Botox in procerus? If I get Botox in my procerus only, can I expect a subtle lifting effect?

Question

If I get Botox in my procerus only, can I expect a subtle lifting effect? As I age, boyox in the corrugated drops my brow and gives me a "hard" look. Thanks!

Jacob Sedgh, MD · Answer

Injection of Botox in the medial brow and upper nose region (where procerus muscle is located) can help with wrinkles of the region and a modest lifting effect if the frontalis muscle is left unopposed. The key point is to distinguish the aesthetic implications of medial brow lift (in this case) versus lateral brow lift.

Jill Hessler, MD · Answer

The procures muscle is the muscle between the eyebrow responsible for horizontal lines over the nose. If this muscle pulls the brow down significantly than relaxing it with botox could have a subtle lifting effect. This lifting would only impact the medial brow and not the lateral or outer part to the brow.

Anil R. Shah, MD · Answer

For a brow lift botox is injected into the the Procerus, Corrigator supercilii, and the lateral portion of the Obicularis oculi muscles.  This will result in a subtle brow lift.  If injected properly the brow should lift and open up the eye in a natural way. Regards Anil Shah

Scott C. Sattler, MD, FACS · Answer

We generally recommend 20-30 units of botox to the 'glabellar' muscle and another 10 units for crow's feet on each side - this combination tends to raise brow position when the frontalis muscle is left untreated. Treatments should last 3-4 months at this dosing.

Jason Emer, MD · Answer

Injecting Botox in the procerus will give a subtle lift. You can also achieve a lift with non-invasive procedures like lasers or RF, sculptra/PRP, microneedling and quality skin care. See a facial sculpting expert. Best, Dr. Emer

Dean P. Kane, MD, FACS · Answer

Dear Clare3343:

Yes, if diagnosed properly as the procerus muscle of the mid upper nose, Botox may release some of the downward pull on the mid lower forehead between the brows.

Generally, it is a properly injected corregator and upper lateral orbicularis muscles which will allow the frontalis muscle to lift the forehead.

Find a well skilled, Board Certified Plastic Surgeon who understands the anatomy and dynamics of facial muscles to perform your injections. All the best!

Larry Lickstein, MD · Answer

While the procerus attaches to the skin between the brows, its function is more as an elevator of some of the skin of the nose, helping flare the nostrils, than pull down on the brow.  Botox is effective at relaxing the muscle and softening transverse creases across the nasal bridge, but as the muscle is so thin, its pull on the brow is limited, and minimal, if any brow elevation is appreciable.  Thanks for the question.

Steven F. Weiner, MD · Answer

This can happen and the injector might not have the knowledge to help prevent this. In these cases, the depressor supercilii needs injection too. Some of the Botox diffuses into the lower frontalis muscle and is causing this "mean look". Injecting just the procerus will produce a minor/minimal lift.

Byron A. Long, MD · Answer

If your brow is dropping after Botox in the corrugators, it means the Botox is either migrating or was inadvertently placed in the frontalis muscle which is the muscle that raises our eyebrows.

Essie Kueberuwa Yates, MD · Answer

procerus botox will treat the horizontal frown lines between the brow. Injecting this muscle does not drop the brow or change its position in any way. I recommend you have your concerns evaluated by an experienced injector to devise a treatment plan that addresses your concerns.

Botox in procerus? If I get Botox in my procerus only, can I expect a subtle lifting effect?

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