Where To Put Botox For Brow Lift
Do you want the look of a brow lift, but don’t have time or money for surgery? The secret to getting a brow lift is not in the scalpel — it’s in the vial. Botox can lift droopy, tired-looking brows and make them look more youthful, while also helping with crow’s feet and forehead lines. In this guide, we find out Where To Put Botox For Brow Lift and botox brow lift technique.
In this guide, we find out Where To Put Botox For Brow Lift, botox brow lift technique, How many Botox areas are needed for a brow lift, and Where do you inject Botox to prevent spock brow?
Where To Put Botox For Brow Lift
To get a brow lift, you need to inject Botox into the forehead. This will relax the muscles that pull your eyebrow down and give you a more youthful appearance.
Botox For Brow Lift
Botox is a purified protein that is injected into the skin to temporarily paralyze muscles. Botox can be used to treat wrinkles, crow’s feet, and frown lines. Botox can also be used to treat facial asymmetry by relaxing one side of your face so it matches up better with its opposite side.
Where To Put Botox For Brow Lift
Botox is injected into the muscles that cause frowning and squinting. The injection can be done in one of two ways:
- A needle is used to inject Botox into a number of small muscles in the forehead, around the eyes, or both areas.
- A small needle is inserted just under your skin (subcutaneously) to deliver Botox directly into the area where you want it to go. It takes only 5 minutes for your doctor or nurse practitioner to inject this solution into your face with a very thin needle that feels like nothing more than pressure as it goes through your skin!
How Long Does Botox For Brow Lift Last
How long does Botox For Brow Lift Last?
The results of a Botox brow lift can last from 4-6 months. It is important to get a consultation before you start injecting botox, because this is a temporary fix and not something that can be done regularly like fillers or other procedures.
The results of a botox brow lift can last from 4-6 months.
A brow lift can last from 4-6 months. It is not permanent, but it does tend to improve the appearance of your eyes and your face overall. If you decide that a brow lift is right for you, make sure that you know what to expect before going in for the procedure!
botox brow lift technique
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.
How many Botox areas are needed for a brow lift
Droopy brows make us look older and more lifeless. It’s as if we are scowling all the time! As our forehead develops lines and sags, it also affects the brows. A saggy forehead loosens up the muscles that lift the brows and reinforces the ones that keep it down. The solution to droopy eyelids is brow lifts where plastic surgeons inject botulinum toxins in the forehead area. The right dose will bring your eyes back to life.
So what is the accurate Botox unit for getting brow lifts? To achieve natural-looking brows, plastic surgeons will usually inject about 4-8 units of Botox in your outer brows. They’ll also inject about 20-30 units of Botox in the glabella or the area between your brows. You may also receive more units of Botox injections in different parts of your face, depending on your plastic surgeon.
With just a few simple injections, our providers can erase your wrinkles and fine lines in no time with Botox. Call us today to book your appointment.
How Many Units of Botox For Brow Lift
Botox is a safe and effective treatment for improving the appearance of heavy brows. It’s also a minimally invasive procedure and requires little to no downtime. After your eyebrow lift, you can go back to your daily activities with a few precautions.
For reducing the appearance of your eyebrow droop, you will need about 4-8 Botox units at the outer brow. Your facial plastic surgeon may also recommend injecting about 20-30 units of Botox to treat your glabellar lines and frown lines.
By injecting Botox into the muscles that bring your eyebrows down, your eyes will return to their youthful pop. Brow lifts will have better results if you also inject dermal fillers.
Factors That Affect Botox Dose
The number of Botox units above is the general dose for lifting your brows. However, that can still be subject to change depending on the recommendation of your plastic surgeon or provider. The amount of botulinum toxin that you receive will still vary depending on the following factors:
1) Gender
One thing to look at when getting Botox cosmetic treatments is gender. Men have stronger and larger muscle mass than women. That means their facial muscles will also be bigger, so they will need more units of Botox.
2) Metabolism
Metabolism is a person’s capacity to break down food and convert it into energy. Everyone has different levels of metabolism. This factor becomes important when getting a Botox because it may affect how long your cosmetic injections will last.
Botulinum toxin is still considered a protein. Those who have high levels of metabolism or who lead an active lifestyle may break down their Botox faster than others. Botox usually lasts for about 3-4 months, but if you have a high metabolism, the effects of your injectable treatments may last shorter.
You may need to discuss your metabolism with your aesthetician or plastic surgeon when getting Botox and other similar cosmetic procedures.
3) Strength of Facial Muscle
People also have different facial muscle strength that develops with facial expressions, like smiling, squinting, frowning, and such. Those who do more facial movements should need more units of Botox.
4) Face Shape and Size
The units of Botox may also vary depending on the size and shape of your face. If you have a more prominent forehead, you may need more doses of Botox to reduce the appearance of your forehead lines while those with smaller ones need less.
5) Aesthetic Goals
The right units of Botox for you will also depend on your aesthetic goals. What is your desired look after the procedure? Some people prefer a more natural-looking face, so fewer units of Botox will be fine. Meanwhile, some patients want all the frown lines and wrinkles done and don’t mind big changes.
6) Severity of Wrinkles
The unit of Botox you will receive for your masseter muscle won’t be the same as the ones for your gummy lines. The amount of botulinum toxin the experts will inject into you also depends on the severity of your wrinkles. Dynamic wrinkles need more units than lighter ones.
What Happens If You Get the Wrong Dose
Plastic surgeons and expert practitioners always make sure to administer the right dose of Botox for every patient based on the factors above. Underdosing with Botox may just give you underwhelming results and may not achieve the look you aim for. You’ll receive another shot of Botox to temporarily relax the muscles on the injection sites.
Getting more units of Botox than you need may pose serious risks. Your Botox may spread from the injection sites and relax the surrounding muscles. You also run the risk of developing an illness called botulism. You may also experience blurred vision.
How Botox Can Lift Your Brows
Administering Botox in the right injection sites is also one of the ways for lifting your brows. Aside from reducing the appearance of facial wrinkles and lines, it can also enhance your upper eyelid and raise droopy brows.
Our eyebrows droop as we age because our skin begins to sag. Due to decreasing collagen production, the skin loses its elasticity and cohesion with our muscles and other connective tissues. We have muscles that pull down our eyebrows, called the corrugator muscles and the orbicularis oculi. At the same time, our frontalis muscle is the one responsible for pulling the brows up.
What Botox does is reinforce the frontalis muscle to keep our brows up and weaken the muscles that pull it down, which are the procerus muscles and the corrugator. Plastic surgeons are also careful to inject only “baby Botox” on the forehead because the muscles may drag down the brows more if they become too relaxed.
What to Expect During Brow Lift Treatment
Your Botox procedure only involves injecting botulinum toxin in the strategic areas of your face. Others may be more used to the procedure, while some people may still feel squeamish about the idea. Here are some of the things you can expect when getting a brow lift treatment:
1) How Long It Lasts
Your Botox brow lift session won’t even take that long. You’re done in just a few minutes! Your doctor may give you a few instructions before your procedure, like avoiding alcoholic beverages, blood-thinning medications, and others.
The results of your brow lift can last for about 3-6 months. Once the botulinum toxin wears off, you’ll see forehead lines again.
2) Where Botox Is Injected
The injecting techniques of your plastic surgeon are also important for achieving successful results. Your forehead may receive different ways of injection. Your procerus muscle or the muscle between your eyebrows will receive injection if you have low set sagging brows. The plastic surgeon may also inject a careful dose of Botox in your orbicularis oculi muscles, which will pull down your brow’s tail.
Where do you inject Botox to prevent spock brow
Have you ever looked at someone’s face and thought their eyebrows resembled Dr. Spock from Star Trek?
An unwanted consequence of Botox injections, Spock brows are a term given to eyebrows that upturn sharply. While brow lifts can be useful for facial rejuvenation, exaggerated eyebrows look unnatural and out of place.
Medical professionals interested in learning the art of cosmetic injections can enroll in a medical aesthetics course where they will learn proper Botox injection techniques to avoid the Spock look.
Avoid The Spock Look
One of the keys to excellent treatment results is the proper Botox injection technique. Before physicians and nurses can inject, however, they must have a thorough understanding of facial anatomy and how these muscles interact with each treatment modality. They must also enroll in Botox training for medical professionals.
Medical professionals will learn that brow position results from the upward force of the elevators and the downward pull of the depressors. When these muscle groups are out of balance, the brow can appear abnormal. The Spock brow can occur by overtreating the depressors and/or undertreating the elevators in the outer half of the forehead. This contraindication tends to happen more with certain eyebrow shapes and clients who are very expressive with their eyebrows.
Physicians and nurses can avoid the Spock look by balancing the forces between the elevators and the depressors. This is accomplished by placing a small amount of Botox in the outer forehead.
If a client ends up with raised eyebrows, Botox training for medical professionals teaches the injector the corrective measures they should use if this does occur. An upturned eyebrow is typically corrected during a follow-up appointment a few weeks after the initial treatment.
Botox Training at National Laser Institute
Are you a physician or nurse looking to add aesthetic treatments to your practice? National Laser Institute offers Botox training for medical professionals that can be completed in as little as a weekend!
With over a decade of excellence, National Laser Institute has taught countless physicians, nurses and medical professionals how to become a part of the $16 BILLION medical aesthetics industry by incorporating Botox and other treatments into their practice.
The first half of each CE/CME training course is spent in the classroom where you will learn things like facial anatomy, contraindications and Botox injection techniques to avoid the Spock brow. You will spend the remaining days of your course in a medical spa environment where you will receive hands-on clinical training. Here, you will watch comprehensive demonstrations and treat scheduled clients to gain real-world experience.
If you are looking for advanced injection techniques, advanced courses will teach you how cosmetic injections can work together to produce successful treatment results. It will cover multiple injection sites like nose augmentation, secondary smile lines and hand rejuvenation.
By the end of medical aesthetics training, you will feel comfortable and confident performing a variety of treatments like Botox, dermal fillers (Restylane®, Perlane®, and Juvéderm®), Kybella, sclerotherapy, Platelet-Rich Plasma (PRP) and more!
We invite you to check out tens of thousands of National Laser Institute reviews from previous attendees like Dr. Ryan Krch who took several of our CE/CME courses. You can hear about his training experience in the video below!
If you would like to learn more about Botox training for medical professionals, fill out the form on your right or call 1-800-982-6817 for more information.