Botox brow lift without injecting the crow's feet?

Question

I used to get a nice browlift from botox. one month ago, i went to this ps who said i needed to inject the crow's feet to get a brow lift. Result: no browlift and annatural chipmunk smile. It has been a month, results softened a bit, but still paralyzed crow's feet. Can I get a botox browlift without affecting the crow's feet? how many units? And should i wait until the botox on crows feet wears off?

Aldo Guerra, MD · Answer

You do not have to get your Crow's injected to get a brow lift. Many doctors perform this procedure and you should find a reputable doctor in your area.

Thomas Wright, MD · Answer

Fillers can give a bit of lift especially on the lateral brow. I have had good success with bellafill.  Botox can elevate the brow by relaxing the muscles pulling the brow down and leave the muscles intact that elevate it. The lateral orbicularis (the crow's feet) muscle is one of the ones that depress the brow. The other main ones are the ones in the glabella (between the brows). It is also possible that a recent treatment of Botox is already doing what it can so more Botox will have no effect. If treating the lateral orbicularis did not help any, and you have not had recent Botox, then you may have progressed to a point that Botox will no longer give any elevation and you may want to consider a filler or a surgical lift. There are many qualified plastic surgeons on this site who do brow lifts and I recommend researching them if that is the direction you need to go.

David Hansen, MD · Answer

Botox only works 1/2 the time to raise lateral eyebrows but when it does it is very nice. I usually never inject the crow's feet just to raise eyebrows.

Andrew Campbell, MD · Answer

Considering you state that you used to get a nice browlift with Botox, why not just treat the area like you used to get treated? If it worked in the past, and you liked it, just repeat it.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

Kenneth D. Steinsapir, MD · Answer

I actually have a patented botox method called the Microdroplet Lift® that accomplishes this.  We are about to go live with a website with information about the service and how to find an injector in local markets.  This treatment concentrates treatment at the eyebrow and does not paralyze or freeze the forehead.  The weakness in the cheek is not because you should not get botox in the crows feet area.  It is because the doctor who treated you did not know what they were doing and failed to control the treatment.  Generally I recommend waiting 6 weeks before getting a correcting treatment.

John Tang, MD · Answer

Yes, you can inject Botox to lift the eyebrow without treating the crow's feet.  Typically, 3 units are needed on each side but for more resistant eyebrows 5-6 units are needed.  
You should probably wait until the crow's feet starts to move again before doing eyebrows.

Nasrin Mani, MD · Answer

Of course you can lift your brow without treating those little crow's feet. Not everyone thinks they are a problem.Botox injection into the muscles that push the brow down (as when frowning) allow the "lift" muscles to stay dominate and keep your brows raised a little. Of course you can't use too much Botox or you can look a little like Dr. Spock, and it has to be placed carefully to raise the brow in a natural way.The crow's feet injections have nothing to do with the "Botox brow lift". Again, a light hand helps soften the wrinkles without the chipmunk issues.Expect 3 to 4 months for all the Botox to be gone. Some people seem to hold the effects longer than others, but in time you'll be back to your smiley crinkles.It's probably wiser to let all the Botox dissipate before adding more. If you do happen to go to a different doctor, gather the info on how many units you had - and injection locations - so the doctor can make a better assessment. And while you're at it, take a selfie so you can point out what you don't want.

Kenne Ogunmakin, MD · Answer

You can get a brow lift by injecting the muscles in the glabella and lateral brow. The muscle that is injected into while treating the lateral brow (obicularis oculi) is the same muscle treated while injecting crow's feet. But you do not technically need to treat crow's feet for a brow lift.
The number of units needed are dependent on the individual. 
You do not need to wait for the crow's feet injections to wear off before getting more Botox for a brow lift.

Onir Spiegel, DDS, PhD · Answer

Hi Victoria, 
I'm sorry you haven't had success with your lady Botox injection.  But,  it sounds like your doctor was aiming for good results by relaxing the lateral orbicularis muscle (the crow's feet) which are responsible for pulling down the brow.   We often inject in that area and the glabella for a beautiful brow lift.   Go back to your doctor and see if she or he can make some tweeks with minimal Botox objections.  It often helps.   Good luck!

Michaela Tozzi, DMD · Answer

It's possible to get a browlift without doing the crow's feet.  I typically inject 2 units per side in the midbrow area-that's a rule of thumb- only determined once you are in the chair and able to determine where the muscle is "pulling."

Botox brow lift without injecting the crow's feet?

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