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HELP Fixing Botox Brow

It sounds like there has been a dramatic paralysis of the central portion of the frontalis muscle. It sounds like your injector planned to further weaken some of the lateral aspects of the muscle to balance things out. There isn't a great way to decrease the efficacy of Botox once its injected. The effects will be temporary. Hopefully the balancing injections will work out well.

Clinical Context

Adjusting the untreated part of the frontalis to rebalance a heavy brow drop is a technique some injectors use, but there's no fixed dose or timing that works for everyone. Once Botox is injected, its effect can't be reversed—only diluted by time. A touch-up may improve symmetry within days, or full balance may not show until the original dose wears off over the following weeks. Results depend on individual muscle response.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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