Botox: eyes feel heavy, my eyebrows are different? (Photo)

It is not uncommon to experience headache and/or a sense of 'brow fatigue' after your first treatment with Botox.  The feeling generally lasts a couple of weeks and doesn't return with later treatments. If you have lost your brow arch, it may be that your dosage was too heavy.  Your frontalis muscle (forehead) is the only muscle that supports your brow and holds it up. You have other muscles that pull your brows downward, including the frown muscles (corrugator and procerus) and the muscles around the eye (orbicularis). These muscles are in a "tug of war" for your brow position and your doctor may need to weaken the "downward" pulling muscles to achieve better muscle balance and brow position. In the future, they can reduce your forehead dose to achieve an ideal result. Even if you do nothing, your forehead will "recover" just a little bit in the next couple weeks and your brow won't feel so heavy. My best to you.

Thank you for your photos. Yes, your eyebrows have dropped and the left brow has especially flattened. You treated the frontalis muscle (which is the muscle that lifts the eyebrows-  when your raise your brows in the pre-photo- those are the lines you wanted to treat). So you will need to just have them treated with less product next time. I would also talk to your doctor about dysport. I really like dysport in the forehead for those horizontal lines. Hope this helps. Good news is that it will wear off. 

Dear lynn3963:The muscle that pulls the eyebrows up (the frontalis) interdigitates with and opposes the complex of muscles that pull the eyebrows down. So, if you relax the muscle that pulls the brows up without also relaxing the muscles that pull them down, the brows will be pulled down.  This can be avoided by relaxing both sets of muscles, or by injecting the frontalis muscle very high above the brows.At this point, you can relax the brow depressors and the brows will lift, or you can wait several months (typically three unless a large dose of Botox has been used) for the effect to wear off.All the best,   Dr. Clark