Maintenance for Brow Lift w/ Botox - how many times a year should I get it?

Question

Hi, I understand after an endoscopic brow lift it requires botox maintenance for it to last. Can you tell me how long after BL surgery should this maintenance begin and also how many times a year should I get it. (& can Xeomine be used instead of Botox?) Thanks so much!

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Bhupendra C.K. Patel, MD, FRCS · Answer

Many surgeons will not completely eliminate the corrugator and procerus muscles when performing endoscopic surgery. This is good as it avoids irregularities on the forehead. Depending upon the shape of the brow that needs to be maintained and the particular muscles that need to be manipulated, once a nice brow shape has been created with an endoscopic brow lift, botox (or dysport or xeromin or myobloc or any other botulinum toxin) can be administered about three times a year, sometimes less. Your surgeon will review your before and after appearance/photographs and guide you as to the maintenance needed/advisable.

William Portuese, MD · Answer

In our practice, we do not perform an endoscopic brow lift, just the coronal approach which can accomplish softening of the corrugator muscles which create the vertical lines in the forehead and soften the frontalis muscle which creates the horizontal lines in the forehead. As long as those muscles have been softened, no maintenance is required. Much more information is needed such as a full set of facial photographs to determine if your candidate from brow lift procedure

Maintenance for Brow Lift w/ Botox - how many times a year should I get it?

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