Mephisto brows, or Spock brows is the term given to eyebrows which upturn sharply and unnaturally. This is an effect which can be an unwanted consequence of BOTOX treatment. While BOTOX brow lifts can be effective at rejuvenation, exaggerated eyebrows are not a good look.
Spock brows happen when Botox is injected only at the central part of the upper forehead, leaving the sides untouched. When the central forehead is weakened and the outer sides remain active, it causes the central brow to drop and the outer brow to appear like it's lifted too high. The result: Spock brows.
The “spock brow” can usually be avoided with proper placement of botulinum toxin. If it occurs, it can often be fixed by adding a small amount of additional botulinum treatment to the frontalis muscle just above the highest point of the brow arch.
Answer: "Spock Brows"
This is a very common complication of Botox that can be easily fixed with a small touch-up.
The key is to balance the forces between the forehead elevators and depressors. Typically, a “Spock Brow” is due to overtreating depressors and/or undertreating elevators in the outer half of the forehead. It can be corrected by placing a small amount of Botox into the elevators in the outer forehead.
Answer: Dysport
Spock brow after neuromodulator treatment (Botox, Dysport, Xeomin) is easily fixable by using a small amount of product, anywhere from 1-3 units of Botox or 5-10 units of Dysport.
It performs equal to Botox's strength and lasts the same 3 to 4 months. The good news is that it begins working within several days of the injection.
Usually, a small amount of the Botox spreads to the nearby central area of the frontalis muscle. This makes it harder to raise the inner eyebrows. However, the outer part of the frontalis muscle is working normally. So the outer eyebrows are lifted and you see a peaked appearance.
Heavy brows and the feeling of drooping.
This feeling and look comes from treatment of the forehead muscles called the frontalis. These muscles move the brows up and in certain cases after Botox treatment, the relaxed muscle then makes the brows drop.
Unnatural elevation of the brow arch is related to the technique of botulinum administration. Specifically, placement of neurotoxin can enhance or minimize the brow arch. The major muscle of the forehead, the frontalis muscle is solely responsible for lifting the eyebrows.
Minor amounts of brow bone reduction can be done by burring but this only results in a few millimeters of reduction for most patients. Significant brow bone reduction in men and in transgender females requires an osteoplastic bone flap technique done through a scalp incision.
When someone is receiving too much treatment with anti-wrinkle injections, the skin can become extremely smooth and the light bounces off in a uniform way. So, the skin appears shiny, which is why it can look 'frozen'.
Signs of a Bad Botox Injection
There are two signs you've had a bad Botox injection: Unusual results such as facial asymmetry (one side doesn't match the other), overarching eyebrows, a drooping eyelid, or not being able to move the forehead at all.
If you are experiencing eyebrow unevenness this can also be corrected, and you do not have to wait for the Botox injections to wear off. Eyebrow unevenness can be corrected by injecting a little more neurotoxin into the side that is lower. This will eventually correct the asymmetry.
Exercising – Exercising increases the blood supply to all your muscles including your facial muscles and so this can result your Botox to wear off faster.
There's a common misconception that Botox makes you look older when it wears off. On the contrary, regular Botox treatments make you look younger even after the neurotoxin wears off.
Too much Botox in the frontalis muscles can cause the eyebrows to arch too high on the forehead. The face looks surprised all the time. Too much Botox in the forehead muscles can cause the eyebrows to droop, making the upper eyelids look very heavy and hooded. The face may look angry or sad all the time.
Botulinum toxin injection makes the forehead appear bigger. Botox cosmetic procedure functions well at creating an extended forehead and brow lift because it calms the forehead muscle. The skin is no longer pulled down by the relaxed muscles.
Answer: Spock Eyes after Botox
In the event there's a Spock eyebrow on one or both sides, this can be easily corrected with a few touch up units of Botox to the lateral forehead muscles on the affected side(s). Your original injector should be able to do this for you.
Injections should start below the tail of the brow proceeding inferiorly to the vertical plane of the lateral canthus.
"If you do too much Botox on your forehead for many, many years, the muscles will get weaker and flatter," cautions Wexler, adding that the skin can also appear thinner and looser. Moreover, as your muscles become weaker, they can start to recruit surrounding muscles when you make facial expressions.
“When an area of the face is frozen with absolutely no wrinkles, you can assume the person has had a date with a needle.” "When you look at a photo and see an area of the face that is extremely smooth and shiny," Rusher says, "that can be an indicator that the person may have had Botox."
When people see lines forming after BOTOX wears off, they assume treatment made their wrinkles worse. Actually, your face simply returns back to its natural state. No new wrinkles or lines are ever caused by these injections.