Single frown line between my brows: does Botox not have to be administered right onto the frown line?

Question

The Technician instead put Botox on both sides of the frown line. Not on it. Is that correct?

Martin Jugenburg, MD · Answer

This is not an uncommon question.    The botox needs to be injected into the muscles that contract to cause the frown lines therefore is usually not injected into the lines itself. Once the muscles relax the frown lines generally smooth out .

Yannis Alexandrides, MD, FACS · Answer

Botox is not a filler as such as so is not injected directly into the frown line as you might imagine. The way Botox works is that it is injected into certain muscles to relax them. As a result, the overlying skin smooths out.

Jordan Cain, MD · Answer

Botox and other neuromodulators such as Dysport and Xeomin work by preventing contraction of the muscles underlying facial wrinkles such as the "frown lines" in between the eyebrows. These muscles run perpendicular to the wrinkles that they cause, and so it is correct to inject these medications on either side of the line for appropriate treatment. Keep in mind that the results of Botox are often not visible until 5-7 days after injection, and it may take two weeks before you see the maximal effect. In order to receive the best treatment and minimize the risk of complications, I always recommend having injections performed by an expert physician injector.
Best wishes,

Jason Emer, MD · Answer

Botox needs to be administered into the muscle causing the line. Keep in mind, it can take 1-2 weeks for final results with Botox. See an expert. Best, Dr. Emer

Georgios Ziakas, MD, FACS · Answer

The vertical frown lines are caused by the actions of several groups of muscles (pairs of brow depressors) which cause the brows to move down and medially (towards each other). This will create the "11" vertical lines (horizontal contraction of muscles creates vertical skin lines). The procerus single muscle contracts in a vertical fashion and creates horizontal "11" lines in the region between the root of the nose and the mid brow. All these muscle groups are typically injected for treatment of frown lines. Botox will be distributed to the body of the muscles so the exact injection location in relation to the skin wrinkles is not important. It is important to inject the target muscles so their action is weakened and this will result in softening of the lines.

Evan B. Shapiro, MD · Answer

Thank you for your question. The frown line between your eyebrows is formed when the two muscles on either side of the line are contracted or overactive. BOTOX® is used by injecting the prescription medicine into the two muscles on the right and left side, temporarily relaxing these muscles and resulting in a reduction of the fold.  It is important that you feel comfortable with the provider of your treatment to ask questions and share concerns. It is your face and your money!

Peterson Pierre, MD · Answer

Botox relaxes the muscles that cause the frown lines and therefore is injected into the muscles rather than in the line itself. Fillers are typically injected into lines because they are designed to soften lines. I am concerned that you are having a "technician" perform your medical procedure rather than a doctor.As with all cosmetic treatments, the skill of the doctor is of utmost importance. Don't trust your face to just anyone! Consult with an expert in facial aesthetics to maximize your results while minimizing side effects. You'll be happier and save money in the long run.

William Marshall Guy, MD · Answer

Hello Lizshah,When it comes to Botox is is a great medication that helps to relax the muscles where it is injected.  When the muscle contracts it pulls on the skin which is what leads to the line.  The bulk of the muscle is not located at the line but usually right next to it.  So when Botox is injected it should not be injected direclty into the line but rather adjacent to it. You mentioned you had a technician inject you, in the future I'd recommend you receive your injections from a core aesthetic physician injector such as a facial plastic surgeon.  I hope this helps and good luck..

Christian N. Ford, MD · Answer

Thank you for your excellent and commonly asked question.  Botox works by softening the contractile ability of the underlying facial muscles, which are not necessarily positioned directly under the skin creases.  This is why Botox is not injected directly into skin creases.  Hope this helps and enjoy your Botox!

Amy J. Holland, MD · Answer

Botox is injected into muscle causing the line.
And these are on either side of the frown line, but I understand how this could be c0nfuing.
Also, it is important to allow up to 2 weeks to see the results.
Hope this helps,
Dr. Amy

Single frown line between my brows: does Botox not have to be administered right onto the frown line?

Answers (16)

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