Brow Lift Via Botox Created Furrows in My Forehead But I Love the Results? What Can I Do?

Doctor Answers 17

Wrinkles in forehead after Botox brow lift.

When the muscles that depresst the lateral and midbrow are relaxed, it allows the forehead muscles to be more active, thus pulling the brow up.  This often results in a pleating of the forehead muscles over the lateral brow.  Often this can be corrected by injecting a very small amount of Botox into the area of pleating in order to relax that muscle just enough to eliminate the pleat. 

Los Gatos Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Botox brow lifting

Thank you for your question. Shaping the brows is one my favorite parts of using Botox. It requires a very detailed understanding of the underlying anatomy as well as assessing each individual while they are animating their brows. By carefully placing Botox in the muscles that depress the brow, you can cause the brow to rest and relax in a lifted position. There are limits to how much you can lift, and for some surgery is better option. Incorrect assessment or placement can also lead to the reverse effect, so overall technique is critical. You can also shape the brow different. For example, you can raise the tail of the brow vs creating a raised arched brow vs creating a raised horizontal brow. It depends on the individual's desired brow aesthetic goals. I would consider this a very advanced technique so I would query your injector on their experience in this area.
As far as how many units may be needed, this also depends on which part of the brow you want to correct. For the inner brows, you may consider ~20 units (same as the frown line treatment). For the middle or outer brow, I generally use up to 5 units on each side.
You may also want to consider adding fillers to shape and raise the brow. Combining the two products can work synergistically together.

You can also quiet the forehead muscle by using small doses of Botox in the furrows that you describe.  This will help create and maintain a smooth forehead while getting the brow shape that you like.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 37 reviews

Botox and forehead lines

I agree with the other answers about going back to your injecter and showing  him or her the problem. Some furrowing laterally is often necessary to give you a brow lift. I will sometimes use a little more botox in that furrowed area a week or two after the initial injection, or try a dilute juvaderm filler if I am too worried about lowering the brow. Terry Cromwell M.D.

Terry A. Cromwell, MD (retired)
Lafayette Plastic Surgeon
5.0 out of 5 stars 2 reviews

Lines above the eyebrows after Botox injection

LInes that appear above the eyebrows after Botox injections can be tricky.  Treatment options involve careful use of Botox or other botulinum toxins (too high a dose will smooth the lines but cause the eyebrows to droop) or injection of a small amount of an HA filler such as Restylane, Juvederm, or Belotero into the lines.

Brian Biesman, MD
Nashville Oculoplastic Surgeon
4.8 out of 5 stars 41 reviews

Botox Browlift and Forehead Lines

This is a great question. There is a fine balance in the doses used for the Botox browlift and forehead lines. If you like the effect of the browlift laterally, but are having a little bit of extra wrinkling above this area, a very small dose (2 or 3 units) of botox to the lateral forehead can relax this muscle. A higher dose, however, may result in the brow falling, which is not desirable. I would contact your provider to inquire about this touch up treatment. In my practice, I do these free of charge. Best of luck.

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 110 reviews

Botox and lift

Sounds like you need to return to your provider and have them take a look. You may just need treatment in your forehead to help settle down those furrows.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Botox and forehead furrows

A tiny amount of Botox for your forehead may help.  You should return to your doctor to see if he can adjust it to your liking.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Forehead furrows

The options for correcting your forehead furrows depend on the location of your furrows. If there are 1 or 2 horizontal furrows above your eyebrow, hyaluronic acid fillers can help soften these lines. If the horizontal furrows are on your upper forehead, a small amount of additional Botox in the frontalis forehead muscle can help soften (but not erase) these lines without dropping your eyebrow.

Ramona Behshad, MD
Saint Louis Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

Brow Lift Via Botox Created Furrows in My Forehead But I Love the Results? What Can I Do

Unfortunately, the brow lift is created by inducing the forehead muscles to contract.  See your injector and sometimes a happy medium can be achieved.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.7 out of 5 stars 16 reviews

Botox browlift furrow

This is a common problem with some people that get botox.  Nice thing after you have botox you learn what you like and don't like so much.  When this occurs on clients I offer them 3 units 2/3's the way up on that lift-line in the lateral forehead.  This gives you the ability to keep some of the desired lift that is sought, but softens the furrow greatly if not removed completely.

Adam Stibich, MD
Hot Springs National Park Dermatologist
3.0 out of 5 stars 1 review

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.