This is the most common error with Botox treatments. This condition is caused by over application in the frontal muscle and poor placement. The excess Botox relaxes this muscle, causing a heavy sensation for the patient. When the forehead muscles drop, the eyebrows also drop. Patients with hooding (excess eyelid skin) are prone to raising their eyebrows to increase openness of the eyes. For these patients, dropping eyelids are exaggerated. Patients commonly report not being able to fully open the eye lid.
This condition is commonly caused by inexperienced injectors who incorrectly perceive the patient’s use of this muscle. In cases where a close eyelid interferes with vision, prescription eye drops can help temporarily reactivate the eyelid.
Sometimes a brow lift performed with filler can also raise the eyebrow to achieve a more balanced appearance.