How Much Botox Would It Take to Dramatically Lift Brows?

In order to obtain subtle lateral brow lift, I typically use 5U Botox per side (10 U total).  For a more dramatic lift, I roughly double this dose (20-25 U).  This relates specifically to injection of Botox into the lateral superior orbicularis oculi muscle, which is a brow depressor.  Minimization of this portion of muscle's activity allows the brow to "spring upward".  As previously mentioned, the equivalent does of Dysport is 2.5 times the number of Botox Units.  Both agents yield good results.

Botox will not lft the the eyebrows. it will simply weaken the muscles that pull down the brow and oppose the  frontialis muscle.

The position of the eyebrows is another casualty of father time. In young women, the inner half of the eyebrow lays directly over the rim of the bony orbit. Two-thirds of the way across in the direction of the temples, the brows flare upward above the brow line buttressed by an outwardly projecting mound of fat. When this fatty tissue shrivels and flattens with age, the outer brows sink to level of the rim of the orbit or even below it. The now downwardly directed outer third resembles the shape of the normal male brow and imparts a sterner look to the female countenance.

To remedy these changes, Botox Cosmetic or Dysport may used for what has been called a "chemical brow lift." To weaken the downward traction of the muscles in this area that is in part responsible for the fallen eyebrow, Botox is injected directly under the outermost segment of the hairs of the eyebrows. By, in essence, giving an advantage to the upwardly pulling counterparts of the treated muscles, the sagging outer brow is lifted back up to its original position ABOVE the bony rim of the orbit.

Finally, the volumizing fillers, Juvederm UltraPlus and Perlane, each have been used successfully to both restore youthful fullness directly below the outer brow and complement significantly the effects of the Botox or Dysport. This technique replaces the volume lost in this region with aging and restores the youthful fullness, rounded contour and outward projection of the outer third of the brows and acts to support the desired upward flare of  this region.

Using this combined approach, which takes only minutes to perform, in appropriately selected cases can result in brows that are lifted sufficiently to diminish sagging, to give more “show” to the upper lid, and to make the eyes appears wider.

Botox is different from patient to patient as the amount of muscle mass varies and the regional anatomy can vary.  Also, there is some art and experience involved with the administration of botox. Doctors have many different techniques in delivering botox to the same area. Many will use one row for the Crow's feet, and others will use two rows. The number of units can be different in each insertion. The number of units in between the eyebrows and their placement can be different.  For Crow's feet, my patients often get a range from 9 to 15 units for each side, and 25 to 35 units for the glabella (between the eyebrows and slightly above).

Young people without much of a forehead droop, will not necessarily achieve a high arch of their eyebrows by the use of Botox to antagonize the depressor effects of the glabellar and Crow's feet muscles.

Hi Vanity,

Elevation of the brows from neurotoxin injection depends not only on dose, but on placement in the correct muscles.  It should take about 25 units of Botox or 50 units of Dysport to get brow elevation.  A charging Bengal Tiger will normally elevate the brows as well.

Be well.

Dr. P