Which part of face is it safe to have Botox which won't create additional wrinkles (brows, upper/lower eyes, forehead)?

Question

Botox creates additional wrinkles from the overcompensation of muscles near the treated area, which areas of the face are prone to this problem?

James M. Ridgway, MD, FACS · Answer

The question you ask is a very good one. The best, safest area for botox treatment is directly between the eyes. Regions above and around the eyebrows (forehead and upper crows feet) can produce abnormal results and lines int he face. The best approach in ensuring outcomes is with a specialist. Stated differently, an intricate understanding of facial anatomy is essential in predictable Botox and filler outcomes. I recommend seeing a specialist who takes the face apart and places it back together for a living. Be healthy and be well,

James M. Ridgway, MD, FACS

James M. Ridgway, MD, FACS

Martin Jugenburg, MD · Answer

This depends on the area injected. You may see this around the eyes and into the bunny lines, on the forehead from only treating the crows. Speak with an expert injector and have them explain what effects are common with treatment to specific areas. This can be avoided with technique.

Jason Emer, MD · Answer

Botox is approved for glabellar lines and crow's feet, but is used off label in many areas such as the forehead, around the mouth, on the neck etc with great results depending on who is doing the injection and what lever of experience they have.  Go to a good injection, one who is an expert in their field.  Best, Dr. Emer.

Sean R. Weiss, MD, FACS · Answer

The least likely area to develop new lines from over compensation is the glabella.  If the forehead is injected improperly, new lines may become apparent. This can happen at the upper cheek and under eye area if Botox is used to aggressively in this region.  Choose a facial plastic surgeon or general plastic surgeon to do your injections to minimize the risk of this happening.

Michael A. Persky, MD · Answer

Botox is safe on most parts of the face without the worry of creating additional wrinkles.  If new wrinkles should form, or old previously existing wrinkles are then much more noticeable, then a little more strategically placed Botox should correct the problem.  The area most commonly affected is when crow's feet are over treated, then there is compensatory wrinkling of the cheeks below the crow's feet.  The other area is the lateral forehead just above the eyebrow.  Choose an expert injecting physician to minimize these adverse effects.  Good luck and be well.Dr. P

Jessica J. Krant, MD, MPH · Answer

Two common areas that can get extra wrinkles around the edges when Botox is used are the forehead and the lower crows' feet. Your forehead muscle (frontalis) and crows' feet muscle (orbicularis oculi) are single sheets of muscle. When you weaken a section of it, other sections may seem to pull harder to achieve the expression your face is trying to make. This can sometimes create a forehead with a smooth patch and an adjacent wrinkled patch, or create smooth crows' feet, but wrinkled upper cheeks when smiling. A skilled, board-certified MD core injector should be able to evenly distribute the Botox to keep everything soft and evenly natural looking without this effect occurring.

Which part of face is it safe to have Botox which won't create additional wrinkles (brows, upper/lower eyes, forehead)?

Answers (6)

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