Preventing forehead drooping from Botox?

I was told that if I get Botox in my forehead, I should also get it in the area between my eyes to prevent drooping of the forehead. Is this true?

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7 answers to “Preventing forehead drooping from Botox?”

A: Forehead drooping and Botox

Mary Lupo, MD

If the frontalis (forehead is injected), and there is laxity of the skin, or you use your frontalis to hold up heavy lids, injecting the procerus (a brow adductor that lowers the central brow with the corrugator muscles between the brows) will lessen the risk of brow drop. In young patients, you can inject the... more

A: Sort of, but not exactly

Scott E. Kasden, MD

If you have forehead wrinkles, the Botox needs to be placed in the forehead.  If you have glabella wrinkles, the Botox needs to be placed between the brows.  There are ways to minimize the risk of brow drooping. sek

A: Not True

Christopher L. Hess, MD

If you have decreased tone in your forehead skin and you get Botox than it's likely that your brows will drop.  In patients like this we tend to stay away from the lateral brows to prevent complete ptosis or sagging.  In fact Botox under the lateral brow will paralyze the orbital muscle and slightly... more

A: Forehead drooping from Botox

Bryan K. Chen, MD

While it is true that botox to the glabellar region and below the lateral brows can counteract drooping from botox injections to the forehead, not everyone who has botox in the forehead will notice drooping of the forehead.  In certain cases, botox to the glabellar area, very small amounts injected to the... more

A: True

Arnold R. Oppenheim, MD

Injecting the glabellar area, between the brows, causes less pull of those muscles. Then the frontalis muscle does not have to work as hard to counter the action of the downward pull of the procerus and depressors of the glabella. It is felt that the frontalis muscle is working (tensing) even when you are not... more

A: Don't inject the whole muscle!

Leslie H. Stevens, MD

The best way to prevent drooping brows when injecting Botox in the frontalis muscle is to leave a cuff or margin of uninjected muscle just above the brows. This should leave you with enough muscle function to prevent any droop and still smooth the upper part of your forehead.

A: Forehead drooping

Brent Moelleken, MD

Botox in the up and down oriented frontalis muscle (forehead) can cause drooping of the brows, since the brow lifting muscle is being deactivated. Injection of Botox into the crow's feet causes relaxation of the orbicularis, a depressor of the lateral brow.  Therefore when the crow's feet are is injected,... more

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