Brow Lift With Botox Technique -

The Brow Lift is a simple procedure that lifts and thickens the eyebrows, creating greater symmetry for the face. The Botox brow lift can eliminate drooping brows, thicken thin eyebrows, or fill in gaps caused by missing eyebrow hair.

In this guide, we review the Brow Lift With Botox Technique, Where do you inject brow lift with Botox, How many Botox areas are needed for a brow lift, and How long does a Botox brow lift last?

Brow Lift With Botox Technique

When it comes to looking younger, many people turn to plastic surgery. While this can be a great way to achieve the appearance you want, it’s not always an option due to cost or lack of insurance coverage. Fortunately, there are other options available that can make you look younger without having expensive or risky surgeries performed on your face. One popular alternative is using Botox injections as part of a brow lift technique known as “eyebrow lift with Botox technique.”

The brow lift with Botox technique uses botulinum toxin (Botox) to lift the sagging eyebrows and reduce the lines and wrinkles on the forehead.

Botulinum toxin is a neurotoxin that causes paralysis of muscles by blocking acetylcholine release at nerve endings. It has been used for decades as an effective treatment for excessive sweating, blepharospasm (spasms of eyelids), strabismus (misaligned eyes), facial spasms, hyperhidrosis (excessive sweating) and other conditions involving involuntary muscle contractions such as cerebral palsy or Parkinson’s disease.[1]

Botox may also be injected into certain areas of your face to smooth out wrinkles or furrows caused by aging or by repeated motions such as frowning or squinting.[2] This procedure is known as “cosmetic neuromodulation” because it improves appearance without affecting function.[3]

The key to this technique is injecting the Botox in a specific pattern and direction so that it achieves a lifting effect on the eyebrow.

The key to this technique is injecting the Botox in a specific pattern and direction so that it achieves a lifting effect on the eyebrow. The surgeon injects Botox into the muscles under your eyebrows, which causes them to relax and soften. This allows you to raise your eyebrows more easily, reducing lines on your forehead.

The procedure doesn’t require general anesthesia, so you can go home immediately after treatment. It takes about 15 minutes per side of your face (30 minutes total) and costs about $1,500 per side if done by an experienced cosmetic surgeon who specializes in brow lifts with botox techniques like ours at [our clinic].

A normal brow lift is performed by incising a line along the hairline, removing skin and possibly repositioning or removing the forehead muscle.

A normal brow lift is performed by incising a line along the hairline, removing skin and possibly repositioning or removing the forehead muscle. The procedure can be used to treat sagging eyebrows as well as drooping eyelids and upper eyelids (blepharoplasty). The incision is made along the hairline, then skin and possibly muscle is removed. The forehead muscle may be repositioned or removed depending on how much lifting is needed in addition to any other cosmetic surgeries being performed during your procedure.

Complications of this type of browlift include hair loss along the incision, numbness along the scalp, eyelid droop, nerve injuries and blood vessel injury.

Complications of this type of browlift include hair loss along the incision, numbness along the scalp, eyelid droop and nerve injuries. Blood vessel injuries are also possible.

Given these risks, an increasing number of people are looking at alternatives to surgery.

Given these risks, an increasing number of people are looking at alternatives to surgery. Botox is one such alternative that has been shown to be effective in reducing the appearance of wrinkles and furrows on the forehead.

Injecting Botox into specific areas can lift your brows without affecting other parts of your face. For example if you have droopy eyebrows or crows feet around the eyes at rest, this treatment will not change those features but will lift them when they move up with facial expressions like smiling or frowning etc..

To protect your eyes from any complications, Botox should never be injected near your eyes or underneath your eyes.

To protect your eyes from any complications, Botox should never be injected near your eyes or underneath your eyes. If you are considering a brow lift with Botox technique, it is essential that you only use an experienced doctor who has extensive knowledge of this procedure and has performed plenty of successful botulinum toxin injections before.

Botox is a toxin and can cause serious side effects if not administered correctly by a qualified doctor.

This new technique can make you look younger without a full surgical procedure.

Botox is a safe and effective method of reducing wrinkles. It can be used to treat a variety of conditions, including forehead lines, crow’s feet and frown lines. However, Botox is not a permanent solution for these issues; it will only last about six months before you need another injection.

Botox may be used as part of your treatment plan if you would like to improve the appearance of your skin without undergoing surgery or other invasive procedures.

Where do you inject brow lift with Botox

Eyebrow lift Botox injection patterns

The above image shows the injection patterns that can be used to create an eyebrow lift with Botox® (botulinum toxin). If you follow these injection points for all your patients, you will achieve a decent brow lift for most of them, however, you will sometimes get bad results – you may lift eyebrows too much in some patients and drop them in others. The reason for this is that every face is different, and Dr Tim reminds us that the Holy Grail of a one-size-fits-all approach just isn’t out there. A patient’s age, sex, muscle strength, eyebrow shape, and desired lifting all play a part in the nuances of their individual face and the treatment plan you must design, just for them.

To do this we must understand the principles or building blocks from which you can appropriately design a treatment plan for any face, and any patient.

The impact of the shape of the female eyebrow on a Botox brow lift

The shape of the ideal female eyebrow is a guiding principle for this treatment as it is mostly performed on women; Botox eyebrows lifts in men are less common as they tend to feminise the face.

The female eyebrow has been well described by artists and should be in harmony with the rest of the facial features. The medial border should be on a line linking the alar base of the nose, the inner canthus, and the head of the brow. The tail of the eyebrow should be on a line from the alar base of the nose, through the lateral canthus and to the end of the tail of the eyebrow. The arch of the eyebrow will typically be on a line running from the alar base of the nose, through the pupil and up to the arch of the brow.

Knowing the position of the arch of the eyebrow is key to knowing which parts of the muscles must be left with movement and strength to lift the eyebrow when you are carrying out an eyebrow lift with botulinum toxin.

Which facial muscles affect eyebrow positioning?

You can divide the upper face into eyebrow elevators and eyebrow depressors. The eyebrow is elevated by the frontalis muscle, upwards and laterally. It is pulled downwards and medially by the corrugator supercilii, and the procerus muscle and the depressor supercilii pull the medial head of the brow down. The orbicularis oculi pull the eyebrow inferior and medially, laterally, and inferior, laterally, medially. The most important being the lateral component.

Understanding the muscles and the different directions of pull over the eyebrow makes it more intuitive to understand how relaxing different muscles, or affecting their resting tone, can affect the balance of forces across the eyebrow and its relative position.

When using botulinum toxin, there are two ways that it can affect the position of the eyebrow. It has been observed that if you relax half of a muscle, the other half increases its resting tone; this is very useful when treating the medial frontalis as it makes the lateral frontalis more active in some cases and is typically where we want to lift the eyebrows. The second is by altering the vector across the eyebrows. Vectors are simply a force with a particular direction and the eyebrow is held in a balanced position by the forces from all the muscles, much like a game of tug-of-war between the elevators and the depressors. As injectors, you have control over how strong the elevators remain and how weak the depressors become, to achieve variations in the degree of lift achievable.

How to perform a Botox eyebrow lift

If we consider the weakest possible eyebrow lift, we can look at a muscle that is involved in restraining the eyebrow and pulling it down, seeking to relax it slightly – the orbicularis oculi. By injecting this muscle, just at the area it pulls the eyebrow down, we can treat the lateral brow. A 4-unit (Botox) injection into the tail of the eyebrow will affect the orbicularis oculi muscle superior and laterally and create a little lift with minimal risk and side effects possible.

This lift could be increased by treating more of the orbicularis oculi muscle, which can be achieved by injecting medially, underneath the eyebrow, typically a 1-unit dose, always very superficially, and underneath the lateral third of the eyebrow. This will enable more lift whilst still creating a natural-looking result.

For more information on why this is low risk when it comes to eyelid ptosis, check out Dr Tim’s video from SkinViva Training where he gave a lecture on eyelid and brow ptosis.

To lift the eyebrow even more, we can utilise the other effect of botulinum toxin to increase the resting tone of the lateral frontalis muscle, by treating the medial frontalis. Dr Tim finds this to be one of the most powerful ways to lift an eyebrow.

Avoiding a Spock brow

A word of caution – typically it is not advisable to treat the frontalis muscle without also treating the glabellar complex because in most patients, although not all, the corrugator and the procerus are sufficiently able to depress the brows, so when you treat the elevator (frontalis) on its own, and the depressors are no longer opposed, a heavy frown may develop, alongside a lateral brow lift, otherwise known as the ‘Spock brow’. Your patient may still end up looking angry, when they are not, even if the brow spocking is avoided. This also occurs if the medial frontalis is over treated, even if the glabellar complex is treated. It all stems from an overall loss of medial support to the brow.

Perform a Botox eyebrow lift with the frontalis muscle

Take the line from the alar base of the nose, through the mid-pupil and the eyebrow arch, and extend it out to the hairline. The frontalis muscle along this line is the area that should be more active for the arch of the eyebrow to be lifted.

However, we do not want ladder lines running all the way up into the forehead which is a side effects of under treatment of the frontalis, thus we need to shape this area of untreated muscle so that it lifts without causing lines.

The line drawn up to the hairline helps with this as you can see the direction of the vector you are trying to increase. Next draw a line from the endpoint to the position of the tail of the eyebrow and a second line from the hairline to a point equidistant to the tail of the brow. This triangular shape is an area where you do not want botulinum toxin to reduce the strength of the lateral frontalis muscle.

There are other areas of the frontalis muscle that we do not want to treat, so they must also be ruled out before treatment planning. To prevent a medial brow ptosis, it is a good idea to leave a good portion of the frontalis muscle active in the lower third. Dr Tim uses a rule of two centimetres from the orbital ridge, drawing a line to create a safety zone of untreated frontalis. Conveniently, very few patients have lines in the lower third of their forehead, so the area can happily be left untreated to provide support to the medial brow.

To ‘save’ and be more efficient with your botulinum toxin usage, it is worth marking out the areas where there is no frontalis muscle within the forehead, so you know you are targeting active muscle, this avoids wasting product on the aponeurosis, for example.

Taking all this into consideration, you should be left with a small area of the frontalis muscle, medially, that is ready for you to treat with Botox, with the areas required to support the medial brow and lift the lateral brow having been excluded from relaxation.

Injection points should be spaced evenly within the target zone, for efficiency, and to optimise the spread of botulinum toxin – with a dose of 1-2 units of Botox, Dr Tim estimates a circumferential spread or effect on the muscle of 1.5cm, about the size of a marble, so spread your injection points accordingly, and maintain symmetry. It is vitally important that your injections are symmetrical laterally, if the face is symmetrical; small changes in the placement of your lateral injections can lead to large changes in the relative size of the untreated muscle meaning that the relative size of lift will be impacted, resulting in asymmetrical eyebrows which are very noticeable.

Upon reviewing your patient after two weeks, if the degree of lift is too much, you can add 1 unit of Botox into the tip of the triangle you created, at the hairline, to soften the look. Similarly, if you only treated the glabella and frontalis at the first appointment, and are looking for additional lift, you can treat the orbicularis oculi at the follow-up. Treating a patient for the first time is a journey for you both, and adjustments are normal as you build up a pattern for their personal eyebrow lift and understand their face, ready for next time.

Be sure to download Dr Tim Pearce’s 26 essential patterns for Botox for more specific information on product placement when treating the forehead and other areas with botulinum toxins, including licensed cosmetic dosing and off-label use for eyebrow lifts.

Learn more about how to manage and avoid Botox complications with Dr Tim’s eLearning courses on botulinum toxin complications mastery.

Brow Lift With Botox Technique