Can you have Botox to lift brows and smooth forehead at the same time?

Question

Is it possible to have Botox for an eyebrow lift at the same time as Botox to smooth horizontal lines high on the forehead? I need both and surgery isn’t an option for me right now. Frontalis Botox worked fantastically in the past in the past but I stopped it after it seemed to lower my brows over time. I love the look of a Botox eyebrow lift but forehead wrinkles are getting worse fast!

Emmanuel De La Cruz, MD · Answer

Yes, it is common for individuals to receive Botox injections for both brow lifting and smoothing the forehead in the same treatment session. Botox (botulinum toxin) is a versatile cosmetic injectable that is FDA-approved for various aesthetic purposes, including the temporary improvement of moderate to severe frown lines, crow's feet, and forehead lines.

Here's how Botox can address both areas:

Forehead Smoothing:

Botox can be strategically injected into the forehead muscles (frontalis muscle) to reduce the appearance of horizontal lines and wrinkles. By temporarily relaxing the muscle activity, Botox helps smooth the skin and prevent the formation of deeper lines.
Brow Lifting:

Botox can also be used to lift the brows by targeting specific muscles responsible for pulling the eyebrows downward. The injection of Botox into these muscles weakens their action, allowing the muscles that elevate the brows to have more influence, resulting in a subtle lift.
Receiving both forehead smoothing and brow lifting in a single session is a common practice and is often referred to as a "Botox brow lift." The goal is to achieve a more youthful and refreshed appearance by addressing dynamic wrinkles and providing a subtle elevation to the brows.

It's important to consult with a qualified and experienced healthcare professional, such as a board-certified dermatologist or plastic surgeon, for a thorough evaluation and to discuss your specific aesthetic goals. During the consultation, the practitioner can assess your facial anatomy, discuss your desired outcomes, and create a customized treatment plan that may include Botox injections for both the forehead and brow areas.

Nelson Lee Novick, MD · Answer

These are treatments that are routinely performed together by experienced injectors. In fact, whenever necessary, I frequently treat the horizontal forehead "worry" lines, the glabella "frown lines" between the eyes, the "crows feet" to the sides of the eyes, and a Botox browlift all in one session, if the person so desires. You would be wise to make sure to consult an experienced, board certified cosmetic dermatologist injector. Best of luck.

Anshul Gambhir, MD · Answer

Hi, thank you for your question! Yes, you can receive an eye brow lift while treating the horizontal lines in the forehead. I would recommend treating between the brows with the horizontal lines. We always recommend a 2/1 ratio for these areas to help balance both areas. If you are just treating the forehead lines this may cause your eyebrows to droop. I would recommend having an in person consultation with a certified injector!

Stuart Diamond, MD · Answer

Receiving botox for eyebrow lift and smoothing forehead lines is definitely possible. It’s a super common look people want to achieve.

Lara Clinic · Answer

There are several ways we can treat the muscles around the brows to lift eyebrows1. Treating crow's feet (by relaxing contraction, we can have a more lifted brow)2. Treating 11s (can lift central brow)3. Treating UPPER half of foreheadI specifically say treating upper half of forehead because the forehead can be split into lower forehead and upper forehead by something that we call the 'line of convergence.' When we are treated above the line of convergence (upper forehead) we can often create a brow lift. However, if treated below this line, we risk dropping the eyebrows.
It may be possible for you to get a lift from having tox placed in the upper forehead, however as we age and the skin in the forehead has less support (volume loss from temples, skin laxity, etc) then the risk for brows lowering after treatment becomes higher, even if we are treating above this line of convergence.
Sometimes, based on a patient's anatomy and degree of eye-hooding, we may completely recommend against treating the frontalis. However, you still may be able to achieve a subtle brow lift from treating the crow's feet and 11s.

Christopher C. Lo, MD · Answer

Unfortunately, the muscles that lift the brow create some horizontal lines across the forehead. So, as you have noticed, frontalis botox can sometimes inadvertently drop the eyebrows. 
I would try to see an oculoplastic surgeon that can inject the glabella and lateral orbicularis to weaken the eyelid depressors. A very small amount of botox can be placed to the high frontalis-- but this should only be added gradually with an experienced injector! Often, not every horizontal line can be eliminated. Best wishes and be well.

Berlin Beauty Medical Aesthetics · Answer

For an eyebrow lift, Botox is typically injected into specific muscles around the eyebrows to relax them, allowing the forehead muscles to pull the eyebrows upward. This can create a lifting effect and reduce the appearance of sagging or drooping eyebrows.
To address horizontal lines on the forehead, Botox is injected into the muscles responsible for causing those lines. By relaxing these muscles, Botox can smooth out the skin and diminish the appearance of forehead wrinkles.
Therefore if you are attempting a brow lift, but you also relax your frontalis, the forehead muscles are not pulling up your eyebrows and that will be the reason your brows will lower.
Sometimes you have to deicide what is more important for you, brow lift or getting rid of the forehead lines. Best to consult with a qualified healthcare provider.
Hope that helps...Lena

Camille Cash, MD · Answer

Yes, it is possible but you must understand the limitations.  It is important to understand that if your primary goal is to lift the brows that you still may have a little forehead movement.  The smartest move you can make is to select an expert injector and discuss your goals for treatment.

J. Renee Booth, MD · Answer

The frontalis muscle is the only muscle that lifts the brows. If it is relaxed a little, then the brows will drop a little. If it is relaxed significantly, then the brows will drop significantly. Other muscles, which pull the brow down, can be relaxed (the brows and crow's feet) and this will allow the frontalis muscle to work without opposition. This is what lifts the brows. If you want maximum brow lift from botox, then only the crow's feet and brows should be treated. This allows the forehead muscle to lift the brows and it causes forehead wrinkles. If you get botox in the forehead, then the brow lift will either decrease (low dose forehead botox) or cause brow droop (normal dose forehead botox).

Erin Kil, MD, FAAD · Answer

As we age, our eyebrows and upper eyelids descends, as our eyeball moves posteriorly. The frontalis muscle is an elevator, so if it gets paralyzed, it has a more difficult time to elevate the eyebrows and eyelids. As a result, it's a balancing act to make sure the neuromodulator (generic term for botox) is placed correctly with the right dilution to minimize lower forehead heaviness while relaxing the frontalis muscle. The tails of the eyebrows can be lifted with neuromodulator, but sometimes there can be wrinkles that develop upon raising the eyebrow. However, if the eyebrow descent has been severe, there are other solutions such as lasers to help elevate the eyebrows. Fractionated CO2 laser can help relax the wrinkles on the full face. Furthermore, treatment modalities such Ultherapy and Sylfirm X RF microneedling, can be used to elevate the eyebrow and eyebrow and upper eyelid, respectively.

Can you have Botox to lift brows and smooth forehead at the same time?

Answers (13)

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