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Will Botox Between the Brows Cause Bunny Lines?

I've read in celebrity gossip mags that really visible bunny lines can be a result of Botox between the eyebrows. Best example is Nicole Kidman.

Is this really true? Do your nose muscles overcompensate when you "freeze" the muscles between your brows? I don't want the "11s," but I don't want to increase wrinkles elsewhere, either.

Doctor Answers (19)

Botox and bunny lines

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In general, Botox doesn't cause new lines to form but if you or your muscles are still trying to make certain expressions new muscles and areas may be recruited to do so.  Sometimes lines on the nose are already there but when the areas surrounding them become smoother and less noticeable we become heightenedly aware of other areas we may not have noticed before.  If the bunny lines become bothersome, they are easily treated with a bit of Botox as well.  Many people contract the muscles of the nose as part of regular facial expressions, smiling or squinting--it is definitely not a tell tale sign of Botox.

Dr. Grant Stevens

Los Angeles Plastic Surgeon
4.5 out of 5 stars 76 reviews

Bunny lines with Botox

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These horizontal nasal lines, as seen in your picture of Nicole Kidman, are not caused by Botox but may be rendered more noticeable when the glabellar region is treated because of surrounding recruitment of muscles of animation.  I often inject a small amount of Botox into the procerus muscles on either side of the upper nose at the same time as the corrugator treatment if there is evidence of hyperactivity in this region causing a horizontal rhytid.  You can be easily treated by an experienced physician injector to resolve your "11's" without worrying about causing bunny lines.

 Best Regards,

Jacque P. LeBeau, MD

Jacque P. LeBeau, MD
Pensacola Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

Bunny Lines after Botox

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It's not as easy as "Botox = bunny lines." Yes, rarely, Botox can cause lines to appear in other areas that they weren't previously. This is because the relaxed muscles are no longer working to make a facial expression so other areas are compensating and this may create new appearances. However, the bunny line creation is rare and usually not noticeable (or if noticeable, usually only to the person themself). I wouldn't ever recommend against Botox just because of the possibility of bunny lines around the nose. 

Cameron Rokhsar, MD
New York Dermatologic Surgeon
4.5 out of 5 stars 32 reviews

Can happen

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Some patients find that by treating the glabellar region, or “11”, other muscles start to compensate for the diminished movement in that area, for example, the bunny lines region. 

Will Botox Between the Brows Cause Bunny Lines

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Botox itself does not cause bunny lines. If bunny lines are visible those can be treated with Botox as well. Best to consult with your local Board Certified Plastic Surgeon to discuss your Botox plans and aethesitc goals. Thank you for sharing your question. Best wishes.

Gregory Park, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 74 reviews

Must admit with or without bunny lines Nicole Kidman is beautiful...

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botox doesn't cause lines...but may make muscle contraction more obvious when the surrounding muscles are relaxed and the skin is smooth...sort of like bright honks in the day with the sun out but lots of angry oncoming drivers at night...another explanation is the body overcompensating by activating muscles near the ones that don't any event, bunny lines are easily treated with a few units of properly place botox...

Ken Landow, MD
Las Vegas Dermatologist
5.0 out of 5 stars 8 reviews

Botox will not cause bunny lines

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Botox itself will not create bunny lines but it can make those that occur naturally more prominent since the treated areas are smooth.  Atlanta Plastic Surgeon Dr. Z

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 11 reviews

Botox cause of bunny lines?

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The muscles in the area may be recruited to move the face.  More likely, the lines were always there, but are now more noticeable.  Botox can treat bunny lines when placed properly.  Best to seek out an experienced and well trained injector.   

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 9 reviews

Botox and bunny lines

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It is not usual for bunny lines to develop after treating frown lines.  The bunny lines may have been there previously but you were concerned with your frown lines and did not notice them. Alternatively, to compensate for the loss of your frown, you are recruiting other muscles along the nose to cause the bunny lines.  In either case, your bunny lines can easily be injected with Botox for a natural look.  Please have treatment with an experienced physician injector.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 18 reviews

Bunny Lines Between the Brows

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Bunny lines are natural in some people. But they can also occur after a Botox injection for frown lines. There are different muscles involved in forming frown lines- the corrugator, proceris muscles between the brows. And when some people frown, the nasalis muscles are active.  In most treatment sessions for frown line, the muscles between the brows are targeted. The nasalis muscles then become more visually prominent with the appearance of the bunny lines.

If you are thinking about undergoing a Botox treatment for frown lines, a board certified specialist can let you know if you are likely to have bunny lines or not. 

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
5.0 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.