Thank you for your question. I'm sorry to hear about your situation. Botox is a purified protein used to target wrinkles associated with facial expression. It's important to clarify what you mean by 'forehead' because there are two groups of muscles in that area. The glabella, located between the brows, is responsible for pulling the brows down when someone frowns. The frontalis is a broad muscle that stretches across the upper forehead and raises the brows. Some people consider the treatment of the glabella as treating the forehead. In this case, the glabella muscles are relaxed, and the frontalis acts unopposed, leading to wrinkles above the brows. This is more common on the outer forehead because treating the glabella often relaxes the middle portion of the frontalis. Treating the lateral frontalis can address such concerns. In my practice, I typically treat both areas to avoid these issues. Please consult with a doctor for specific recommendations. Good luck!
I agree that it appears the lateral forehead was not adequately treated. It is possible that either the treatment was expected to be effective or an insufficient amount of Botox was used. If the issue persists beyond two weeks after the injection, I recommend having the affected area reevaluated and potentially treated with additional Botox.
Please inform your surgeon if a stitch has opened up. It is not recommended to try to repair it yourself. Based on your picture, it appears that only the central brow was treated with Botox, not the outer aspects. The wrinkles are not caused by the Botox but rather by the untreated area where the frontal muscle is still active. This can be easily fixed by applying more Botox to the wrinkles, which will soften them and create a more balanced brow appearance.
Additional Botox may help soften lateral forehead creases caused by Botox administration in the lateral forehead area. It is advised to consult with your injector for an in-person reevaluation to discuss your concerns and determine the best treatment plan.
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