Whitney Bowe, MD

Unfortunately, there are doctors out there who take a weekend course and call themselves "certified" in botox.  However, it is critical to fully understand the anatomy of the face prior to injecting botox.  The crows feet injections need to be very superficial, and extend only so far down on the cheek in order to prevent accidentally "hitting" a nearby muscle.  I would look for a board certified dermatologist or plastic surgeon in your area and go to that person for your next treatment. 

I've done a number of cases in which I inject botox into the jawline to taper it and make the jaw a bit more defined.  I actually don't think the technique is very difficult, but you have to make sure the patient's anatomy is conducive to benefiting from the procedure.  Then it's a matter of finding the right dose for a patient. I usually start with conservative doses and see how someone responds.  You can always add more at a follow up visit, but you can't take botox away.  

If you treat the forehead with botox without treating the glabella, you run the risk of the patient feeling as though their forehead is "heavy."  It's a neanderthal sensation and patients hate it.  I have treated a number of patients with SIGNIFICANTLY higher doses in the forehead than what you're worried about, without a ptosis/eyelid droop.  It all depends on technique and finding a dose that's best for the patient.

I would recommend doing a series of fraxel treatments for the lip lines (minimal downtime after each treatment) followed by Belotero injections and a drop of botox.  I would do the laser first, because you might need less filler once the laser is done.

I love using botox to shape the brows. Just a tiny drop of botox in the right place can lift, lower, or even give an arch to flat brows.  

If your brows are uneven at baseline (without any botox), then you can either drop the higher brow OR raise the lower brow.  However, if your brows are uneven AFTER botox, then an adjustment needs to be made.  The best way to determine how to make the adjustment is for your doctor to have you make facial expressions in the office. That will let him/her determine the most effective way to correct the asymmetry.