Where Exactly is Botox Injected in Order to Create a Browlift?

I thought it was somewhere above the brow, but I read recently that it's in the crow's feet area.

Doctor Answers 23

Botox brow shaping

Thank you for your question. Shaping the brows is one my favorite parts of using Botox. It requires a very detailed understanding of the underlying anatomy as well as assessing each individual while they are animating their brows. By carefully placing Botox in the muscles that depress the brow, you can cause the brow to rest and relax in a lifted position. There are limits to how much you can lift, and for some surgery is better option. Incorrect assessment or placement can also lead to the reverse effect, so overall technique is critical. You can also shape the brow different. For example, you can raise the tail of the brow vs creating a raised arched brow vs creating a raised horizontal brow. It depends on the individual's desired brow aesthetic goals. I would consider this a very advanced technique so I would query your injector on their experience in this area.
As far as how many units may be needed, this also depends on which part of the brow you want to correct. For the inner brows, you may consider ~20 units (same as the frown line treatment). For the middle or outer brow, I generally use up to 5 units on each side.
You may also want to consider adding fillers to shape and raise the brow. Combining the two products can work synergistically together.


Houston Plastic Surgeon
4.8 out of 5 stars 36 reviews

Brow lift with Botox

The location of the brow on your face is a function of the muscles above the brow contracting and raising the brow and the muscles below contracting and lowering the brow.  Your provider should be able to discuss with you what type of brow position you would prefer and place the product appropriately to attain the optimal result.  
I typically treat the forehead area conservatively to keep a natural look and almost always place several units under the tail of the brow when treating the crows feet area to attain a subtle and natural appearing lift to the lateral brow.

Best Regards,

Jacque P. LeBeau, MD 

 

Jacque P. LeBeau, MD
Pensacola Facial Plastic Surgeon
5.0 out of 5 stars 26 reviews

Botox injected into brow depressors creates eyebrow lift

We can lift the brows by weakening the muscles that pull down on the brow.

There are five depressors of the eyebrow:
1) procerus (muscle the pulls down on the brows, creating a horizontal crease at the top of the nose
2) R and L corrugator (muscles that pull the brows inward and downward, creating the 11 lines)
3) R and L obicularis oculi (muscle that encircles the eye, allowing it to close tightly)

To lift the medial part of the brow, inject the glabella, procerus, and corrugators (also know as the glabella). 

To lift the lateral aspect of the brow, inject the ocibularis oculi.  This can be done above the brow or below it, since the muscle stretches encircles the eye and often extends above the brow.

Melissa Chiang, MD, FAAD
Houston Dermatologic Surgeon
5.0 out of 5 stars 12 reviews

Best Place For Botox Brow Lift

That is correct, Botox is injected in the crows foot area to lift the tail of the brow. It is injected more superficially than other areas and should be done by an expert injector. Botox is a muscle paralyzing substance that is injected into or near facial muscles by a doctor or nurse injector to weaken or prevent it from working for a period of months.
It may seem counter-intuitive that paralyzing facial muscles can lift your brow, but this is exactly how Botox works. Our faces have muscles that pull in opposing directions, so in the case of the brow the idea is to paralyze the muscles that pull downward while leaving the ones that lift the brow untouched.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Botox for brow lift

Thank you for your question

3 main muscles control the height of the eyebrow . 

   The frontalis muscle elevates the brow. This muscle is located above the eyebrows. Botox in this muscle will smooth out your forehead But Drop your eyebrows. There are 2 main muscles that pull your eyebrow down. The corrugators , which are located in between the eyebrows and the depressor orbicularis occuli muscle located over the outer aspect of the eyebrows . If you Botox these 2muscles, the eyebrows will go up .

          I hope you find this information useful.

Joshua Halpern, MD, PA
Tampa Plastic Surgeon
4.8 out of 5 stars 61 reviews

Get a browlift with Botox/Dysport

Great question.  You can get a browlift usually with Botox/Dysport depending on where it is injected.  To get a lateral browlift you would treat the crow's feet area as well as a little under the lateral aspect of the eyebrow.  To get a medal lift you could do a typical glabella treatment.  Please understand that you would diminish the results if you also has part of the forehead treated because that is the muscle that raises the eyebrow and if you relax that muscle you probably won't get the brow lifted.  Good Luck.

Robert F. Gray, MD, FACS

Facial Plastic Surgeon

Robert F. Gray, MD, FACS
Bay Area Facial Plastic Surgeon
3.3 out of 5 stars 13 reviews

Botox Brow Lift

Lifting the brow withBotox is straight forward if you understand the local muscle anatomy and interactions. The brow is lifted by the Frontalis muscle of the forehead. This lifting is opposed by a side portion of the orbicularis oculi omega shaped muscle around the eye (along the side of the brow) and a portion ofthe muscles causing snarling on the base of the nose. If these brow depressing muscles are weakened the brows will be lifted by the unopposed Frontalis muscles. For this reason you should NEVER get Botox just above the brows. All that would do is drop the brows giving you a tired aged look. Dr. Peter A Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 108 reviews

Botox Brow Lift

Thank you for your question. A Botox brow lift can be accomplished by carefully injecting the outer eye muscle (orbicularis oculi) near the brow tail that pulls the outside of the brow downwards. The amount of Botox depends on each individual patient, but on average 2-5 units per side is usually required. All the best. 

Samuel Hetz, MSc, MD
Ottawa Physician
5.0 out of 5 stars 5 reviews

Lifting with toxin

This is all about balance. There are muscles that depress the brow (corrugators, orbicularis and procerus) and there are muscles that lift the brow (frontalis). You can google images of all of these.

So we use botox to paralyze the muscles that depress the brow and this then allows the brow elevators to compensate and give a slight elevation. 

Hope this helps.

Best of luck,

DrC

Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Botox brow lift

Lifting the brows with botulinum toxin (botox, xeomin or dysport) is done by reducing the strength of the downward pulling muscles. That may include the muscles between the eyebrows, those over the eyebrows and even those at the end of the eyebrows by the crow's feet.  Where and how much to inject is dependent on your facial anatomy.  That is why it is important to get your evaluation by a board certified core cosmetic physician (dermatologist, plastic surgeon, facial plastic surgeon, oculoplastic surgeon).

I hope that answer was helpful. Best wishes.

Heidi A. Waldorf, MD
New York Dermatologist
5.0 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.