No Result from Eyebrow Lifting by Botox - Why?

The amount of lift varies and depends on the resting tone and balance of the muscles lifting and pulling down the brow. If there is a strong pull in either direction, then blocking the depressors could produce a significant lift. If, however, the brow is at rest, you may see very little difference with injection  and elevation only when the muscles are being used.

Two to three units of the outer tail of the eyebrow, in the correct site, may help lift the outer eyebrow, but treatment of the glabella region between the eyebrows also helps lift the inner eyebrow.  The midpuillary line is not an area that one would inject to get a lift of the eyebrow when done in the forehead.

Hi,

It usually takes at least 20 to 24 units to achieve eyebrow elevation.  The injecting physician needs to know the proper location and dosage to place Botox for elevation of the brow.  Good luck and be well.

Dr. P

The technique you describe injecting 2-3 units over the lateral brow would normally result in lifting of the lateral brow but there are many variables influencing this especially the patient's anatomy.  Many times, the opposing muscles also need to be treated to augment eyebrow lifting such as injecting the glabellar muscles which would help lift the medial (inner) eyebrows.  The glabella usually requires 20-30 units (some people with weaker smaller muscles may be able to get away with only 10 units).  There are great anatomic differences between men and women and individuals (ie: low set brows vs. high forehead) which requires independent evaluation of each patient to determine the best areas to inject and how much.  Injecting in the mid-pupiillary line 2 cm above the eyebrow would not result in an eyebrow lift.  You probably need to have Botox injected in the glabella in order to augment the eyebrow lift.

That's a standard dose but in your particular case it may take a stronger dose or placement in a slightly different area to get an effect.