Properly speaking, mere injection of Botox cannot give a patient a "brow lift". A brow lift is a surgical procedure that transects the key ligaments that tether the soft tissues of the brow to the underlying bony architecture of the skull, then physically elevates the soft tissues of the brow to the ideal aesthetic level, then fixates the soft tissues of the brow in this new ideal position, so that the internal scar tissue formed by the healing of these tissues can maintain them in their proper position. In our clinic, we perform brow lifts endoscopically, and fixate the elevated tissues with a bioabsorbable device called an endotine.Injection of Botox cannot do any of the things described above. The most that injection of Botox can achieve is a moderate, and temporary, elevation or reshaping of portions of the brow. It achieves this by weakening the vectors of pull of the muscles into which it is injected. So, for instance, if one injects Botox into the segment of the orbicularis oculi muscle that exerts a downward pull on a portion of the brow, one can achieve a mild elevation or relaxation of that segment of the brow. Alternatively, if one weakens the medial portions of the frontalis muscles with Botox, while leaving the lateral portions of the frontalis muscles untouched, one can generate a differential in the strength and direction of the upward traction of these broad muscles on the brow, and create different degrees of arching of the brow, or elevation of the tail of the brow. It will generally take an entire week before the maximal effect of these Botox injections can be observed, and the aesthetic effect can last between three and six months, although generally closer to the shorter range of this spectrum. While the effect of Botox utilized in this manner can be aesthetically useful, it in no way can compare to the power, artistic flexibility, and longevity of an endoscopic brow lift in elevating and shaping the brow.