Is it possible to lift the inner eyebrows with Botox? (photo)

Question

I’ve recently had Botox in my forehead, and my brows feel heavy and like they have dropped. I usually look a lot more awake when I have movement in my eyebrows, as I raise them ever so slightly. Now after botox, my eyebrows are locked into a lower, less awake looking position. I’d love to raise the inner areas to create a straighter, more open brow. Is this possible with Botox?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. You may benefit from combining your Botox treatments with dermal filler injections to produce the desired aesthetic. When administering Botox to lift the brow, care should be taken to identify the muscles responsible for raising them to ensure a proper site of injection. This approach can reduce muscle activity to create a subtle and natural lift. 
Dermal fillers can combat volume loss above the eyebrows to pull the skin outward and upward, resulting in a balanced and natural-looking elevation. I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to review your treatment history and discuss your concerns with you to develop the best course of action.

Eric M. Joseph, MD · Answer

A droopy forehead usually means your upper forehead, frontalis, was overinjected. Adding toxin to your frown area may provide a needed lift! Hope this helps. Dr Joseph

Christopher Pannucci, MD, MS · Answer

Hi Hele123,
Heavy brows after forehead Botox alone can occur, especially in people who is brow sits in a naturally lower position, as these people often use therefore had to elevate the brow.
Next time you to meet with your provider about Botox, discuss with them the possibility of performing Botox injections to your crows feet as well as your glabella. Each of these muscle groups are brow depressors, and taking away their function can have 2 beneficial effects. The first is allowing the brow to raise, by reducing the downward pulling forces, and the second is making your forehead work less hard to elevate the brow, which can improve your forehead wrinkles.
Hope this helps.
I hope this helps, and best of luck.
Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Jason Emer, MD · Answer

To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling. I suggest getting a formal consultation with a facial sculpting expert. Best, Dr. Emer

Kenneth D. Steinsapir, MD · Answer

When your provider injects Botox in your forehead, and even in the 11 lines, this solution drifts into the central forehead, paralyzing the muscles that would otherwise elevate the eyebrows. I have a patented Botulinum toxin method called the Microdroplet Lift that lifts the eyebrows without freezing the forehead. I am providing a video about the method and a link to my Microdroplet Lift website that has links to doctors who offer the service.

Vibha Gambhir, MD · Answer

Hello, and thank you for your inquiry! When treating your frontalis muscles (the horizontal forehead lines)  you need to treat your glabellar muscles as well. When your frontalis muscles are relaxed they go down, and when your glabellar muscles are relaxed they go up. If you had only your forehead muscles treated this may be why you feel heavy. You will need to have a higher dose in your glabellar muscles than your frontalis muscles. Good luck on your journey!

Nadja Haub, MD · Answer

Hi there,
It is common to have a heavy feeling between the eyebrows after Botox for the forehead. This is because the muscle of the forehead helps lift the eyebrows. Botox relaxes muscles. So when you relax the forehead muscle, it can not pull the eyebrows up anymore, and they can drop.
Another thing to note is that there's a delicate balance between the muscles of the forehead and the muscles between your eyebrows. The forehead muscle pulls the eyebrows up, whereas the muscles between the eyebrows pull the eyebrows down. So when you only relax the forehead muscle with Botox and not the muscle between the eyebrows, the eyebrow muscles will be stronger than the forehead muscle. This causes the area between the eyebrows to drop or feel more heavy. 
Therefore, injecting the muscle between the eyebrows simultaneously with the forehead Botox is always a good idea. This is because there is a delicate balance between the forehead muscle and the muscles between the eyebrows. 
So you could get more Botox into the muscle in between the eyebrows. This would help reduce the heavy feeling in between your eyebrows. And when you see your injector next time, tell him or her that you have this problem and consider getting treatment to the area between the eyebrows.

Anshul Gambhir, MD · Answer

Hi thank you for your question! Brow heaviness can be caused by improper dosing of botox. The frontalis muscle which is found in your forehead controls the movement of your eyebrows. When treating this muscle with botox, it causes the muscle to relax and can create possible heaviness. Treating the muscles in between the brows can help lift the brows, balancing the heaviness caused by botox in the forehead.

Philip Conrardy, MD · Answer

Unfortunately once the Botox has migrated there is very little to be done to raise the Glabella area without the risk. Best idea would be to wait it out.

Chuma Chike-Obi, MD · Answer

The muscles that you need to address are called the corrugator supercilii muscles. They pull the medial (inner) brow down and in when you tense them. This also causes the famous 'eleven' lines in many people.You see, when these muscles are soften, the medial brow tends relax and will rise a couple of millimeters.

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