Botox brow lift - where do you inject?

Question

I've now had 3 different doctors tell me 3 different things so I want to know what the majority say. 1 did under the eye in the cheek off to the side of each eye. Another said up the center of the forehead starting between the brow and above the nose going up about 3/4 way. 4 injections on each side. 1 placed below those 8 centered between basically at the top of the nose. And then at an injection at the corner of each eye. And another said the glabellar muscles just above the actual eye brow?

Timothy R. Miller, MD · Answer

The area to inject is often confusing to patients and even "experienced" Botox injectors because it is counter-intuitive.  To achieve eyebrow elevation Botox is injected to the relax ("paralyze") the upper-lateral and lateral portions of the orbicularis oculi muscle (This is the muscle used to wink).  By relaxing this muscle the downward pull is removed allowing the muscle above the eyebrow (your frontalis muscle) to elevate the brow by its natural tone.  (Think tug-of-war with the muscle not treated with Botox still capable of pulling your eye brow up). Most people will require 10-15 units per side but some patient may need less.I hope this helps.

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question!  When it comes to lifting the brow I personally like to inject into the brow margin.  Ultimately, a consultation is needed with a skilled injector for best results. All the best!

Michael P. Morrissette, DDS, FACS · Answer

In order to create some lift to the brow, Botox needs to be injected into the orbicularis muscle which surrounds the eye... in addition, no Botox should be injected above the lateral brow in order to allow the frontalis muscle to "lift" the brow. Both need to occur in order to get any lift. I usually inject 2-3 units of Botox at the lateral orbital rim.

Alexander Rivkin, MD · Answer

Hello,Thank your for your inquiry.  My approach to a brow lift is to inject the tail ends of the eyebrows.  The orbicularis oculi muscle acts like a purse-string which pulls down from the end of the brow and pulls up from under the eye.  Relaxing this part of the muscle with use of Botox (or other neuromodulators) releases the pull down effect of the muscle and essentially picks up the brow.  Another way to add to the effect is to inject into the more central part of the frontalis muscle (forehead).  Relaxing the center of the muscle and leaving the outer sides of that muscle active helps to pull up the brow (of course being careful not to create a peaked brow, or "joker" look).  Hope this helps.Best of luck,Dr. Alexander Rivkin

Austin Hayes, MD · Answer

Good question. The muscles in the central forehead (corugators) and around the crow's feet (orbicularis oculi) work to lower the eyebrows. Relaxing these muscles with Botox helps the eyebrows elevate. The crows feet relaxation helps the lateral eyebrow elevate, giving a more beautiful appearance to the eyebrow.

Jason Emer, MD · Answer

Every doctor will have their preferred technique and it can vary depending on each patient and their desired results. Botox will only lift the brow so much on it's own. I recommend a combination approach of lasers, botox, fillers, ultherapy and rf treatments. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Chad C. Zatezalo, MD · Answer

The toxin should be injected into the depressor muscles of the brow.  I usually inject in the glabella (corrugator and procerus) to lift the central brow and into the lateral brow area (orbic) in order to aid in elevation of the tail of the brow.

David C. Mabrie, MD · Answer

Hi MissxPriss,
 This is a great question. The non-surgical brow lift with Botox is often misunderstood. Let me explain:
1. Botox or Dysport temporarily paralyze muscles. 2. If you selectively treat the muscles that depress/lower the eyebrow you may cause the brow to lift.
3. To achieve the best brow lift, the injector should observe the muscles during depression (frowning/squinting) and place the Botox in these muscles. There might be slight variations from patient to patient. 
  
I hope that’s helpful! Good luck and stay beautiful.
David C. Mabrie, M.D.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question MissxPriss. Botox is a purified protein used to address wrinkles associated with
facial expression. To lift the brow with Botox it is necessary to relax the muscles that pull down on the brow. These include the muscles in the glabella between the brows and the orbicularis oculi muscle around the eye. Each injector has his/her own technique. I place Botox between the brows and at the corners of the brows. Some people require higher dosing than others. Please consult with a doctor for specific recommendations. Good luck!

Onir Spiegel, DDS, PhD · Answer

Hi RS friend, 
To get that beautiful brow lift, you need to be infected along the lateral orbicularis, the periphery of the eyes as well as the glabella region.  Relaxing those muscles will get you that beautiful look you are looking for.    Good luck,  Dr. Onir

BOTOX PROVIDERS NEAR YOU

Botox brow lift - where do you inject?

Answers (16)

BOTOX PROVIDERS NEAR YOU