‘Comma’ lines in eyebrows after Botox (Photo)

Question

I have been getting Botox from a well-known clinic on Harley street for a while now and every time they inject me, I am left with ‘comma’ lines around my brows (see photo attached). I asked why this is and they said they can’t inject above my brow or it will be heavy. Can someone advise whether there is a clinic or person based in London who would be able to inject these lines for me next time so that I don’t have this problem? Thanks

Salinda Johnson, MD · Answer

Hello,
This is a common problem. It can be softened with a small and careful amount in the area. It does have to be gentle so the brow does not drop. Ask for an adjustment dose from your practitioner and they should be able to manage it.

Kurt Kuhlman, DO · Answer

Injecting Botox in this area can cause the brow to drop. Ask is they can inject 0.5 to 1 unit of Botox in this area to soften the line without causing the brow to drop

Adam Goodwin, MBBS, FRCS(Plast) · Answer

So you still have a little active frontal lateral to your outer brow. A single botox unit exactly here the coma is should fix that and give a more natural eyebrow shape ass well. Hope that helps. Adam Goodwin

Leonard Grossman, MD · Answer

Most Physicians treating patients with botox will do exactly what your doctor has done. The fear of the eyebrows dropping completely or having a frozen look is the reason why it is done this way. You can most certainly ask your doctor to experiment with a little more Botox where the comma is. This may be either loved by you in the future or absolutely hated. Good luck from New York City

Kristin J. Tarbet, MD, FACS · Answer

Hello and thank you for your question. There is an easy solution to the "comma's",  reinjection in the area 1 to1.5 inches above your brow. This is very common in Botox injections. Why? The Frontalis Muscle in your forehead is weakest at its lateral edge (in the "Comma Zone") and many of us are conservative in this area as you can drop the lateral portion of your eye muscles. I would return to your injector and ask for the lateral frontalis to be softened. Best of luck to you.

Imogen Bexfield, BChD - Account Suspended · Answer

Hi Rosie,
Thank you for your very helpful question. This "comma" wrinkle you refer to a tell tale Botox line because you can't fully freeze the outside of the eyebrow otherwise the eyelids will droop. With a little light adjustment, the "comma" can be softened and if you still don't feel the adjustment has resolved the issue then a little dermal filler can be delicately placed to hide it. 
Dr Imogen
White Swan Aesthetics

Kristine Brecht, MD (license suspended) · Answer

Yes, a touch 2–4u of Botox in that brow area will help, most probably.
Best. Dr Brecht
Seattle, Wa

‘Comma’ lines in eyebrows after Botox (Photo)

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