Botox to lift your brows? Expert explaination?

I have one eyebrow that seems set a little lower and be little more lax than the other. It's ever so slight. I was told Botox could lift this. Can I get an expert to explain how Botox does this if it works by weakening muscles? How would that pull the brow upward? Thanks!

Doctor Answers 11

Botox browlift

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This is an excellent question.  The simplest explanation to how Botox can lift the brows is to think of the brows being pulled up and down by different muscles.  By relaxing the muscles that pull the brows down with Botox, Dysport or Xeomin, the brows will naturally lift; like a little tug-of-war ... allowing the lifting muscles of the forehead an easier job of pulling the brows up.

And it is remarkable how many injectors and patients think that the injections to lift should be placed above the brows - when, in fact, the placement of injections should be by the sides or below the brows (as this is where our pull-down muscles are generally situated).   Injections above the brows can lead to heaviness because the forehead muscle, called the frontalis, is our principle lifting muscle.

It is important to seek care from an expert injector because best results are not just about lifting the brows.  Results should be natural and not spocked.  Beyond Botox, dermal fillers and microfocused ultrasound therapy can also provide a non-surgical browlift.  There are fine nuances to not only balance brow height and position, but also to shape the brows towards an ideal beautiful result.  

Victoria Dermatologic Surgeon
4.3 out of 5 stars 3 reviews

Brow reshaping with Botox what you wish

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Using Botox injections the brows can be selectively re-balanced.  Placing less Botox in the forehead of the lower brow along with Botox in the crows feet area or outer lid will allow the brow to elevate.  Additionally, using Micro-Botox injections the brow can be contoured and reshaped.  

Achieving a brow lift with Neurotoxins

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The facial muscles injected to accomplish a brow lift are the frontalis, corregator muscle and lateral obicularis.  These muscles work by moving up and down and others laterally. Neurotoxins such as Botox, Xeomin and Dysport are muscle relaxers. When a provider injects the appropriate muscle it will then indirectly allow the corresponding muscle to work harder.  This will achieve a brow lift.  Every person's anatomy is different so it is best to see an advanced injector to make sure they can accomplish this most naturally for you.

Kevin Tehrani, MD, FACS
New York Plastic Surgeon
4.7 out of 5 stars 115 reviews

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Botox function for Brow elevation

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Dear Petunia83:

Botox is a muscle fiber relaxer. Think Gepetto pulling on Pinocchios strings. Your brain, based on the surrounding environment and desired expression will release a chemical called acetylcholine from the ends of the motor nerves to stimulate contraction of muscle fibers.

In the forehead and face, these muscles generally attach from the bone to the skin (rather than bone to bone across a joint). Sometimes these facial muscles weave together and the combination of pulling effects causes brows to rise and various and varied expressions to occur. Some variations in anatomy may cause asymmetry as well as asymmetrical variations in how you express yourself.

A skillful, talented and artsy injector may help you achieve a rebalance in the pulling effects of these muscles. 

Regarding the brows, there is only one muscle called the frontalis to lift the brow. Gravity and other muscles such as the orbicularis oculi, corregators and depressor supercili muscles pull the outer and inner brow down. Relaxing these later muscles will allow the frontalis muscle to lift the brow unopposed. Further artfulness will arch the brow and rid of some of the expression folds around the eyes and upper nose.

Each injector and each product, Botox, Dysport or Xeomin have minor nuances in the way they work. 

Discuss your concerns with a Board Certified Master Injector in the fields of Plastic Surgery, ENT or Dermatology for your best results.

Happy New Year. I wish you the best! 

Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
4.9 out of 5 stars 103 reviews

Botox to lift the brow is placed in the brow depressors

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Thank you for your very thoughtful question. You are absolutely correct, if you inject Botox (or Dysport or Xeomin) into the forehead (frontalis) muscle, it will weaken that muscle and allow the brow to drop a little. Therefore, if you want to brow to go up, you inject it into the brow depressors such as the orbicularis muscle in the crows feet area and in the corrugator muscles between the eyebrows.  These muscles tend to pull their respective areas of the brow down and by weakening them, it can go up a little. 

James McMahan, MD
Columbus Plastic Surgeon
4.8 out of 5 stars 40 reviews

Botox for the brows

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Thank you for your question Shortcake83. Botox is a purified protein used to address muscles associated with facial expression. It can also be used to adjust the shape and position of the brows. Botox treatment may seem counterintuitive. This is because Botox relaxes muscles. The muscles that raise the brow are located on the upper forehead; relaxing these muscles may bring the brow down. On the other hand, the muscles that pull the brow down are located between the brows and at the corners of the brows; relaxing these muscles will elevate the brows. Please consult with a doctor for specific recommendations. Good luck!

Botox to lift your brows? Expert explaination?

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The circular muscle that surrounds the eye is called the orbicularis oculus, whose fibers on the top and upper sides of the eye (right under and to the side of the brows) pull the skin on the browbone (under the brow) down. If Botox Cosmetic® is injected into these fibers in the proper doses, then it can weaken the fibers of the orbicularis oculus which specifically brings the eye brow down, so that the fully-active fibers of the forehead then remain active in pulling the eyebrow up. Expert injectors have been utilizing this "push-pull" phenomenon to use Botox Cosmetic®to perform brow lifts for over 15 years,

Manjula Jegasothy, MD
Miami Dermatologist

Botox to lift your brows? Expert explaination?

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If you use the Botox to weaken the muscles that pull the brow down alone, then the untreated muscles that raise the eyebrow will allow the lifting.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Botox to lift your brows? Expert explaination?

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Thank you for your question.  There are two muscles involved in lifting the outer portion of your eyebrow. One is the orbicularis oculi, the second is the frontalis.  The orbicularis oculi muscle runs in a circle around each eye and is responsible for tightly closing your eyes.  When you close your eyes tightly, the outer portion of each eyebrow is drawn downward.  The frontalis muscle is responsible for lifting your eyebrows and competes with the orbicularis muscle.  Botox placed just into the orbicularis muscle removes its tendency to lower your brow, and with unopposed frontalis muscle function, your brow will rise.  Hope this helps. 

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 80 reviews

Understanding how Botox lifts the brow

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Thank you for asking about your Botox brow lift.

  • Botox can lift the brow by an injection under eye brow - well past the arch of the brow.
  • This reduces the pull of the orbicularis oculi muscle - which pulls the brow lower.
  • The result is that the frontalis muscles can lift the brow higher.
Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.

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.