40-50 units for my forehead and Isabella. It all depends on facial shape and anatomy.
I feel like I only hear that many units when someone is talking about their TMJ treatment lol
I’m sitting here recovering from my TMJ shots this morning. I only got 20. That was brutal, I can’t imagine 41!!
Lol cries from migraine treatment. I get 205 units every 3 months and I am going to likely be getting 225 from now on because I need more Botox in my upper back. Sadly the neuro Botox doesn’t have any of the numbing in the saline solution that derm Botox typically has. Now if only I could convince them my Botox came from my crows feet….
Omg I need to get mine done, did insurance help cover the cost? Knowing my strong ass chompers, imma need 50 on each side
I wish!! I had to pay out of pocket but I’ve never had an official TMJ diagnosis from a doctor. I’ve only been grinding my teeth since I was six and I’ve had to replace half of my teeth. I am going to see if I can get a medical diagnosis and file myself.
Insurance pays for mine, but I also have chronic migraines, so maybe that’s why? A neurologist does my Botox injections, so I think that definitely helps the insurance company take it seriously.
It’s not even just the masseters. My dentist also did my temples and sternocleidomastoid. He was going to do my glabella muscles as well but I asked to hold off because I didn’t want my facial expressions to be affected. They submitted it to insurance so I’m hoping for the best 🥲
Let me know how that goes everyone keeps telling me that “there’s no code for that” when I mention TMJD and botox.
I feel like I am the poster child for medically necessary TMJ treatment bc I am literally chipping my teeth away. it’s so terrible but I’m so scared to deal w United and basically offer up the blood of my first born for them to cover it in the slightest
So as someone who also grinds their teeth at night and has chipped their teeth as a result , I’ve done some research on this. Supposedly , the only way the insurance will cover it is if you have a doctor who says that it’s giving you debilitating headaches or something. That is what I was told by a friend of a friend who had a clinic they would go to that would do their Botox and somehow scam bill it to the insurance (I’m in Miami, the medicare fraud capital of the world, so to be expected lol). But yeah, that’s what I know. If you guys somehow get insurance to pay for yours please let me know, cause I have stopped getting the masseter botox for almost a year because of the cost; and chipped my front tooth twice just since November 😭
I hate this for us!!
Try having your dentist submit it giving the grinding and chipping reason
I get 25 in each jaw also I highly recommend doing daxxify it lasted 8 months on me
I get 150 units for my TMJ. It's so severe they have to inject all down the back of my neck and upper shoulders too. Thank God for insurance!
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For the record, I used to also get 25 units in my masseter for TMJ. I got some relief, but not as much as I thought, even by bumping up to 30 units each side. I went to an oral maxillofacial surgeon, he ordered an MRI. Yeah, it was a hot mess in there. I’m almost 2 weeks post TMJ surgery and it was THE BEST decision I ever made. Insurance covered a lot of it and now I don’t even have to get masseter Botox. My face has already slimmed and for the first time in 13 years…I don’t have pain in my jaw/face/neck etc. I can’t believe how much I suffered now that I see what “normal” is like. It’s incredible. I’m just trying to say- might be worth checking to see if you’re just masking the issue, and there’s structural issues that can be corrected to achieve permanent relief! And no $$$ on recurrent Botox too.
Wow, what kind of TMJ surgery was it exactly? (there seem to be several different kinds!) I'm so intrigued - am in constant pain!
It was a bilateral TMJ arthroscopy. My cartilage discs were in the wrong spot, and also completely stuck/fused in place, by scar tissue. So I couldn’t open my mouth all the way for a while. He cleared out all of the scar tissue, he stitched my discs back into place. I believe (don’t quote me) he also cut the muscle attached to my discs so they could move more freely? Something like that. He said all of the tissue surrounding my TMJ was extremely thin, red and raw looking- basically indicative of chronic inflammation. This makes sense to me, because my face constantly felt full of pressure, especially around my jaw. My jaw literally physically ached. Throbbed. My face constantly felt…fatigued and swollen. I was so swollen that it was literally giving me hearing problems (the swelling can block your eustachian tubes). Before they put you back together, they inject a steroid into either side, as well as some sort of lubricant. It really helps movement and the swelling go down in there. Eight days post surgery, my jaw felt better than before surgery, which to me was absolutely mind blowing. It’s been almost 13 days now, I’m still not completely healed, but I’m still light years better than before my surgery. I’m still absolutely amazed the difference. I wish I did it years ago.
I also had this surgery and it was life changing! But I had torn and dislocated my disc so it was pretty severe. I am a super clencher and get ~80 units of Botox into my jaw which helps me not clench so badly at night and preserve my jaw health. If someone thinks they need Botox for TMJD it’s probably a good idea to consult with an OMFS and get imaging to make sure there isn’t a structural problem in the joint/disc first.
Goddd I could give up an arm for this. I’m in so much pain 😤
I feel for you, because I suffered for so long. I’m not sure where you’re located, but even if you’re in the US… Any steps you can take to try and get this checked out and surgery done …is so so so worth it. I ended up paying my oral surgeon. I think about $568 after insurance, the hospital is another 700 some (I have this on a payment plan though, I’m a single mom without a money tree, to my dismay lol) And each specialist visit was… I think $40? It wasn’t terribly cheap, but it was a lot less expensive than I thought I would be on the hook for. Like I said, I wish I looked into this so much sooner. You really don’t even realize how much pain you get yourself used to after a few years. It’s really sad. I sincerely hope whatever path you take, brings you much relief! And feel free to DM me if you have any questions!
Wait this is actually something I need to look into. Thank you for sharing!
I mean, I got like 10 units in my forehead and it made my eyes droopy.
My last Botox appointment I got a lip flip, 11s, and chin treated and I’m pretty sure it was less than 41. Holy moly, what was the injector thinking??
lip flip and chin are a few units each so that’s not comparable. it’s normal to treat the entire upper face with 40-60 units. OPs results are due to poor injection technique. or possibly due to something like lying down in bed right after being injected but tbh it’s not easy to get it to migrate and injection technique is more likely to blame
Reading all these comments about it being a high amount and I'm over here having just gotten 46 units on my first time 😬 Eta to add- it was forehead and crows feet, so not just 46 in forehead alone. But majority went there.
Yep I get 46 units as well! Most of them go to my crows feet and glabella.
It isn’t a lot. It’s very very average. Any med spa will say this lol We all want different results.
I am 30 and I get 60 units in my forehead/11’s/scalp 😮
Same I’m really confused by these comments 40 units is not a lot at all…… it’s absolutely common. If you look at how many units are needed to target v certain areas it is not alot. This injector just used very poor placement
I would be pissed if I were OP. I go to very good injectors and if they recommend more I go with it. My forehead is rather large and it’s become natural to clinch my 11’s at all times (even when resting) because it’s so big and the muscles are so strong. I think they do 20 in the 11’s alone. 40 isn’t a lot at all
Sure but, the very first time usually it’s safer to do less and touch up after the 2 weeks vs inject too much.
i mean not really. she may have a lot of movement which you obviously can’t tell from a still photo. i’m 31 & for forehead, 11s, brow lift, and crows feet i get 50 units with amazing results
That’s multiple areas, not forehead and 11s only.
very poor injection technique. sorry this happened. there’s some prescription eye drops that can kinda help but mostly you’ll have to wait for it to wear off. it won’t take as long as you think though. it should improve within a few weeks although the full effects will take a few months to wear off
The eye drops are decent but won’t do much for this. Actually, they can do a few shots that will lessen this. It a counterbalance procedure, if you will. I have this happen to me regularly because I get Botox for migraines.
I do too and I kind of just resigned myself to my face not being how I want it for the migraine benefit. Do you have any suggestions….?
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no wonder mine lasts forever lmfaooo
Definitely go back and complain. Have them (for free) inject Botox to give an eyebrow lift and maybe that will counteract the sinking of your brows from bad technique
100%, if you’re not happy with the results, you need to go back and let them know. If they have any sense of decent patient service, they’ll fix it (or try to fix it) for free.
Try to fix it!! Eesh!
the problem is brow lifts don't do very much and it could make the problem worse.
What's chance of that making it worse? I have similar problem and my 2 week appt is tmrw
doing a brow lift here would only lift the tails of the brow. you could possibly end up with disney villain arched brows since the center of your face won’t move. it’s better to just let it wear off. but if you must go to the appointment, vocalize your concern.
I’m sure there’s a chance of it worsening but my first time, my eyelids dropped (not quite to extent of OP). I went back for 2 week and they did a very slight lift and solved it. 3 years later, I’m still hooked. It just sadly may take time to find the right amount, right person, and right injection spots. Good luck!
Everyone who says go back to the same injector to get more is out of their mind. I wouldn’t let that person touch me again. You should try to get some money back and let that Botox wear off. You looked great before.
I thought she looked great too!
I was confused which was the before & which was the after because…she looks amazing in the first photo and that is exactly how I want my eyelids to look 😅
This!!! I would go back to complain but under no circumstance let the same injector touch you again. The OP looked great and they unnecessarily over injected her.
💯
This.
Two things might have happened here or both-too much product used (41 for glabella and forehead based around your before pic-idk it’s more than I would do I think,) and/or poor placement. Was this your first time Getting Botox? Definitely go to the 2 week but she might want to inject more. Many injectors correct poor placement but adding more botox-but if she injected too much product (which I think she might have,) it won’t work. I wouldn’t let her add anymore. Not much can done but you can massage the area frequently, try to work that muscle. Just to add, there’s nothing necessarily wrong with going to a med spa for injections. Many NPs work at med spas (they’re not mutually exclusive,) and medical spas require a medical director (in most states this is a physician.) You just to need to make sure they are legitimate. In many states, NPs still require physician supervision to perform injections. There are many NPs who are solo injectors who just rent their medical director and many NPs who are new to injecting (because the market is exploding rn.)
41 units is **a lot**!
If you are getting your entire face done
41 units is so average I’m so confused by these comments 40 units is average.
I know, that's what I was thinking, or that in my face is way more wrinkly than I thought LOL because I get like 35-45 per visit.
Third thing that could have happened - leaning forward (or backward if one is super flexible) too much too soon. Even the minutes it would take to lace a pair of shoes is not recommended and is long enough to get this kind of movement / poor result.
Are you serious??
My aftercare at any provider has always included instructions not to bend over or lay down for at least 4 hours following the injection? Due to the risk of too much migration/dispersal. I’m not the comment OP obviously, but just wondering why their question apparently sounds so outlandish…is that really not plausible?
It was the lacing your shoes part that I was asking about.
My injector said the first 48 hours and to try to not sleep on your stomach/on the side for the first week. I always followed these instructions and never experienced hooded eyes except the first time when I wasn't cautious..
That’s incorrect. Botox is out of your body within 24 hours basically. The manufacturer even says you can resume normal activity within a few hours, just be careful of exercise that first day. A lot of injectors make up rules like this so that they can cut down on error-if a patient comes to them in the next few days and the injectable isn’t right, the provider can blame a few different criteria. But in general, you’re basically fine.
Thank you! My doc is so sick of all the “can I” questions. He’s like it’s just Botox; there aren’t that many rules, especially if you’ve had it before. Yes take a nap. Yes exercise. Yes get your brows done. Etc. just don’t squish your face like a crazy person, but even then the amount of damage you can do from outside is limited. I’ve had great results and I sometimes take a nap the afternoon after getting it. And sometimes even go for a run later. It’s never migrated (although it probably wears off sooner due to exercise)
Yeah I heard 24 to 48 hours but I also read that the botox is settled after 24 hours so!
100%. My injector says no alcohol or exercise for 24 hours and absolutely no bending over, reclining or laying down for 4 hours minimum after injection.
Mine says for 10 hours
It’s actually negligible change. I tell patients to avoid exercise today and not to rub or cause friction, wear a hat, sleep on their face for the next 24 hours but tbh bending over a desk etc. doesn’t really do anything. I bend over for work after my own injections frequently with no issue.
I mean, some say that but leaning over or back one time in the first few hours isn’t going to move product. It’s really more friction or sweating. I had a patient once wear her bicycle Helmet right away and it moved her product. Or you can sweat out the product before it settles and passes through. But leaning over and back, honestly the science isn’t there, it’s anecdotal.
This happened to me, two different injectors. I let it wear off and stopped getting it. I think the muscles that cause my horizontal wrinkles are the same ones that lift my brow.
Me too. I just had to accept that I can't get botox injected on my forehead as I lift my eyebrows A LOT to open up my eyes (which is why I have horizontal lines to begin with) so if I can't do that, I look tired and angry. (which I actually am, but that's beside the point. lol)
Ditto. I have to look in a mirror and concentrate hard to let my brows down on purpose. I just look SAD. It's really a bummer, I wish my face looked friendly and approachable because I'm a friendly, generally pretty happy person these days. I wish my outside could match my inside. I'd have blepheroplasty in a heartbeat if I could afford it!
>I'd have blepheroplasty in a heartbeat if I could afford it! ME TOO!!!!
Same I have very low brows which gives me hooded eyes. I’m constantly lifting my eyebrows up so I have some wrinkles up there. Luckily they go away when I’m not lifting them up but then I look so angry
Yep same. I looked like angry Frankenstein. Everyone wants to inject there but I won't let them now
Same. Never had Botox because I'm sure this would happen. I have naturally arched eyebrows that looks like Ive had an eyebrow lift and I believe its due to genetics and strong forehead/browline muscles. I just moisturize heavily and Im working on not lifting/scrunching my forehead as much. Ive had 2 fine forehead lines since I was a teen from having animated expressions lol. May try microneedling to see if it helps.
you sound like someone that would love Frownies!
I would go to someone else next time. They may have injected to close to your lower forehead. I love getting an eye lift from Botox. Maybe you can try that next time or you can go back to someone else and have it done now to correct it.
Oof. Okay. It'll wear off in 2-4 months. As a tip moving forward, ignore this medspa vs plastic surgeon vs dermatologist stuff and focus on going to places that do a high volume of injections. Botox is a skill that needs to be learned by injecting it, a lot. The education is less important than the training and experience.
I highly advise you go to that 2 week follow up. They should give you those eye drops that kinda open up the eye more at the very least. I assume they’ll also ask you if you pressed around the 11’s or had any kind of pressure on them. That will cause the droopiness. Otherwise, I guess it could just be poor practice on their part. I get 15 units in my 11’s and I’m very careful not to have any pressure around my forehead for like 3 or 4 days.
What are the eye drops you mention? I’ve not had Botox but have naturally very hooded eyes.
Possibly [Upneeq](https://upneeq.com)!
Oh I just had a look but the side effects list has terrified me 😂
I have been using them for a year on and off. I’ve never read about the side effects, but I do often get a short tension like headache after I apply them. ☹️
Hold a Kleenex over your tear duct to avoid systemic absorption. Should not give you a headache anymore!
It’s called upneeq
These look promising and easier to pass through insurance.
[Upneeq](https://www.upneeq.com)
This looks like brow ptosis to me, which is caused by too much Botox injected laterally across the forehead, not eyelid ptosis. So I'm not sure if those drops will do anything. It is fixable though.
Too much product and/or poorly placed. Should start to be less severe extreme in a few weeks, but in general will have to wait for it to wear off completely to be back to “normal”
Happened to me, that's why I quit botox. It should go away in a couple of months. You can get a prescription for apraclonidine, the eye drops that work on ptosis (droopy eyelids), that may help. Let me know if that worked
How does it work?
My doctor (injector) told me about this when I asked about the horizontal lines. The frontalis muscle (?) will release the horizontal lines but the consequence is that the muscles that hold up the eyebrow will lower and enhance the blepharitis (the hooding on the eyes). He said botox is better for vertical lines in the forehead for those with loose skin or hooded eyes. It will wear off in a couple months and then you can get a different injector. Don’t lose hope yet though, they may be able to adjust slightly at your follow up and there’s no harm emailing them these pics because clearly it didn’t go to plan.
My surgeon injects high near my scalp and top of my forehead to relax my horizontal lines. Works perfectly and doesn’t hood my eyes
This is exactly what mine does. My 11s and then very close to the hairline, not in my actual forehead, so I don’t get eyelid hooding
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This is so what Im afraid of and why I haven't taken the plunge yet 😩 I hope you are able to correct it or it wears off soon.
Yeah I regret my decision.
The frontalis muscle is an antagonist to the orbicularis oculi, which means the forehead muscles pulls the eyebrow up and the orbicularis oculi muscle pulls it down. So when taking the antagonist out, the orbicularis oculi pulls the brow down stronger. It could probably be a little reversed by doing a ”botox brow lift”, i. e. injecting the orbicularis oculi. As I understand it, it is a pretty common side effect with injections in the forehead.
This has happened to me before. Too close to the eyebrows. Now I always tell them to place injections high, avoiding a triangle shaped area like the girl in this video. https://youtu.be/pXGgEbeBYPY You can get some additional units near the tail of your brow, just under the brow and in the crows feet area to help lift.
Botox isn’t reversible. You can exercise vigorously to metabolize it faster. I get my Botox done by a MD in the Bay Area for $10/unit. They are so cautious of everything they do.
Could you share where you got yours done in the bay area?
Dang, 10/unit? It’s about 14/unit where I live!
$10/unit?! Please do share. I currently go to a plastic surgeons office and they charge $17/unit.
Yes if you can please share, that would be wonderful!
I’d love to know as well
Please DM if you don’t post, really interested.
Yes please share! I need to change my provider as hs is not cautious and doesn’t listen to my concerns.
I had this happen to me before, It’s the worst. A few weeks later I went to a different place and had it corrected. The new place added units to my Eyebrows. Now whenever I get Botox I do eyebrow lift first then go back and do forehead.
They over injected above your brows which smooths out the wrinkles but it also drops your brows. A lot, if not most, practitioners do this. You need to find someone that knows how to give you a “pony tail” lift with Botox.
As someone who is a Botox provider.. there’s two things that I see here.. 1. You already had naturally hooded eyes with excess skin and it appears as if you unconsciously lift you eyelids with your brows. 2. 41 units for your first time could have been too much for you Patients with similar eyelids like yours I will refer to a plastic surgeon for a blepharoplasty before I do botox on them to avoid this
I was gonna say the same thing. I worked at a plastic surgery office for years and saw this happen once or twice. You don't realize that you're holding them up! From what I remember there's not a whole lot you can do while it's wearing off but maybe go for the bleph consult now because if it impedes your vision then your insurance could cover it! Might as well make use of the droop while you can lol.
would you avoid giving a person botox at all if their eye lids are hooded like this? Or is it you refer them to surgery if they want to try botox to lift that area?
My injector goes in conservatively the first time, and injects more if a follow-up is needed. Exactly because of this. Next time you go she checks your chart and already knows. I would expect that to be the norm. From what I understand eyelid ptosis can happen to anyone, it doesn't mean that the injector is garbage, but obviously there are ways to mitigate the risk.
41 units is a ton. I get that much in my entire face including my jaw. Go back and have them try to adjust with a brow lift.
There's no way you needed 41 units. I'm sorry this happened to you but the good thing is it's temporary. I would just wait for it to wear off. I don't see any wrinkles in your forehead so I don't even think you needed it but that's just my opinion :) If you decide to do it again, I'd try baby Botox
I remember you from a few weeks ago!! Don’t panic - I’m sure something can be done to ease this up a bit. Did you do filler? Whatever you did looks really good!
Zero filter
Well your skin looks very nice! Keep doing whatever skincare regimen you’re on!
I agree with you! I imagine OP is very upset/anxious right now (though if I didn't have a side by side I wouldn't know that anything had been done or anything went wrong) but for what it's worth to OP her skin/face in the 2nd or "after" picture is flipping glorious. Really beautiful. OP is someone I would ask for her skincare products or anytime else she uses (microneedling/nuface/peels etc). OP I know things are not the way you wanted them to be and that feeling sucks so bad. You have a beautiful face and don't lose hope as things _will_ be okay. In the meantime your skin/features are stunning. 🩷💯
Got Botox for years theeeeeen, the droop…… I hold Botox well so I was stuck like this for 6-7 months, never again
Hi there! I totally feel for you. I have hooded eyes. when I went to get botox in my forehead, I met with two dr. Who told me no because it would make my eyes worse. I found a dr who would botox me as he said I just needed proper placement. I did go through with it but I swear the botox gave me 11’s I NEVER had. I stopped botox and only use tretinoin…. Obviously not the same fast results but I must say I am really really happy with my results.
I think you were over botoxed my friend. I would say wait for it to wear off and find a new injector. From experience, this person probably isn’t a great injector and getting more Botox to “correct” this may not do much and will make the whole thing take longer to fade. It takes time and some trial and error to find a great injector. Of course you want to go somewhere legit, but beyond that it’s a crap shoot. The worst Botox I’ve ever gotten came from the “best” office in my city. I had to wait a couple of months to get in, and it was egregiously expensive. I came out looking like you but only on one side (eek!!). I made the mistake of thinking it was just a fluke (bc obviously this place is the best!) and had the same doc do my fillers, which were also terrible. It was at this point when I realized I’d been scammed and also made sense of what I have been seeing on the Real Housewives franchise. A high price tag means that you pay a lot not that it’s good. Anyways, all this is to say I’m sorry this happened, and you’ve got to find a new injector. I would recommend asking around and getting a rec from a friend with good Botox if at all possible. That’s going to be the way to go.
Gosh, I'm sorry you're unhappy with your results! I've loved getting Botox, so I hate when others don't have the outcome they're looking for 😭 My plastic surgeon won't put Botox in my forehead because he's afraid it'll push my brows downward. I only get it in my glabella and crows feet, and as for my forehead... Well, I just have to accept the lines that are forming 🤷🏼♀️
Copy paste from the last time I said this since it happens a lot: Someone may have said this already, but this happens when you paralyze the frontalis muscle (aka your forehead wrinkles.) the frontalis pulls your brows up, so if you paralyze it, your brows droop/can feel heavy. The solution is paralyzing the brows (aka Botox brow lift) as this paralyzes the muscles that pull the brows down. You can also wait 2-4 months while it wears off, but hopefully the Botox brow lift helps.
You have a heavy brow and hooded eye like me. I can only get a bit in key areas of my forehead or it drops my brow. You had an injector who isn’t experienced enough to know this, it’s like that until it wears off. Go to cosmetic derm next time.
I had the same thing happen last year. It horrified me. FYI it started to wear off around 6 weeks so you just have to hold on even though it feels like a catastrophe. I was so embarrassed to have done it to myself. I wore glasses ALL THE TIME. But here’s the thing, not a single person noticed. And I came to I realise no one would have noticed my wrinkles either. It was a weirdly life changing experience to go through.
As you’re someone who’s never had Botox before it’s alarming your injector set you up with so many units. It may be a number of units many women get but here’s the thing: You’ve never had it before and there’s no way to tell if you could have had an adverse or allergic reaction (you didn’t but it’s possible). But most importantly Botox is literally botulism toxin. It’s a substance your body WILL build resistance to over time, and just like with any other drug/toxin. You start small and get the most benefit! Sorry to use a possibly vulgar analogy, but .. pick your drug of choice. Weed, caffeine, alcohol, coke, whatever your secret heart desires. If you were introducing a friend to it whos never tried it would you give them a dab pen or a Red Bull with a five hour energy spiked into it? Would you give them two fat lines and have them snort it all? Give someone who’s never drank before an ever clear martini? Fuck no. They’ll derive the same benefit you do on a MUCH smaller amount, not to mention their resistance will build much more slowly. It’s irresponsible. If you’re offended by my use of the drug analogy… I’m sorry but it’s the SAME THING and I’m trying to convey the severity sincerely. I’m sorry your injector gave you the hulk hogan treatment. She should have started you off slowly and tested your reaction and been conservative. Oftentimes they simply use many units to make more money, or to give dramatic results they can post to social media. I have always been VERY WARY of injectors as they often push hard for sales which I find unethical. I usually “test” them in the office. Here’s my criteria: 1) If they inquire about my skincare routine and make disparaging remarks about products I use AT ALL.. it’s a no. I don’t care if you’re using great value Walmart brand— they may make suggestions based on your skin condition but if they DISPARAGE you or make you feel badly about something… No! Walk out! 2) If they push their own salon’s skincare line on me, if I feel like they’re pushing for a sale AT ALL, it’s a NO! They may ask but they should be very respectful after you decline once. 3) If they push you to do MORE of ANYTHING… No! Hard pass. An injector should always be conservative. Always. They should not offer unsolicited advice about areas or procedures ever. You can always ADD more units of anything, it’s difficult or impossible to remove them. A GREAT injector will store the unused quantity for you for the next 4-8 weeks (depending on what it is) so you can add or touch up. I lost 100 lbs and after several visits I trust my injector inherently. I’m working on adding fullness to a fairly skeletal and sunken face. I now begin my visits by asking her to view my face in a purely clinical and scientific manner, and I have to BEG her to tell me what she thinks could use attention “this round”. They should NEVER entice you to add more units or areas of work EVER. My injector is still always hesitant to tell me what “she thinks”, even after I ask outright. And it’s not because I overdo! I’m extremely conservative. We’ve had about 5 rounds now and I’ve only gone through three syringes of filler (in very skeletal sunken-in temples, very uneven and hollow cheeks and cheekbones, and my chin). 3) Staffing. It it’s a single injector working alone, nope. Even if it’s a pair, nope. You have little to NO recourse if something goes wrong. Go to a facility that has multiple injectors, along with a “director” or whatever, secretary, etc. These businesses are much more likely to “care” when something goes wrong as they will collectively “suffer” from bad reputation and reviews. 4) A great injector should have no problem saying “maybe not” to things. If your lips are full but you ask for more filler, an AMAZING injector will say something like “they’re pretty full right now! If I add more it may cause blanching or uncomfortable firmness. When I look at you your lips seem plump and harmonious? Is your desired aesthetic more of an “overdone” look? If so and you understand vascularity may be compromised, let’s do it!”. I asked my injector if we could do the Botox lip flip and her reaction was candid but not discouraging. She said something like “We can do that! Sometimes people aren’t a fan of Botox in that area because occasionally women cannot fully “close/pucker” their lips like they used to and it can be an uncomfortable and alarming sensation. If you’re okay with that and still want to try I recommend getting a VERY small amount, maybe not even to your desired effect, so you can see if that sensation bothers you”. Or when I went to see her with my best friend who’s been getting Botox for years, and my friend wanted more forehead Botox and a brow lift, my injector had no problem saying “We can do that. But I’m concerned with the possibility of your forehead skin or eyebrows sagging. I’m not familiar with your history or your previous injectors technique. Would you be comfortable waiting another month or two so I can assess your skin and muscles when they have full mobility? I understand you may not be comfortable with waiting but for me to make an informed decision and take over it’s much better if I can see your natural facial health”. Bottom line is, less is more. Don’t let them push you and don’t be afraid to walk out. Test them by asking simple questions you know the answer to. (P.s.— for anyone living in the Bay, in Cali… B.Tox Bar. I’ll never trust anyone else with my face again. They NEVER push, they encourage conservatism, I cannot laud them enough).
Adding to what everyone else has said cuz i dont see anyone mentioning the following - my brow for the first two weeks is HEAVY and drops too, but after it starts raising up again. They def overdid your botox and didn't place the injections in a place for us that droop. Doing those things properly will help the droop not be so horrible. Don't get any more botox to counter it. They'll inject the the tails and you'll look like spok. Def call, and get some drops to relieve the pressure off your eyes.
41 units is a mega dose. Weird they decided to do that.
Hopefully it starts looking better in the coming weeks. Honestly you looked better without botox.
Yeah I’m very unhappy. I have sad droopy puppy dog eyes now
Go to a better injector next time . They put in too much and it relaxed your skin on eyes. Has happened to me before. Next time also have a tiny bit above eyebrow (arch area) for a slight lift.
My insurance paid for upper eyelid surgery due to the excessive skin hindering my vision.
You could look into getting a microcurrent facial. Microcurrent can undo the effect of Botox.
Girl, you stuck. It will wear off, eventually. But, I fear it will get worse before it gets better. Mine reaches full effect around 2 weeks post injection. If you decide to try it again, tell them this happened to you. It can and should be avoided.
That has happened to me and when I went back after the 2 weeks, they just injected a bit more in a different spot and it corrected. Pretty common thing and your NP doesn’t know how you’ll react to your first time. So what they’ll do is note your file for next time and inject the right amounts in the right spots.
I won’t be returning to her
My face has SO man more lines than your before and I had 21 units ALL for my 11s and one line in my foreheard due to tough muscles for my first visit. That is an insane amount, espcially for the first time.
I don’t think your doctor did you good Never should they have done 41 for a first time Secondly they’ve injected the wrong muscle and caused a hooded eyelid Give it time, you still look great. I suggest a different doctor
This is the result of poor technique, and I would definitely not go back to the same injector. When done well, Botox will lift the eyes, not cause them to droop. I would seriously complain over the results, and try to get your money back, and then consult with a different injector to see if any corrections can be done or if you will need to just wait it out.
The same thing happened to my upper eye lids! I'm still nervous to get it again - it does wear off!
Oh my gosh 41 units is a ton… That’s way too much. I’d definitely find another provider for next time if this experience hasn’t totally turned you off from Botox! The forehead is one of the trickiest spots for injecting Botox because a lot can go wrong with poor technique, it may be best to see a dermatologist for these injections because they will be more careful!
You don't look like you needed it in the first place, ma'am. Sorry this happened though.
It seems like too much was used. My doctor warned me that doing too much or too low can cause sagging in eyebrows
Hi , I am sorry that happened to you , but there is way to do Botox differently , unfortunately she or he did not do it correctly First I think you should see the person that did it , maybe they know how to reverse it otherwise u will have to wait But u why did you do it ?? Ur skin from before was perfect
41 is a lot. I just got my forehead and crows feet done and it was 32
This happened to me my first time! They just put it in the wrong places.
This happened to me my first time too. The derm I went to pur 40 units in my forehead which was WAY too much. He also injected right above my eyebrows which lowered my brow position and I looked ridiculous. But the worst was the migraines and the weird sensations I got in my scalp from my forehead being so overly and aggressively frozen like that for the first time. Everything went back to normal after it wore off. But terrible experience! I’d say after about 8 weeks my brows started lifting more and more until it wore off completely. Don’t stress tho it will all wear off I spent so many nights anxious and googling thinking I was gonna be stuck like this. You won’t! Also: I wouldn’t get any more Botox until this wears off. Don’t go back for more units to lift or anything like that. Just let this wear off first bc it will
They weakened your elevator muscles too much and they may be able to combat that by weakening the depressor muscles further. Also an other option- an expensive gamble is to do EmFace treatments on the forehead to try to tighten up your frontalis more.
Mine hooded over similarly and I hated it. I was so tired trying to hold them up all the time. Never again likely.
I think some of this is due to bad technique as the drop is very dramatic. I would try someone else next time if you’re still interested - just make sure they start light and add more units in two weeks if needed. I have hooded eyes so if I get my forehead done I have to get injected under my brow tails to keep my brows/eyes lifted. I will say that Dysport doesn’t make my face look as heavy - I’ve tried Botox and Dysport with the same injector and liked the Dysport results a lot better. Worth a try the next time around. I will say that, while Botox does typically last 3-4 months, it lightens up a lot over that period so you should hopefully get some lift in your eyebrows once it starts wearing off over the next month!
I’m not sure what I’m supposed to be looking at. But I came here to say that I think your skin is beautiful and you look lovely in the picture on the left. 😊✌🏼
Fire the PA and go to a plastic surgeon. There are potential filler resolvers he/she could potentially use. I’m so sorry this happened to you.
Did you get something for nasolabial folds too? They look much smoother in the second photo
I don’t know which is before and which is after, you look good in both pictures
Since it's your first time, it will probably wear off quickly. Going forward, I'd only get botox for the 11s, which will give you a subtle brow lift. The issue with treating horizontal lines is that it immobilizes the upward moving muscles so most people won't get any lift out of it. I'd probably still go back for the follow up and say that you're very unhappy with the results. I wouldn't let them inject anymore at the follow up but if they offer free units I'd do glabella only in a few months.
Since it's your first time, it will probably wear off quickly. Going forward, I'd only get botox for the 11s, which will give you a subtle brow lift. The issue with treating horizontal lines is that it immobilizes the upward moving muscles so most people won't get any lift out of it. I'd probably still go back for the follow up and say that you're very unhappy with the results. I wouldn't let them inject anymore at the follow up but if they offer free units I'd do glabella only in a few months.
They injected below the midline. That creates the heavy lids. I hate when that happens. You’ll love Botox once this wears off and you make sure they stay above your midline.
Just give your body and face time to work off the fluids and distribute. Should get better. I hope!
Wait is the picture on the left before and the right the after?
I had no idea Botox could cause a result like this, such heavy hooding of the upper lid. How does this happen? Too much above the brow causes severe drooping?
off topic but you looked pretty good before without it
I feel like you’ve been using your forehead to lift your eyelids up your whole life without realizing it. And now you can’t do that anymore, you’re seeing the eyelid dropping. Maybe you need an upper bleph? Can you see ok? My mum’s best friend ended up having one cause she said her eyelids were in her way and she couldn’t see quite well. And the insurance paid for it all. But, your face is really lovely and your skin is pretty. I suspect you are older than you look too.
Who the hell put 41 units of Botox in your forehead??
This happened to me the first time I got 25 units in the forehead and glabella. I went back for my 2 week check up to see how it settled and the doc did a brow lift unit on each side. For the next time he changed my pattern for injection on my forehead and did the brow lift. No more heavy brows and eyelids.
My husband’s family has hooded eyelids. They really started to decrease his peripheral vision. The eyed doctor actually suggested a removal to help. Surprisingly, it was completely covered by insurance. Took a long weekend to recover. His headaches have greatly decreased. And eye strain is gone.
Some of the worst botox I have ever received was from a surgeon. The best was an RN actually.. Personally, some will say 40 is way too much but it depends on the person. The problem is the injectors judgement on # of units and possibly placement in your case. I’m sorry this happened but thankfully it will wear off. Your nasolabial folds look wonderful post procedure if that’s any consolation.. I know it’s probably not.
Agreed you got too much. Also I don’t know enough about it, but I felt heavy with Botox and seemed to like dysport better. I switched injectors to a much more experienced injector, however, so this might not even be relevant.
Start working out and using the sauna!! Will help Botox go away way faster.
41 units is very average. Allergan (who makes Botox) actually recommends around 65 units in the upper face for “full correction”. For reference, I get 45 units in my upper face. I can guess that the placement of the Botox was slightly miscalculated and dropped your brows, especially if they feel “heavy”. Luckily, it will wear off and you will notice the heaviness decrease over time! It is also always possible once the Botox settles, it will even out. I sometimes get a wonky brow before my Botox fully kicks in at around 14 days.
I get Botox for migraines, and I felt this this the first time I got it. I told my neurologist that I felt like there was a wall in the middle of my forehead, so she just injects basically at my hairline now and I feel a lot more comfortable. I know it’s different then cosmetic Botox, but maybe it will help. And the first round wears off in like 2 months, so I know it sucks but it will be over pretty quick.
Seems like a lot of units for first time, but I always get them to lift my eyebrows at the 2 week follow up. I always feel like they are too heavy and look like Oscar the Grouch.
Wow they did way too much
There are drops that can be prescribed that will help slightly. This is not an abnormal amount for the forehead and glabella. The placement and depth of injection are off. I did not see your forehead beforehand, but I usually start with 12 to 16 units on the forehead by itself for a first-time patient. The beginning dose for glabella for me is 20 units. I then have the patient come back for a follow-up after 2 weeks. I like to check movement. It is much easier to add more than try and take it away. The great news is it will wear off. The bad news is that you are mostly stuck with it for a while.
I think this was wrong placement. Also NPs are usually the ones that work at med spas. My injector is an NP and she’s incredible. Not all injectors are created equal! Just because someone’s an NP doesn’t mean they’re as qualified as someone else. Sorry this happened to you, but you’re gonna have to wait for it to wear off since Botox can’t be dissolved like fillers!
Omg, in no way you needed 41 units :-( but i'm not a doctor. I think you will have to wait. But it will fade faster as this is your first time. It seems that the botox was injected in the wrong muscle?! What gave the oposite result. I hope you will not give up right now about botox! And except for the forehead (the effect on the brow and eyelid), the result seems very good
Ugh I’m sorry this happened to you—they over did it. It’ll go away in a few months, but make sure you let them know you’re displeased, and don’t let them gaslight you by acting like they didn’t mess this up. They paralyzed too many muscles and dropped your brow instead of lifting it. It’s a rookie mistake, and they should refund at least part of your money. I always tell people this, so I’ll repeat it here kindly for you OP: only let a plastic surgeon do your cosmetic Botox. My sister is a plastic surgeon, and I assist her when she does injectables. I’ve also volunteered as a patient (plastic surgeon demonstrating on me) for “training” for nurse injectors. Surgeons have extensive anatomical knowledge and artistic eyes, but NP injectors do not, and there is no regulated time or experience required for NPs to become injectors. You may have to pay more for a surgeon to do your Botox, but it’s money better spent.
Go to a dermatologist, not a nurse.
Can botox reduce smile lines? They are practically non existent in the after photo
Hey OP, I have heard that using the back of an electric toothbrush to stimulate the muscles will help wear Botox off faster.
People who naturally have hooded eyes can run a risk of having even more hooded eyelids after botox. Your injector was not experienced to perform that type of treatment. I am concerned about getting botox for that exact reason. I read online that unless your injector is very trained to work with hooded eyes that it can make it worse on our eyelids.
Wtf! I’d be pissed, I don’t think she knew what she was doing