Can my eyebrow arch that's too high be lowered with Botox? (Photos)

Question

I have a natural eyebrow arch which is a bit too high as shown in the before picture. I would like to have just the lateral part of the eyebrows lowered a bit (3-5 mm) to achieve a straighter brow as shown. In the after pic where I am pushing my outer brows down slightly. Where my inner brow and outer brow are on the same line. Can this be achieved using Botox or will orbital decompression be needed to fix my bulging eyes first?

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  You do not look to need orbital decompression but if you would like to lower your brow it is something that Botox can help address.  Hope this helps.

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question and photos.

Yes.  In experienced hands Botox can be injected into the frontalis muscle to lower the eyebrow arch.  Please make sure that you are going to a well trained, experienced injector.  Please tell them your goals.  They will examine you, and see if the goals can be achieved.

Jeffrey J. Roth, M.D., F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Nima Shemirani, MD · Answer

Hi @Cool9197. Yes, Botox can be used to lower the arch of the brow. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

Kristin M. Baird, MD · Answer

Botox can be used to lower the arch of the brow. It only takes a few units into the forehead muscle to achieve this result. The procedure is easy to do in the office and takes about 2 weeks to see the full benefit. Please consult a board-certified dermatologist or plastic surgeon experienced in aesthetic injectables. Best wishes.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. Botox can be used to contour the brow, when lowering the brow, a small volume of Botox is injected into the frontalis muscle above the brow. This will lower the brow and offset a high arched brow. I recommend you to see a local expert injector with extensive experience and training to ensure optimal results and safety.

Mark E. Mason, MD · Answer

Hi, Certified Aesthetic Nurse Specialist, Lindsay here! Yes, Botox in the frontalis (forehead) muscle can help lower the natural arch of your brows. It works by decreasing the contraction of the brow elevating muscle. You'll feel restricted, almost like you have a swim cap on, but that is the objective. Hope this helps! Let us know how it goes!

Alexander Blandford, MD · Answer

Great question. An in person exam is necessary to best advise you. Botulinum toxin (botox, dysport, xeomin, and jeaveau) is a safe treatment but does require an experienced injector. Brow position is determined by genetics, muscle function, facial expression, and other factors. In your case botox could be used to help weaken the brow depressors between your brows. This would allow the medial aspect of the brow (head) to relax and provide a subtle medial lift that will soften the contour of your brow. I would recommend this first. Alternatively, you could have a very low dose of botox given to your forehead muscle (frontalis) at the peak of the brow to soften the arch. Regardless, very important to see an experienced injector that can listen to your goals and create a safe and effective treatment plan.
Hope this helps!
Alex Blandford, MDOculofacial Plastic and Reconstructive SurgeryVero Beach, FL

Burgess Plastic Surgery and MedSpa · Answer

In our practice it would be an option to inject a couple of units of Botox into the forehead muscle called the frontalis to drop the lateral part of the eyebrow. Since Botox is a quick treatment with little to no downtime I would recommend starting with this for one of our patients who had similar concerns as you do. The exact treatment plan would depend on your individual anatomy. We recommend seeing a trained Registered Nurse in a board certified plastic surgery practice who can thoroughly assess you before treatment.

Benjamin Barankin, MD, FRCPC · Answer

Botox or any other botulinum toxin can most certainly be used to lower the brows. To do this properly and symmetrically and to avoid making the brows drop too low, make sure to see a highly trained and experienced physician injector such as a dermatologist.

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Thank you for your question! I would recommend treating the procerus and corrugator muscles with Botox/Dysport/Xeomin in order to lift the medial brow versus lowering the lateral brow so as not to impede your vision. It is best to consult with a licensed provider for a full examination prior to injection. Best of luck!