Botox between the brow?

I have seen movie actors that look very thick through the brow area. Is this a buildup of Botox that has caused a type of scarring? Seeing this look, something was done and looks very unnatural. It looks too thick in the frown area.

Doctor Answers 21

Boto between the brow

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Botox should not lead to a thick appearance between the eyebrows. Botox works through paralysis of the muscle. If used repeatedly, the Botox injection helps the muscle waste away (atrophy). Therefore, the muscle in the injection area should not look thicker.

Properly Injected, Botox Shapes Brows Naturally, But Does Not Thicken Or Scar Them

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I have been injecting Botox for aesthetic reasons since 1991, so I have a great deal of experience with it, In all that time, I have not personally encountered scarring from its use (or repetitive use, for that matter) and no "very thick" brows.

Unfortunately, I have seen a lot of poorly performed Botox injections, usually performed in medspas, at "Botox Parties," or by cut rate, non-core physicians (dentists, podiatrists, gynecologists, cardiologists, etc.) with little training and experience in its proper use and more advanced injection techniques. Improperly injected, male brows, for example, can be feminized or made to be heavy and drooping and female brows masculinized. The point is that following Botox treatments, the brows should look natural and appropriately rejuvenated.

If you are considering the use of Botox (or any of the other neuromodulators, such as Dysport or Xeomin), you would be well advised to make sure to vet your treating physician to be sure that he/she is a board certified, aesthetic core physician. And, you should also ask to see his/her before and after photos before agreeing to proceed. 

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.9 out of 5 stars 33 reviews

Botox and heavy brow

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Botox does not build up over time or result in scarring.  Botox of the glabella (between the eyes) combined with forehead in patients that have brow ptosis (dropping of the brow) can result in a dropped or heavy brow due to loss of muscle support.  Also, patients with static lines (those deep lines present at rest) may have fillers like Juvederm placed which may also give a heavy brow appearance if overdone.  

Brian A. Pinsky, MD
Long Island Plastic Surgeon
5.0 out of 5 stars 6 reviews

Botox injections

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I have not experienced Botox scarring from repeated injections.  The needle is a 30 gauge needle which is especially small, which should not cause any thickening or scarring.

Jeffrey Joseph, MD, FACS
Lafayette Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Botox in front line

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It sounds crazy but popular stars don't always get treated by best injectors. Males need different injections because they tend to have lower brows and don't like to have arched brows. Also, some people have low medial brows that need to be treated differently to prevent sagging there. Done correctly, Botox looks very natural. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Botox in the glabella/brow

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Thank you for your question.  Botox injections do not cause scarring regardless of the number of injections performed.  You may be looking at individuals who naturally have a thick brow area to begin with.  

Botox and brow

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Sometimes with botox, especially if placed very low, the brow looks a bit heavy as it descends too much.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

This Corning of the area between the brow

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Botox does not build up over time. Thickening of the glabellar area between the brows is almost certainly due to sagging of the forehead in general, causing the glabellar muscles in that area, (primarily the procerius) and the skin to, in essence, bunch up. This can be worsened by injecting Botox into the forehead, which paralyzes the frontalis muscle whose purpose is to elevate the brow and glabella. This in turn causes increasing sag  or forehead droop.

Daniel Lensink, MD
Redding Oculoplastic Surgeon
5.0 out of 5 stars 4 reviews

Maybe too much Botox?

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Botox injections to the forehead muscle that raises the brows can cause a drop of the brow position and a heavy appearance to the brows, often perceived as a thickening of the area. This is not due to scarring but to a drooping of the eyebrows from overdone Botox 

Elba Pacheco, MD
Annapolis Oculoplastic Surgeon
4.3 out of 5 stars 7 reviews

Botox Bewtween the Brows

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Botox works by blocking the signals from the nerves to the muscles. The injected muscle can then no longer contract, which causes the wrinkles to relax and soften. Botox does not result in scarring from repeating injections or build over time. It does not give a thick appearance between the eyebrows.  You might be looking at individuals who naturally have a thick brow area.

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.