It's been a mo.
The muscles of the forehead and the around the eye pull the eyebrow in opposite directions.Treating the eyebrow position with Botox is a balancing act.The forehead pulls up. If you weaken the forehead muscle, the muscle around the eye can pull more, resulting in a lower brow (by millimeters).The muscles around the eye pull the brow down. If you weaken the eye muscle then the forehead can pull more, resulting in a higher brow (by millimeters).With every new Botox patient, I take photographs and perform an exam with photoanalysis. I like to present both surgical and non-surgical options. And together we come decide on a personalized and safe treatment plan
It is a common misconception that injecting Botox above the brow will provide some lift to the brow. The muscle above the eyebrow is the frontalis muscle and lifts the brow. So injecting Botox into this muscle would weaken the muscle making it more difficult for the muscle to lift the brow. This is the reason that too much Botox in the forehead can lead to the brows drooping. The most common place to inject Botox to help lift the brow is actually under the lateral aspect of the brow just above the crow's feet area. It seems counterintuitive but this actually lifts the brow. The reason is that there is a circular muscle that goes around the eye. When this muscle contracts it pulls the brow down. So injecting Botox into the lateral part of that muscle to weaken it allows the muscle above the brow to raise the brow without the muscle around eye pulling it down. It is a subtle lift usually yielding only 1-2 mm but my patients who get it love it. I would recommend that you visit with your injecting physician to find out exactly where the injections were placed and whether your result is what was expected. Best wishes,Cody Koch