So You Hate Your Botox. Now What?

woman holding her head and looking at forehead after receiving Botox injections in her face at a med spa

It is estimated that in 2024 around 7.4 million Americans received Botox treatments – making it the most popular aesthetic injectable. What makes botox so popular is that with ease one can get injected and continue on with the rest of one’s day. Perhaps, over a lunch break or on the weekend before your son’s baseball game – it’s virtually undetectable and has no downtime. For an injection with no downtime that offers amazing results? Of course it’s popular.

Botox is a neuromodulator that relaxes the muscle to ease the look of fine lines and wrinkles – create smooth foreheads, creasefree smiles and even lifted eyes. Botox, which is typically charged by unit, needs to be expertly placed to ensure everything is lifted – but not too lifted and relaxed. Oftentimes patients will note they only want a few units, believing that will make their invoice less expensive and keep their face looking more natural. Unfortunately, that is not necessarily the case or the correct way to think. The face’s features and the face’s natural movements are all connected. If you raise your eyebrows you’re not only lifting your eyebrows but the rest of your face will move as well. The way in which we express emotions on our face moves and effects all other features of our face – whether we realize it or not. So, in order to smooth the forehead and prevent the eyebrows from drooping into the eye (which is a natural facial reaction if suddenly the forehead muscles are relaxed) botox must also be placed in the surrounding areas to ensure that although the forehead is relax the eyebrows stay lifted and the eye stays open. If the proper amount of units are not correctly injected in the surrounding areas of the face a patient risks having eyebrows too raised constantly looking shocked or surprised or having their forehead droop into the eye giving a (for lack of a better term) Neanderthal look. A patient can still achieve a natural look with a little movement if they wish, but oftentimes opting for the least amount of units is not how to achieve that.

So, what if you do end up looking too surprised? What if you end up hating your botox? What then? Typically the answer is simple: allow your botox to fully set, which will take up to 14 days, then return to your injector and have them give you a few extra units to even out the facial features, therefore allowing the brows to fall. It is important to not distress and remember it can be common to have your brows too raised or your forehead too low and it is a very easy fix. If you do find this continues to happen, perhaps speak to your injector about this and map out a plan for going forward. If you feel you find yourself constantly dissatisfied with your injectables, perhaps it is time to find another injection. If worse comes to worse and you absolutely hate your botox and perhaps find you’re too frozen and would like more movement, it is important to remember the botox will begin to metabolize out of the body by 3 months. That’s another reason botox is so popular – it is not permanent and is noninvasive!