What is a Botox Lift or Botox Brow Lift?

I thought that Botox could make your face sag more, so how is a Botox Lift even possible? How does a Botox Brow lift work?

Doctor Answers 85

Tug of war muscles: Botox Lift

In physiology, we term the actions of muscles to be agonist and antagonist muscles. This refers to the results of the muscle contraction.

Certain muscles play "tug-of-war" with areas of the face. Examples include:

  1. The corner of the mouth: Muscles lift the corner in a forced "cheeky" smile or turn the corner of the mouth downward with frowning.
  2. The outer part of the eyebrow: The squinting muscles pull the eyebrow downwards while the forehead muscles pull it upward.
  3. The central upper lip : "pursing" muscles pull it downward, whereas muscles just to the outside of the nostril create a "gummy" smile.

If we inject the antagonist muscles, the agonist muscle action will predominate and take over. In the examples above:

  1. Injecting the muscles that pull down the corner of the mouth (the depressor anguili oris) will allow the muscles that lift the corner to take over and minimize downturning or frowning.
  2. Injectting the squinting muscles relaxes the pulling down of the brow and creates a chemical "forehead/brow lift"
  3. Injecting the muscles to the outside of the nostril allows the upper lip to relax and eliminates the gummy look when smiling.

I hope this helps!

Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Botox treatments to lift the brow

There are muscles in the face that pull down the eyebrows and muscles that lift up the eyebrows. A skilled Botox injector can carefully inject just the muscles that pull down, giving a lift to the brows. This will also give the eyes a more open look. Most people can expect up to 2 millimeters of lift, which sounds like a little but in the face is usually enough for a noticeable improvement.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Botox brow lift, is it for me?

Botox, if placed in the proper position can raise the eye brows a few millimeters. Now this may work for someone who has mild brow ptosis (droop). Now remember that the effects of Botox lasts approximately 3 to 4 months. And if you seek anything longer than that a surgical procedure such as endoscopic brow lift might be necessary.

Kami K. Parsa, MD
Beverly Hills Physician
4.9 out of 5 stars 38 reviews

All parts of our bodies are supplied by muscle groups...

All parts of our bodies are supplied by muscle groups that work in opposition to each other for complete and proper function. In the arm, for example, we have the biceps muscles to flex the elbow and triceps muscles to extend the elbow.

In the forehead as well, there are muscles that elevate the brow and others that pull it down or depress it. The ones that pull the brow up cause the sideways lines of the upper forehead and those that pull the brow down cause the vertical frown lines above the nose.

By temporarily paralyzing the depressor function with injections of Botox above the nose and in the lateral eyebrow, the muscles the lift the brow can cause a subtle brow lift because their function is unopposed for about 4 months. For may patients this may be all they require and can avoid the need for a surgical browlift.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

BOTOX for the Brow

BOTOX is a muscle relaxant that generally lasts for about 3 months.

BOTOX can be used to weaken muscles selectively thereby changing the dynamic balance among facial muscles pulling in different directions.

To raise the brow, BOTOX is injected into two or three muscles that actually pull the brow down, so with these muscles weakened, the brow lifts slightly.

In addition, the main lifting muscle of the brow creates lines when it lifts the forehead. By selectively weakening parts of the frontalis (brow) muscle, the lines are softened. If overdone, the brow will droop unattractively.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.6 out of 5 stars 39 reviews

Finesse required for Botox brow lift

The position of the eyebrows is determined in large part by balance between the muscles that elevate them and the muscles that pull them down.

The elevator muscles cause the horizontal lines in the forehead. Depressors are the same ones that cause crow's feet, if you picture what happens when you squint your eyes. There are also depressors toward the middle.

By putting just the right amount into the depressor muscles, the elevators are unopposed so the brow drifts up. But overdoing it means a pretty scary jack nicholson look so you want to go to an experienced injector.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

While Botox can make the brow droop, it can also cause...

While Botox can make the brow droop, it can also cause an elevation of the brow.

There are several muscle groups which work to move the brow. There are a set which moves the brows up and a set which moves the brows down. By selectively injecting the muscles which move the brow down, there is unopposed action of the muscles which move the brow up. Hence - a brow lift.

While this works well, the effects are temporary and minimal. For patients with severe brow ptosis and fat pseudoherniation, a surgical brow lift may still be the best result.

Caution also must be used when injecting the muscles that pull the brow down as these can be close to the orbital rim. Injection too near the orbital rim can result in migration of the Botox into the upper eyelid and cause a temporary eyelid droop.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
3.9 out of 5 stars 14 reviews

Botox browlift

This is a non-surgical technique that results in elevation of the tail of the eyebrow. Botox is injected into muscles in this region that lower the brow, which selectively weakens them. Once the botox has taken effect, it then leaves the muscle that elevates the brow in this region unopposed, which results in a few millimetres of brow elevation. The results may last between 3-6 months.

Stephanie Power, MD, MSc, FRCSC
Toronto Plastic Surgeon
4.6 out of 5 stars 10 reviews

Botox Brow Lift is Real if done properly

Being able to elevate the brow "Brow Lift" depends on how the neuromodulator agent (Xeomin, Botox, Dysport) is injected. When the muscles that depress the brows are injected and their action weakened, the muscle that elevates the brow "wins" and the brow goes up! Simple.  The key factor is to seek out a provider that has a thorough knowledge of the facial anatomy and understands the action of the muscles of facial expression. 

Z. Paul Lorenc, MD
Manhattan Plastic Surgeon
4.6 out of 5 stars 34 reviews

Botox lifting the brow

Botox can be used to eliminate forehead wrinkles. At the same time a small amount injected int he infrabrow region laterally will elevate the lateral brow and give a small lift.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

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.