Eyes and Brows1:54 video

Why Do Your Brows Feel Heavy After Botox?

The frontalis muscle that creates forehead lines is the same muscle that lifts the eyebrows, so aggressive Botox that completely smooths the forehead can leave the brows heavy and droopy. That is why Dr. Naderi says the brows, upper eyelids and forehead have to be evaluated together.

In This Video

Key Points from Dr. Naderi

  1. When a heavy-handed injector places rows and rows of Botox, the eyebrow cannot lift. He says that is not the Botox. It means your anatomy was not properly evaluated.
  2. What feels like extra upper eyelid skin is, the vast majority of the time but not always, a sign that the eyebrow needs to be repositioned.
  3. Upper eyelid blepharoplasty is a beautiful procedure, but only if the eyebrow is in the right place. Otherwise you can look droopier.
  4. Some patients have ptosis, where the upper eyelid itself sits lower. It must be corrected as well, and Botox in that area can make it worse.
Word for Word

Full Transcript

If you guys ever had Botox, then you felt like the eyebrows were heavy. Like I just felt like something was leaning on it, you couldn't lift it, you couldn't like pick it up, it just felt like heavy. Well, it's because this muscle, the frontalis muscle that creates the lines is also the muscle that lifts the eyebrows. So to get Botox to completely smooth your forehead, especially if the injector is very aggressive and does rows and rows of Botox, then the eyebrow's not going anywhere.

If the eyebrow's not going anywhere, it's going to drop, it's going to feel heavy, it's going to feel droopy. So every patient has to be evaluated and look at the brow position to see what you can do with the forehead. They go hand in hand intimately. The same thing with the upper eyelids.

If you come in here thinking you've got extra skin in the upper eyelids, you may. But the vast majority of time, not always, but the vast majority of time, it's because the eyebrow needs to be repositioned. If the eyebrow's not repositioned, you're just going to look droopier. You can even pull the eyebrow down further.

So upper eyelid blepharoplasty is a beautiful procedure, but only if the eyebrow is in the right place. If the eyebrow's not in the right place, and you do an upper eyelid blepharoplasty, it's not ideal. So look at your brow position, look at your upper eyelid position, look at your height of your forehead, look at the musculature. All of that has to go hand in hand.

So when you just go to a med spa and get Botox and somebody's super heavy handed and just smooths you out, and then you feel miserable, and then you tell everybody Botox sucked. I'm never going to do Botox again. It's not the Botox. It's just your anatomy.

You were not properly evaluated. I haven't even talked about the other issue, ptosis. There are some patients that actually have ptosis. The upper eyelid sits lower.

That must be corrected as well. If you have ptosis and you get Botox in this area, now your ptosis is going to get worse. So whenever you're ready, come in. We'll talk about these issues.

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