Blake recommends starting on either side of the face just under the orbital rim as this is the key injection site for a brow lift. As with any aesthetic medical procedure, in order to perform a brow lift, it is necessary to understand the intricate anatomy of the muscles below the skin to achieve the desired outcome.
A small amount of Botox needs to be injected above the lateral aspect of the eyebrows to lift droopy brows and provide a lift. By skillfully injecting small amounts of “Baby Botox” into key areas of the glabella and forehead areas, the forehead will be raised and you will have a relaxed and more youthful appearance.
Chemical brow lift at the glabella complex
Botox is injected into the muscles that pull the eyebrows downward, such as the corrugator muscles and the depressor supercilii muscles. By relaxing these muscles, the toxin can help counteract their downward pull, resulting in a natural-looking brow lift.
When Botox is applied to problem areas around the eyebrows, the muscles relax and the skin on top of them becomes smoother. The muscles around the eyebrows are pulled upwards, elevating the eyebrows and making a patient's eyes appear more open. Patients are thrilled to find they look alert, peppy, and rested.
Botox is a great tool for lifting heavy upper lids and sagging eyebrows. I see many patients in their 20's, 30's and 40's that are bothered by a slight drop of the brow and heaviness on the upper eyelids. When strategically placed, Botox lifts the brow and improves heavy upper eyelids.
For most patients, between 4-8 units is common for the outer brow and 20-30 units on average for the area between the eyebrows. Additional units may be used if there are other areas of your face you want to focus on.
Most of us are familiar with the benefits of BOTOX for smoothing forehead lines and wrinkles, but you may be surprised to learn that BOTOX can also help to lift drooping brows and correct hooded eyes in some patients.
The downside with this surgery is the scarring, downtime and that results are permanent. However, the Botox Brow Lift is non-surgical, so there is no scarring and results can last up to 6 months.
However, brow ptosis can result when too many units of Botox are injected or when the injection site is too low on the forehead. Too high a dose or incorrect placement can over-relax the frontalis muscle, causing the eyebrow to lower, or droop.
Sometimes people get a peaked eyebrow after a Botox treatment. This can make you look surprised and it's sometimes called a Spock, Mephisto, or Jack Nicholson look. This can occur for a number of reasons. For example, sometimes a peaked eyebrow is seen when only the glabella area is treated with Botox.
Sagging eyelid skin can be a cosmetic and medical concern. Depending on the severity of your condition, Botox can help. An injection of the neurotoxin in your forehead and around your eyebrows can effectively treat a brow that droops slightly and minor sagging skin of the eyelids.
You should avoid injecting botulinum toxin into the frontalis muscle, which is the muscle that raises your eyebrows and arches your forehead. You should also try to not inject botox into several other facial muscles, such as those that allow you to smile or chew.
Since certain types of hooded eyes are due to low eyebrow position, Botox can help lift the outer tail of the eyebrow. Here's how it would work: Your doctor would inject small amounts of Botox into your lower forehead and outer tails of your eyebrows.
If you are experiencing eyebrow unevenness this can also be corrected, and you do not have to wait for the Botox injections to wear off. Eyebrow unevenness can be corrected by injecting a little more neurotoxin into the side that is lower. This will eventually correct the asymmetry.
Actual cases of droopy upper eyelid after Botox injections are rare. Most issues of upper eyelid heaviness after Botox injections in the forehead area are due to over paralysis of the forehead muscle, causing drooping of the eyebrow.
BOTOX brow lifts last until the neurotoxin wears off, which typically takes 3 to 4 months. Note that it will take between 7 and 10 days for your initial results to appear as the product takes effect.
It takes effect generally 4-5 days post-injection with peak effects at approximately 2 weeks.
According to Dr Gavin Chan, one of the most important things practitioners can do is to, “inject the lateral tail of the corrugator which is the muscle which causes the bunching (6.35) of the frown. Superficially injecting the lateral tail of the frown (corrugator) muscle can help avoid ptosis”.
This means that if you inject the upper eyelid, the orbicularis oculi muscle, anterior to the tarsal muscle, with 1-3 units of Botox®, it can lift a drooping eyelid by a millimetre or so.
Botox can accomplish many of the same things that a surgical brow lift, as it treats frown lines between your brows and can elevate the height of your eyebrows to create a more feminine arch. This not only enhances the way your eyebrow shape looks, but it allows your forehead muscles to lift and open up the eyes.
While brow lift can achieve more dramatic changes, Botox is preferable for making slighter, more subtle improvements. The timeline for each procedure is also much different. Botox results last about three to four months in this area, whereas brow lift changes are generally visible for a decade.
It is not unusual to need Botox Cosmetic after brow lift surgery. The need for repeat Botox injection is largely based on what was done during the initial plastic brow surgery. Eyebrow lift surgery not only lifts the brow, cosmetic surgery may also modify the forehead muscles.
Injecting Botox under the eyes is not an approved use. Botox is intended to reduce the appearance of wrinkles in areas where there is significant muscle movement. It may be less effective when injected under the eyes than when used in the forehead, for example.