Where Should Dysport Be Injected to Raise Eyebrow Corner?

Question

Where would you inject Botox or Dysport to correct slight drooping of corner of the eyebrow?

Darrick E. Antell, MD, FACS · Answer

Decide if you prefer to raise the lower brow, or lower the higher eyebrow. If you want to try and raise the lower eyebrow, the medicine is injected just below the eyebrow itself, laterally. Each person is slightly different and upon examination your doctor will be able to advise you. Do not try to perform this procedure on yourself!

Matthew Richardson, MD · Answer

To provide a lateral brow lift, Dysport should be injected into the crow's feet area, particularly the upper portion of the crow's feet (lateral orbicularis oculi muscle). Injectors should also avoid injection the lateral (outer) portion of the forehead, because the frontalis muscle in the forehead elevates the brow, causing the horizontal wrinkles that appear with contraction of this muscle.
All the best,

Mike Majmundar, MD · Answer

Placing Dysport or Botox or Xeomin near the tail of the eyebrow or just above the tail of the eyebrow will allow the brow to 'raise'.  Usually 1-3mm if what is noticeable.  How much elevation has to do with the strength of the muscle that pulls the brow down, the activity of the forehead muscle that pulls the brow up, and the heaviness of the brow itself.

Sam Naficy, MD, FACS · Answer

To raise the eyebrow, Dysport and Botox can be injected just below the tail end of the eyebrow.  You may be able to get a 1-3mm raise in your brows.

Thomas T. Le, MD · Answer

A mild lift of the outer part of the brow can be achieved through the placement of Dysport or Botox in the musculature that pulls down this part of the brow, assuming you are having no other injections placed in your upper face. Typically this placement is near the outer part of your eyebrow, but it would have to be custom tailored for your particular brow shape, musculature pattern, and orbital bony rim shape to give the maximal effect.

Otto Joseph Placik, MD · Answer

The ability ot lift an anatomic area is a balance between forces that may pull up or pull down the anatomy. The outer eyebrow is elevated by the forehead nuscles but pulled down by the eyelid muscles: look in the mirror and squint forcibly with one eye, you will see the eyebrow move down. By injectiig the outer eyelid muscles just below the eyebrow (in the crow's feet area), you will allow the eyebrow to be lifted by the forehead (frontalis) muscles.

Ron Shelton, MD · Answer

This off label use (not approved by the FDA; but, used legally by physicians in the U.S. for this condition) involves the placement of the Botulinum toxin in the muscle of the eyelid area towards the tail of the eyebrow and right below it, but outside the bony rim of the eye socket.

David Shafer, MD, FACS · Answer

I agree - everyone is slightly different in their anatomy. Typical areas of injection of Dysport or Botox include the glabella (between the eyebrows) to reduce frown lines, in the forehead to reduce transverse lines, and the crow's feet area to smooth the lines. Injecting in the crow's feet area also has a lateral brow "lifting" effect. Good luck with your injections.

Jacque P. LeBeau, MD · Answer

I often add small amount of botox to the lateral tail of the brow when injecting the periorbital region to obtain a subtle brow lift in this region.  It is subtle but works very well and my patients have been very happy with this result.  

	Best Regards,

	Jacque P. LeBeau, MD

Robert S. Bader, MD, FAAD · Answer

To raise the lateral (outside) part of the eyebrows, one injects a tiny amount of Dysport or Botox just under the tail (outer) end of the eyebrow. For the medial (inner) part of the eyebrow, one injects on the root of the nose (just between the eyes).

Where Should Dysport Be Injected to Raise Eyebrow Corner?

Answers (17)

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