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Botox
Botox of forehead wrinkles made my hooded eyes more prominent. Why did this happen? They look worse than before Botox
This effect can be experienced with Botox treatments in patients that have heavy lids or excess upper eye lid skin. This is because botox relaxes your forehead muscles and does not allow you to lift your eyebrows as easily. Letting the botox wear off so you can raise your brows again (decreasing the hooding) will unfortunately continue to cause wrinkles. An upper blepharoplasty can help to reduce excess eyelid skin.
Clinical Context
Some people unconsciously use their forehead muscle to help lift heavy brows or hooded upper eyelids. When Botox relaxes that muscle, the brow can settle lower, making hooding more noticeable even though the eyelid skin itself hasn't changed. This is why it helps to look at where your brow and eyelid sit when your forehead is fully relaxed, not just when you're actively raising your eyebrows, before deciding whether eyelid surgery would meaningfully improve the hooding.
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