Can You Use Botox for a Brow Lift?

Will Botox give you a lift like surgery, but nonsurgically?

Doctor Answers 38

Can You Use Botox for a Brow Lift?

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The frontalis muscle (forehead) pulls the brow up and the orbicularis muscle (below brow) pulls the brow down. Botox in the lateral brow will weaken the muscles pulling down the brow, allowing for the other muscles to pull the brow up creating a brow lift. 

Chemical Brow Lift

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To get a Botox brow lift, one needs to do a three area injection. the central forehead, the frown line area and the crows feet area. By paralyzing the depressors of the brow the elevators are able to raise the brow. The brow lift is elegant and subtle, with lateral brow elevation and medial brow staying in neutral position.

I perform a lot of endoscopic brow lifts but I almost prefer the Botox brow lift. The only problem is that it has to be repeated every 3 to 4 months.

Botox brow lifting

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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.

Botox BrowLift

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With the proper placement of botox, you can achieve a slight brow lift for a more refreshed look. However, with improper placement, the brows can droop and feel "heavy", giving you a tired look.

Ava Shamban, MD
Santa Monica Dermatologic Surgeon
3.9 out of 5 stars 9 reviews

Botox versus a browlift

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 Botox is a neuromuscular blocking agent placed in the hyperdynamic muscles of expression in the forehead. When placed in the corrugators, there is a depression affect that occurs. When  Botox is placed under the lateral eyebrow, and elevation occurs. Botox is only temporary and lasts 4-6 months in the forehead area.
 A surgical browlift involves softening the frontalis, corrugators, an procerus muscles of the forehead to soften the expressions similar to a Botox effect permanently. The browlift and also address a low or high hairline, along with adjustments to asymmetrical brows and can also lift both brows at the same time. For many examples, please see the link below to our browlift photo  gallery

Botox Brow Lift - temporary

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 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.

Botox May Cause Some Elevation of the Brow. The Major Disadvantage is that it Requires Treatment Every 3-4 Months

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Selective injection of the forehead depressor muscles with Botox can cause some elevation of the brow. In patients who have mild brow descent this may be adequate to correct the problem. More severe cases will still probably require a brow lift.
This is a relatively simple procedure, but is somewhat dependent upon the skill of the injector. Its major disadvantage is that it requires repeat treatment every 3 to 4 months. Over time, this has the potential to become very expensive.

Botox as a Brow Lift

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Botox is a great tool to use for a temporary lift of the brows; it’s inexpensive and non-invasive. In addition, it can be used to show someone a little of what an actual brow lift would look like. The only downside is that it does have to be kept up to retain the effect, about every 3-4 months.

In comparison to an actual brow lift, a Botox lift won’t be as dramatic. Someone who is interested in a more permanent result should look into a brow lift. With an endoscopic brow lift a patient can be in and out and back to normal daily living within a week with minimal scarring and downtime.



Botox for Brow Lift

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Of course, Botox can give you brow shaping as well as correction of your frown lines. However, it lasts only 3-4 months, but can be a very powerful preamble for what a brow lift can look like.

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Lifting Eyebrows with Botox

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Botox or Dysport can be used to give you a subtle lift of the eyebrow. It works by weakening the muscles that pull down the eyebrow so that the eyebrow lifting muscles can more easily elevate the eyebrow. It is a subtle lift that is easily down with minimal recovery. If you like it, the technique can easily be repeated every four months or when needed.

Gregory J. Vipond, MD, FRCSC
Inland Empire Facial Plastic Surgeon

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.