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Is There a "Secret" Injection Technique for Botox for Frown Lines?

asked 2 years ago by JaneMSmith in fort lauderdale
Latest answer by Nathan Mayl, MD
Question viewed 918 times
Tags: frown lines

I had Botox for 6 years from 4 different doctors. Only one (an oculoplastic surgeon) has been able to immobilise my frown muscles. I went to him for several years. With the others any effect was gone in 2-14 days no matter how many units they injected (50 in one case). I noticed that the oculoplastic surgeon injected much closer to the eyes. I now have an otherwise fantastic dermatologist and don't want to use multiple doctors - but he can't get my frown muscles immobilised. He tells me I need a filler to fill in the frownline.

12 answers to Is There a "Secret" Injection Technique for Botox for Frown Lines?

Sometimes a person needs Botox and a filler to get the best results for frown lines

After 6 yrs you may now need both botox or dysport and a filler to achieve the results you want. 8-10 tiny shots in an area tends to give a better result than 3-5 bigger injections.

David Hansen, MD
Beverly Hills Dermatologic Surgeon

www.DrDavidHansen.com

The technique needed to be effective changes from patient to patient and in each patient over time.

I have been usihg botox since before it was released for cosmetic use. Interestingly, patients will sometimes over time learn to frown using more of their orbicularis muscle closer to the eyelids rather than the forehead muscles. This makes it more difficult to quiet their frown making it important to inject parts of the orbicularis muscle. Other patients will have so much loss of tissue under their frown lines that a filler must be used to get a good result even if... more

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

No Botox secrets

Botox results are very technique-dependent. It seems as though you want total immobilization from your Botox injections, though most people do not. Also, sometimes fillers are useful to supplement Botox since Botox will not fill out a facial crease. However, the bottom line is that if your dermatologist cannot satisfy your goals you should return to the oculoplastic surgeon.

Bruce Genter, MD
Abington Plastic Surgeon

Precision Botox injecting comes with experience

There isn’t a secret to good injection technique. There is however a significant difference in the understanding of facial and perioccular anatomy form one injector to the other. Surgeons with experience in occuloplastic surgery are working with the orbicularis muscle and perioccular tissues on a daily basis. The ability to precisely inject these muscles comes with experience. Your occuloplastic surgeon, who is intimately familiar with the mucles near the eye area, may be comfortable... more

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon

Effectiveness of Botulinum toxin for frown lines

The problem with injecting that close to the eye is that you risk eyelid drooping. This is the likely reason why the other physicians are avoiding this. Botulinum toxin tends to last from 3-5 months. It is strange that you state you are only experiencing a 14 day response.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Botox injections

There is a certain level of expertise involved in getting the results that patients want. This usually requires a thorough exam and discussion with the patient about their goals. Injectors can be different in technique - if you were happy with the oculoplastic doctor, then perhaps you should go back to that doctor.

Steven Wallach, MD
Manhattan Plastic Surgeon

Botox for frown lines

If you had success with the treatment from only one of those doctors, you might want to see that doctor again, even if it is an inconvenience for you, because if that doctor can not provide you with the result you wish any longer, than you know not to keep chasing the effect. On the other hand, if that doctor once again injects Botox preventing you from frowning, you would know not to have the filler done. Keep in mind, that injecting closer to the eye, especially in the vertical plane that... more

Ronald Shelton, MD
Manhattan Dermatologist

Secret methods - not really

Not everyone is looking for that frozen look. Occasionally it is necessary to also help the eleven lines with filler. I have developed a patent pending Mirodroplet Botox method that permit injecting in the eyebrow area which permit a much better forehead lift effect than can be achieve with other methods. The method is well described on my web site: www.lidlift.com. The method is not secret but has not been widely published and I am only working on the book to describe the method.... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Everyone is different

There are profound differences in how patients frown. Some use more of the corrugator muscle, others the procerus. Some people have long corrugators, others short, and others recruit from the nasalis muscle. In addition, after 6 years, you likely do have additional skin aging and may, indeed, need a little filler for the lines. In summary, give your current dermatologist a try. Touch-ups at 2 weeks, and a little experience doing you more than once, may make it a perfect relationship.... more

Mary Lupo, MD
New Orleans Dermatologist

Secret Botox technique for frown lines

Yes, there is a secret technique only oculoplastic surgeons know and pass on to other oculoplastic surgeons. However if I told you I would have to...

Peter T. Truong, MD
Fresno Oculoplastic Surgeon

www.facialsurgerydr.com

Secrets to good results with Botox

While there aren't any true "secrets" there are a number of refinements in technique that experienced injectors know about. It isn't quite as simple as injecting closer to the eyes, and doing so might put you at higher risk for eyelid droop. However, the standard "on label" technique of 5 injection points doesn't really optimize results for many patients and it is important to customize based on each person's anatomy. It is also possible that you are developing resistance... more

Richard Baxter, MD
Seattle Plastic Surgeon

Botox injection

There is no "secret" technique for injecting Botox, although different practioners will use different techniques and certainly possess different levels of experience. If you were happy with the oculoplastic surgeon who initially performed your injections, perhaps you should return to him/her.