Can I Make my Eyebrows Flat, Instead of Arched Through Botox Injections?

Question

I am a Caucasian pale skinned white male (age 49). I have bushy arched eyebrows (like Ashton Kutcher). The masculine look is horizontal brows. Can Botox do this, or do I run the risk of making my eyelids heavier, I already have slightly heavy eyelids. If yes, what muscle is injected and how many units of Botox or Dysport ?

Sabrina Fabi, MD · Answer

Depending on the initial shape of the brow and frontalis movement, one can place Botulinum toxin A in a distribution that would flatten the brow instead of arch it. If one already has heavy brows to begin with, which is possibly contributing to the “arched look” as it is compensation from the Frontalis muscle to allow one to open the eye and see more, you run the risk of feeling like your brows are heavy if you try to flatten them. You may want to consider something like ULtherapy (FDA-approved for a nonsurgical brow lift) that takes 20 minutes to perform, and could be done on the more medial aspect of your brow to even out the shape. Good luck.

Donald B. Yoo, MD, FACS · Answer

Botox or Dysport can certainly be used to titrate the position of your brows, but keep in mind that the only way to lower the brow is to reduce the activity of the muscle that elevates the brow (frontalis).  The reason this is important is that your facial expressions will limited in terms of the movement of your brows, the more they are lowered with Botox or Dysport.  

	If the peak or arch of your brows is the only area that bothers you, you could potentially flatten them by injecting 2.5 units of Botox or 5 units of Dysport in the frontalis where your brows peak.

Sam Naficy, MD, FACS · Answer

Yes, you can change the position of your brow, however without assessing you in person to first determine need, it's difficult to answer your question. You should consider posting pictures.

Kenneth D. Steinsapir, MD · Answer

Generally, the more one immobilizes the brow, the more heavy and inauthentic the brow will appear. There are alternatives to making a heavy but flat eyebrow. The important thing to understand that very few BOTOX injectors understand the treatment sufficiently well to actually be able to control the shaping of the eyebrows in the fashion you are seeking. The good news is that if it is not precisely what you are looking for, treatment will resolve.

Jamil Asaria, MD · Answer

Botox or can be used to either raise the corner of the brows by injecting into the orbicularis muscle at the tail of the brow, or conversely, to lower the brow by injecting the frontalis muscle in the middle of the forehead. Careful technique would need to be used with a small amount of units to avoid dropping your eyebrow too much.

Konstantin Vasyukevich, MD · Answer

Botox treatment can change the shape and a position of your eyebrows. It does come at a cost though, since Botox in most situations will lower your eyebrows and create the appearance of droopy eyelids. The dose and the site of injection is individual and have to be determined by your treating physician.

Michael I. Echavez, MD · Answer

Botox could potentially be used to help make an eyebrow flatter instead of arched. There are a few different techniques that could help to accomplish getting a flatter brow. These would involve either putting some Botox above and/or below the eyebrow in different places. The amount used may vary from person to person, but it normally does not take very much if only the brows are being treated.

Mireille Chae, MD · Answer

Botox (or Dysport or Xeomin) can be used to shape the brow.  You can lower the brow by having a small injection into the frontalis muscle above the brow, but you do run the risk of making your eyelids heavier.  If the arch in your brows is compensating for an already heavy eyelid/brow, then flattening this arch may make your brows feel too heavy.  It is best to be evaluated in person by an experienced injector. 

	(This answer is not intended nor implied to be a substitute for medical advice.  It is posted for patients’ general education only.  Always seek the advice of your physician or other qualified healthcare provider for further evaluation of your individual case.)

Anthony Bared, MD, FACS · Answer

Botox when placed lower on the forehead has the effect of slightly dropping the brow, resulting in a more horizontal brow shape. You do not want it placed too low as it could have the unwanted effect of dropping the eyelid, however. A careful analysis of your forehead by your physician can determine the best placement of the botox to have the effect you desire.

Anatoli Freiman, MD · Answer

Botox, Dysport and Xeomin neuromodulators can definitely be used to define and contour eyebrows shape. The dosage and location will depend on the patient anatomy and muscle movement. For optimal results, best to consult an experienced injector

Can I Make my Eyebrows Flat, Instead of Arched Through Botox Injections?

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