Board certified dermatologist wants to use dysport for my deep forehead wrinkles. i said she is wrong. it could result in a lowering brow. now what?

It depends: The use of any approved neurotoxin to reduce forehead lines has to be used carefully. Many doctors will adjust the dosage and location to produce a beneficial result. You should express your concerns to your doctor about brow position and listen carefully to the plan. All the treatments are temporary and can be done in a step wise fashion to soften the lines without complete elimination.

Balance: You need to create a lifting effect with the Dysport by placing in forehead as well as the depressor muscles ... Ie... Brow....

Forehead & Dysport: Dysport can potentially lower the brow if too much is injected. The idea is to put in just enough to soften the horizontal forehead lines without causing other problems. This will only treat the active component of the wrinkles that you have, not any part that remains when you are not activating those muscles.

If done well: It could raise your brow!

Depends: Dysport, Botox and xeomin (incobotulinumtoxin a) all depend upon the skill of the injector. Discuss further with your doctor how she will prevent unacceptable change in brow position.

Perhaps.: Treating only transverse forehead wrinkles with Botox (botox, dysport, xeomin) will usually drop the eyebrow. Treating other areas of the face with Botox can actually help raise the position of the eyebrow.

Dysport: Injection of dysport in the forehead is an off label use. It can be very effective and in experienced hands, dropping of the brow can be managed by titrating the dose.

Need balance: dysport in the forehead alone will not only reduce forehead lines but result in an inability to lift up your eyebrows so yes there would be a drop in the brows. The way to avoid this is to also inject the depressor muscles between the eyebrows about the upper area of the nose and between the nose and pupils