Question: A friend of mine got Botox injections and she looks awful. The sides of her eyebrows are raised unnaturally high, sort of like the Joker from Batman. Why would this happen and how do you avoid it?

Answer: There is a lot of misunderstanding about brow elevation with Botox. Patients need to understand that the immediate area where Botox is injected will not elevate. In fact, it may slightly depress. The elevation of brow that comes from Botox use has to do with compensatory lifting done by forehead muscles that are not injected with Botox. You avoid this by not leaving too much area in the outer part of the forehead unbotoxed.