Botox indications

William Bruno, MD answers: What areas of my face can I get Botox injected?

I have wrinkles pretty much across my entire face! So where would Botox be best suited/safe/effective?


William  Bruno, MD
2 months ago

If you have wrinkles across your entire face, Botox may only be able to partially help you. Botox only works for dynamic wrinkles, those lines cause by overactive facial contractions, such as crow's feet near eyes, frown lines in between eyes (above nose) and horizontal forehead lines.

If you loose skin with fine lines and wrinkles, then you may require a surgical procedure such as a facelift or perhaps laser resurfacing/chemical peel, combined with Botox.

Please consult with a board certified plastic surgeon to thoroughly evaluate your face and recommend a plan for facial rejuvenation, that may or may not, include Botox.

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A: Botox is best indicated for the forehead, crow's feet, and the glabells ("11 lines")

Don Mehrabi, MD
5 months ago

 Thank you for your question.

Botox is best and most often used for forehead wrinkles, crow's feet lines around the eyes, and the "11 lines" between the eyebrows. Botox has been safely used in these areas by many practitioners for many years, and I would say that the vast majority of experience has been in these 3 areas. There are other areas and uses for Botox also. including:

1. "Bunny lines" on the sides of the nose

2. Gummy smile reduction

3. Nasal flare reduction

4. Lifting up the corners of the mouth

5. Tightening the jawline (difficult to do, not as popular)

6. Lifting eyebrows

7. Decreasing the "orange peel" appearance of the chin

8. Lessening the appearance of neck bands

These are some of the other advanced uses of Botox and may be something worth trying if you have any of these issues since Botox is relatively cheap and completely reversible.

Hope this helps!

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A: Experience counts in Botox injection technique

Raffy Karamanoukian, MD
8 months ago

Botox is a safe medication administered for cosmetic improvement of wrinkles. In this particular case where you complain of diffuse wrinkling, you may not be a candidate for Botox as your skin may be photoaged. The proper treatment may be to improve skin resiliency and quality.

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A: Where does Botox work on the face?

Harold J. Kaplan, MD
2 days ago

Botox is only FDA approved for injection between the eyes (the "11" lines). But it is fairly standard for it to be injected in the following areas:

  • Between the eyes
  • Crow's feet at outside of eyes
  • Forehead
  • Upper lip

There may be other areas of the face and neck that are injected at other practices, but we stick to these areas.

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