Where do you inject Botox for the “11 area”?

Question

I can’t seem to stop the movement on my eyebrows that are making my 11’s area, when I get my Botox. My whole forehead gets frozen but my eyebrows still have lots of movement, allowing my 11’s to still scrunch together.

Jason Emer, MD · Answer

For glabellar lines (or frown lines / "11" lines), we inject Botox into the muscle, causing the muscle to weaken and improving the appearance of the lines. Botox works by binding to receptors that send nerve signals for muscles to contract. Since your body makes new receptors and neurotransmitters all the time, it needs to be maintained otherwise the wrinkles will slowly return as the muscle regains function over time. Botox takes 2 to 4 weeks to start working and lasts for up to 6 months.
For deeper glabella lines or strong 11s, I use a combination of Botox with fillers, lasers and microneedling/PRP. I suggest getting a formal evaluation with an experienced cosmetic dermatologist and expert in lasers and fillers. Best, Dr. Emer

Kimberly Butterwick, MD · Answer

Thank you for your question. The 11s, which are known by their technical name glabellar lines, are formed by activity of the distinct muscle groups. Botox injections must be precisely placed into the corrugator, the process and the depressor supercilia muscle groups to achieve the desired result. The area is between the brows in a few key locations above the brow. The dosing amount will also affect the quality of your results. I encourage you to meet with a board-certified cosmetic dermatologist that has extensive experience working with neuromodulators like Botox to ensure an optimal outcome.

William Groff, DO · Answer

I appreciate your question. Botox is a neuromodulator, which means it eliminates lines by relaxing the muscles that form them. In the case of the “11s,” there are different muscles in the glabellar area that may need to be treated to ensure an optimal outcome. I recommend you make an appointment with a board-certified cosmetic dermatologist with extensive experience in Botox who can evaluate the facial anatomy to pinpoint the precise injections locations to produce the smoothest results.

Manish H. Shah, MD, FACS · Answer

Hello,Thanks for your question. When injecting the "11's" it is important to note that motion in that area is the result of multiple different muscles. When I want to really stop motion in the area, I need to inject the glabellar muscles, the procerus muscle, and the nasal elevator muscles ("bunny lines"). Occasionally I also need to stop motion in the medial orbicularis oculi muscles that fire off when squeezing the eyes closed. Performed properly, this combination keeps the "11's" still but allows fairly natural facial motions. I hope this helps.Dr. Shah

Justin Gusching, DO · Answer

Thanks for your question. The “11’s” are a big concern for a lot of people. To treat the “11’s” you need to treat the corrugated muscles. These muscles tense to be very strong in certain individuals and it may take more Botox than the average person. The corrugated interdigits with the frontalis muscle so proper technique and using more Botox on a consistent basis should help this problem.

Andre P. Marshall, MD · Answer

Each fac is unique and requires a different dosing in different areas to treat the different lines caused be the movement of the muscles. For the 11 lines, a muscle called the corrugators are specifically targeted. These are some of the strongest muscles on the face so they often need a larger dose of botox or other neurotoxin than other muscles. You may need a larger dose/more units placed directly into these muscles for maximal treatment effect. This is definitely something to discuss with your injector at each visit. Hope this helps!

Camille Cash, MD · Answer

To treat the glabella, which is the area commonly referred to as the "11's" the injector places the product between the brows and just above the inner brows in a V type pattern.  Depending on your evaluation it may involve about 5 injection sites.

Glenn Murray, MBBS · Answer

To treat the frown lines or the “11’s’” you need to treat the muscles which create those lines. Therefore, the glabellar muscles need to be relaxed (frown), not the frontalis muscle (forehead).

Warm Regards,

Dr Glenn Murray, Absolute Cosmetic Medicine

Warm Regards,
  
Dr Glenn Murray, Absolute Cosmetic Medicine

Neel Bector, MD · Answer

Hi, thank you for the inquiry. Glabellar lines or 11 lines are formed by tense corrugator and procures muscle complex. They are treated simultaneously for correction. Amount and concentration of botox used makes a big difference. Frozen look reflects miss treatment. I would recommend you to consult an experienced injector for further evaluation.
Best Regards,
Dr. Neel Bector

Anshul Gambhir, MD · Answer

The procerus and corrugator muscles are typically injected when injecting Botox into the Glabellar region. It may be that you need a higher number of units in that area to give you more hold. I would consult your provider to see the number of units  you are getting and potentially try a slightly higher number given you may have stronger muscles there.

Where do you inject Botox for the “11 area”?

Answers (19)

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