{"id":27208,"date":"2024-01-19T11:55:17","date_gmt":"2024-01-19T19:55:17","guid":{"rendered":"https://www.realself.com\/news\/?p=27208"},"modified":"2024-01-19T11:55:20","modified_gmt":"2024-01-19T19:55:20","slug":"botox-warning-social-media","status":"publish","type":"post","link":"https://www.realself.com\/news\/botox-warning-social-media","title":{"rendered":"The Botox Warning Doctors Are Issuing on Social Media"},"content":{"rendered":"<?xml encoding=\"utf-8\" ?><div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center has-background\" style=\"background-color:#f6f6f6\"><strong>Featured Experts<\/strong><br><a href=\"https:\/\/www.realself.com\/dr\/norman-m-rowe-new-york-ny\">Dr. Norman Rowe<\/a>, a board-certified plastic surgeon in New York City<br><a href=\"https:\/\/www.realself.com\/dr\/doris-day-new-york-ny\">Dr. Doris Day<\/a>, a board-certified dermatologist based in New York City<\/p>\n<\/div>\n<\/div><p>Once upon a time, the term <a href=\"https:\/\/www.realself.com\/nonsurgical\/botox\"><em>Botox<\/em><\/a> was synonymous with &ldquo;frozen,&rdquo; with the general understanding in the zeitgeist being that, after a few injections of the neuromodulator&mdash;the first of several now on the market&mdash;you wouldn&rsquo;t be able to move your face, from your eyebrows to your hairline. The good news? This hasn&rsquo;t been the case for years, and many doctors say a more natural approach has become the norm.&nbsp;<\/p><p>Yet some patients still request the frozen look, and some injectors are known for being heavy-handed with neurotoxin&mdash;and this can have serious consequences for the rest of your face. Doctors are now sharing the risks on social media, warning that by inactivating your forehead muscle via botulinum toxin, you&rsquo;re effectively forcing it to atrophy&mdash;and since your forehead muscle holds up the brows, your brows can therefore droop.<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/reel\/CzgUcAGrBpc\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/reel\/CzgUcAGrBpc\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/reel\/CzgUcAGrBpc\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Dr Doris Day MD FAAD (@drdorisday)<\/a><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>Ultimately, &ldquo;it falls under the adage of &lsquo;Use it or lose it,&rsquo;&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/norman-m-rowe-new-york-ny\">Dr. Norman Rowe<\/a>, a board-certified plastic surgeon in New York City, who&rsquo;s seen this phenomenon among his patients. With that, here&rsquo;s what you should know.<\/p><h2 class=\"wp-block-heading\" id=\"h-why-freezing-your-forehead-with-botox-is-risky\">Why freezing your forehead with Botox is risky<\/h2><p>Basically, the muscles in the face have two different roles: function, meaning they have a physical purpose (in this case, holding up the brows), and facial expression, meaning they help you smile, frown, and so on. Some muscles have both&mdash;and your forehead muscle is one of them.<\/p><p>&ldquo;Your forehead movement has an expression of raising your brows in surprise, or trying to be more present,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/doris-day-new-york-ny\">Dr. Doris Day<\/a>, a board-certified dermatologist based in New York City. &ldquo;But it also has a function of holding up your brows to keep your eyebrows out of your eyes.&rdquo; This function, she says, is involuntary, and it keeps your brows from dropping and your eyelids from looking heavy.<\/p><center><blockquote class=\"tiktok-embed\" cite=\"https:\/\/www.tiktok.com\/@ellengendlermd\/video\/7141025120025333034\" data-video-id=\"7141025120025333034\" style=\"max-width: 605px;min-width: 325px;\"> <section> <a target=\"_blank\" title=\"@ellengendlermd\" href=\"https:\/\/www.tiktok.com\/@ellengendlermd?refer=embed\" rel=\"noopener\">@ellengendlermd<\/a> Replying to @_._bix_._ <a title=\"atrophy\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/atrophy?refer=embed\" rel=\"noopener\">#atrophy<\/a> <a title=\"botox\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/botox?refer=embed\" rel=\"noopener\">#botox<\/a> <a title=\"botoxnatural\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/botoxnatural?refer=embed\" rel=\"noopener\">#botoxnatural<\/a> <a title=\"botoxinjection\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/botoxinjection?refer=embed\" rel=\"noopener\">#botoxinjection<\/a> <a title=\"botoxcheck\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/botoxcheck?refer=embed\" rel=\"noopener\">#botoxcheck<\/a> <a title=\"dermatologist\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/dermatologist?refer=embed\" rel=\"noopener\">#dermatologist<\/a> <a title=\"dermdoctor\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/dermdoctor?refer=embed\" rel=\"noopener\">#dermdoctor<\/a> <a title=\"dermatologydoctor\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/dermatologydoctor?refer=embed\" rel=\"noopener\">#dermatologydoctor<\/a> <a title=\"doctorsoftiktok\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/doctorsoftiktok?refer=embed\" rel=\"noopener\">#doctorsoftiktok<\/a> <a title=\"dermatologistontiktok\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/dermatologistontiktok?refer=embed\" rel=\"noopener\">#dermatologistontiktok<\/a> <a title=\"dermatologistsoftiktok\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/dermatologistsoftiktok?refer=embed\" rel=\"noopener\">#dermatologistsoftiktok<\/a> <a title=\"dermatologistskincare\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/dermatologistskincare?refer=embed\" rel=\"noopener\">#dermatologistskincare<\/a> <a title=\"dermatologistreacts\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/dermatologistreacts?refer=embed\" rel=\"noopener\">#dermatologistreacts<\/a> <a title=\"skincaretips\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/skincaretips?refer=embed\" rel=\"noopener\">#skincaretips<\/a> <a title=\"skincare101\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/skincare101?refer=embed\" rel=\"noopener\">#skincare101<\/a> <a title=\"skintok\" target=\"_blank\" href=\"https:\/\/www.tiktok.com\/tag\/skintok?refer=embed\" rel=\"noopener\">#skintok<\/a> <a target=\"_blank\" title=\"&#9836; Lazy Sunday - Official Sound Studio\" href=\"https:\/\/www.tiktok.com\/music\/Lazy-Sunday-6756879114637967368?refer=embed\" rel=\"noopener\">&#9836; Lazy Sunday &ndash; Official Sound Studio<\/a> <\/section> <\/blockquote> <script async=\"\" src=\"https:\/\/www.tiktok.com\/embed.js\"><\/script><\/center><p>Once you take that muscle out of commission, effectively paralyzing it with botulinum toxin, the combo of gravity and the opposing muscles&mdash;those that pull the brows down&mdash;can lead to muscle atrophy, meaning the muscle weakens and shrivels. And this impacts both facial expression and function.<\/p><p>It&rsquo;s most common in people who frequently freeze their foreheads. For instance, Dr. Rowe most often sees it &ldquo;in patients who continually use Botox and get reinjected before the previous Botox wears off,&rdquo; he says.<\/p><p>Dr. Day, for her part, also sees it among patients who expect dramatic results from their injections and aren&rsquo;t happy with <em>any<\/em> movement on the forehead, despite it being the norm&mdash;not to mention, the more natural look. This can also actually defeat the purpose of getting botulinum toxin in the first place. In atrophying the muscle, &ldquo;you are accelerating the aging process,&rdquo; she says.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in Botox?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=Botox\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h2 class=\"wp-block-heading\" id=\"h-how-to-tell-if-you-have-forehead-muscle-atrophy-from-botox\">How to tell if you have forehead muscle atrophy from Botox<\/h2><p>For one, you might notice it in photos. Another telltale sign is new lines in your forehead, especially right above the brow. When people start to have lines that aren&rsquo;t where the Botox was or lines right above the brow, it means they&rsquo;re very dependent on the forehead muscle, according to Dr. Day. &ldquo;Either muscle fibers that you missed are going to overcompensate and you&rsquo;re going to see lines at rest or you&rsquo;re going to start making different wrinkles in places that weren&rsquo;t injected,&rdquo; she explains.<\/p><div class=\"newsletter-signup\" id=\"newsletterForm\">\n    <h2 class=\"newsletter-signup__heading\" id=\"unlock-a-world-of-modern-beauty\">Unlock a world of modern beauty<\/h2>\n    <p class=\"newsletter-signup__text\">Stay up-to-date on trending news, popular procedures, and exclusive content.<\/p>\n    <div class=\"newsletter-signup__wrapper\">\n        <input class=\"newsletter-signup__input\" type=\"email\" id=\"newsletterEmail\" placeholder=\"Enter your email\">\n        <button class=\"newsletter-signup__button button\" onclick=\"submitEmail()\">SUBSCRIBE<\/button>\n    <\/div>\n    <div class=\"newsletter-signup__small\"><p><span style=\"font-weight: 400;\">By subscribing, you accept our <\/span><a href=\"https:\/\/www.realself.com\/real_self_privacy_policy.html\"><span style=\"font-weight: 400;\">Privacy Policy<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.realself.com\/terms-of-service\"><span style=\"font-weight: 400;\">Terms of Service<\/span><\/a><span style=\"font-weight: 400;\"> and agree to receive marketing emails.<\/span><\/p>\n<\/div>\n    <div id=\"newsletter-message\" class=\"newsletter-signup__message\"><\/div>\n<\/div><h2 class=\"wp-block-heading\" id=\"h-what-you-can-do-about-it\">What you can do about it<\/h2><p>The bad news? There&rsquo;s no easy solution to this, since the only way to prevent muscle atrophy is to use the muscle in question&mdash;which means no longer using botulinum toxin to freeze it. However, &ldquo;once you stop using Botox, the muscle will gain its strength back and then cause wrinkles again,&rdquo; says Dr. Rowe. On the flip side, however, &ldquo;the longer you use Botox or any neuromodulator, the more atrophy or shrinkage you get on the muscles,&rdquo; he says.<\/p><p>The only way around it is to use botulinum toxin &ldquo;to balance, to redirect, but not to take away the function,&rdquo; says Dr. Day. In other words, the injector has to take a holistic approach to the injections, applying only where they&rsquo;re needed instead of indiscriminately across the forehead. If you&rsquo;re not satisfied with the results&mdash;or they don&rsquo;t restore enough lift to the brow&mdash;then it might be time for a surgical option.<\/p><h2 class=\"wp-block-heading\" id=\"h-is-it-possible-to-avoid-muscle-atrophy\">Is it possible to avoid muscle atrophy?<\/h2><p>What makes this tricky is that there&rsquo;s no set amount of botulinum toxin that constitutes freezing the forehead. &ldquo;Some people need more, some people need less,&rdquo; says Dr. Day. To that end, it&rsquo;s important to go to an experienced provider who can assess your anatomy, analyze your facial expressions, and use those to determine the best placement.&nbsp;<\/p><p>And there&rsquo;s no set amount of time that makes this possible, since it can depend on your facial anatomy, your genetics, and other nuances. That said, &ldquo;the older you are and the naturally heavier your brows and your lids are to begin with, the sooner it&rsquo;s going to happen,&rdquo; says Dr. Day.<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/reel\/C1Fa8Cqxqrg\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/reel\/C1Fa8Cqxqrg\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/reel\/C1Fa8Cqxqrg\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Dr. Aleksandra Brown (@draleksandrabrown)<\/a><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>If you&rsquo;re not happy with your injectables <em>and<\/em> notice your brows are looking lower or heavier than they used to, then noninvasive options might no longer be cutting it. &ldquo;The time to do a surgical procedure is when the effect of the Botox does not get the patient to where they desire to be,&rdquo; says Dr. Rowe. That could mean a brow lift or blepharoplasty&mdash;which, while not as easy as injectables, can restore a long-term lift.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in Botox?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=Botox\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Featured ExpertsDr. Norman Rowe, a board-certified plastic surgeon in New York CityDr. Doris Day, a board-certified dermatologist based in New York CityOnce upon a time, the term Botox was synonymous with &ldquo;frozen,&rdquo; with the general understanding in the zeitgeist being that, after a few injections of the neuromodulator&mdash;the first of several now on the market&mdash;you [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":27209,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9075,9076],"tags":[24,12522],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.0 (Yoast SEO v23.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Is Your Botox Causing Muscle Atrophy? | RealSelf News<\/title>\n<meta name=\"description\" content=\"Freezing your forehead with neurotoxin can have a major unwanted side effect: muscle atrophy that causes your brows to drop. 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