Botox Brow Lift & Forehead Wrinkles

A Botox Brow lift is a noninvasive cosmetic procedure that entails strategically injecting botulinum toxin type A, a neurotoxin more commonly known as Botox, into specific facial muscles to raise the eyebrows. Relaxing these muscles opens the eye area, and the forehead’s central muscle lifts without resistance, resulting in a lifted, youthful look and a more defined brow. A Botox brow lift is an excellent alternative to a brow lift surgery or surgical forehead lift, with zero downtime involved. Regarding facial rejuvenation treatment with cosmetic injectables, including Botox injections and dermal fillers, board-certified dermatologist Dr. Michele Green in NYC is an international expert in Manhattan’s Upper East Side.

Maintaining a proper skincare routine and limiting sun exposure can help keep your skin healthy and youthful. However, when your skin begins to lose elasticity and show signs of aging, Botox, chemical peels, lasers, and noninvasive skin tightening can be the solution. As we age, the brow area often begins to sag and furrow and dynamic fine lines and wrinkles may become more apparent. These wrinkles can result in a tired or angry-looking appearance. To combat these wrinkles, small amounts of “baby Botox” can be skillfully injected by Dr. Green. Botox is the gold standard noninvasive cosmetic treatment for reducing the appearance of dynamic fine lines and wrinkles and can provide an excellent non-surgical brow lift.

Dr. Michele Green in New York City is an internationally renowned board-certified cosmetic dermatologist with over two and a half decades of experience providing her patients worldwide with the best noninvasive treatment options, including the Botox brow lift. Dr. Green is an Allergan Platinum injector of Botox and offers what has been described as the “best Botox injections in New York.” Castle Connolly, New York Magazine, and Super Doctors consistently vote for Dr. Green as one of New York’s best dermatologists for her holistic approach and ‘less is more’ philosophy regarding facial rejuvenation treatment.

What is a Botox Brow Lift?

Traditional facelifts or brow lift procedures are invasive plastic surgery, often associated with potential side effects and lengthy recovery times. However, A Botox brow lift is a popular, noninvasive cosmetic procedure designed to lift and lengthen the skin above the brow and forehead to open up the eye area and create a more defined brow bone without extensive downtime. The difference is subtle but elegant and gives the appearance of a brow lift without the need for invasive cosmetic surgery. Botox brow lift’s cosmetic effects last several months and require an advanced injector technique. Dr. Michele Green is an expert Botox® injector and platinum Allergan provider. Dr. Green is a master at cosmetic facial injections and minimally invasive cosmetic procedures, offering a host of her Upper East Side NYC private office. A Botox brow lift can be just the procedure to help restore a more youthful appearance without any recovery time.

Combining dermal fillers with Botox injections

Botox can be combined with other dermal fillers, such as Sculptra, Juvederm, Belotero, and Restylane, for individuals looking to improve their face. One facial filler that falls into this category is Juvederm Voluma™ XC. Juvederm Voluma adds volume to the cheeks, nasolabial, temples, and chin areas. Combined with Botox, it can help improve the face’s overall appearance and create a more youthful appearance.

Belotero and Juvederm Volbella are two other FDA-approved options that can complement Botox. These dermal fillers are often used for restoring volume to the lips, but they can also be used for smoothing out fine lines and wrinkles in the perioral (around the mouth) and forehead area. They commonly restore lost volume for “frown lines” after Botox injections first treat this area. Juvederm Vollure is another option to treat deeper facial lines, also recently approved by the FDA in 2017. All of these dermal fillers are composed of hyaluronic acid, which is a substance that naturally occurs in the body.

Another treatment that works well with Botox is Restylane®, which can target nasolabial folds (smile lines) and tear troughs (under hollows) to replace lost volume for facial rejuvenation.

Botox and dermal fillers can also be used in conjunction with jawline contouring. Injecting Botox into the masseter muscles can provide a facial slimming effect. Hyaluronic Acid dermal fillers, such as Juvederm Voluma or Restylane Contour, can treat the chin and lower face to enhance the contour of the jawline and create a more defined appearance. When you consult with Dr. Michele Green in NYC for your facial rejuvenation treatment, she will work with you to determine the right combination of cosmetic injectables for perfectly addressing your needs and achieving your ideal cosmetic results that are natural-looking and long-lasting.

Botox Eyebrow Lift NYC

As the face ages, one of the areas that are of crucial concern is the forehead area. Many patients don’t realize how the appearance and treatment of the forehead can affect the entire face. As we age, we develop more lines on our foreheads and lose volume, but the brows begin to sag and furrow. This wrinkled appearance of our foreheads can give a scowling or angry appearance. This aging can be corrected through noninvasive cosmetic treatments such as a non-surgical brow lift with Botox, dermal fillers, and laser treatments. Dysport® can also be used, and Xeomin® can create a non-surgical brow lift. Dr. Green will use a combination of these treatments, known as a “liquid facelift,” to treat facial sagging, frown lines, heavy brows, and jowls in her discreet New York City dermatology office.

Non-surgical brow lifts with Botox.

Botox® cosmetic is a simple and effective way to have a non-surgical brow lift. A Botox brow lift is an injectable treatment that will remove forehead wrinkles and lines, raise sagging eyebrows, and reduce the appearance of upper eyelid hooding. A small amount of Botox must be injected above the lateral aspect of the eyebrows to raise droopy brows and provide a lift. By skillfully injecting small amounts of “Baby Botox” into critical areas of the glabella and forehead, the forehead will be raised, and you will have a relaxed and more youthful appearance.

Some muscles pull the eyebrows down, such as the orbicularis oculi and the corrugator muscles. The corrugators (known as the “11s”) are the muscles that cause the vertical lines between the eyebrows and are the depressors of the inner part of the eyebrows. Other muscles pull the eyebrows up, namely the frontalis muscle. The procerus muscle is located between the eyebrows as well. Botox weakens the corrugator and procerus muscles, which allows the central part of the forehead to relax and open up and the inner brow to lift, giving you a non-surgical brow lift.

Non-surgical brow lifts are preferred over surgical ones since surgery can give you an unnatural “surprised” look. In addition, there are considerable complications from surgical brow lifts, including hair loss from the incisions, scars, and localized pain and headaches from the surgery. Dr. Michele Green prefers the subtle yet elegant enhancement of the non-surgical brow lift using botulinum toxin, or Botox, for brow rejuvenation.

Side effects of forehead Botox injections

A potential side effect of Botox treatments in the forehead area is the “Spock brow” or “Jack Nicholson look.” This effect happens when the side portions of the forehead muscle pull harder than the central portion of the forehead, and an unnaturally arched eyebrow occurs. This “Spock look” can be easily corrected with a small amount of Botox injected laterally in the forehead. In addition, if too much Botox is injected into the forehead, the brow can look heavier and move the eyebrows down, resulting in the eyes looking smaller and the eyelids heavier. Localized swelling and bruising can occur as with any cosmetic injection. It is essential to consult an expert in Botox for the best and most natural Botox results. Dr. Michele Green has been a master injector of Botox for 25 years and continues to pride herself in not over-injecting patients and creating a beautiful and natural-looking appearance.

Who is a good candidate for a non-surgical brow lift?

The best candidate for a non-surgical brow lift is based on a patient’s anatomy and the degree of facial sagging. If you have a noticeable drooping of the brow line or deep lines across the forehead or between the eyebrows, you may be a good candidate for a Botox brow lift. A Botox brow lift may also be the answer for an uneven (asymmetric) brow line or a “worried” or “angry” appearance.

Surgical Brow Lift

A surgical brow lift is the domain of the plastic surgeon and is no longer a standard surgical procedure, thanks to the advent of Botox injections. A surgical brow lift is an invasive procedure that requires general anesthesia with an incision within the hairline. Many plastic surgeons perform a “coronal incision,” which is an incision created from ear to ear across the top of the head, within the hair-bearing skin, and behind the hairline. This lift surgery is most commonly done through an endoscopic brow lift. The forehead is then lifted to create a smoother forehead. Many patients will also opt for additional cosmetic surgery at this time, especially eyelid surgery. As we age, the skin around the eyes becomes lax and contributes to the appearance of being tired or aging. While a Botox brow lift can raise the brow area, it cannot affect the skin around the eye area, and a blepharoplasty may be advised in patients with an excess amount of skin in their upper eyelids. For these types of surgical procedures, it is best to consult with a board-certified oculoplastic surgeon or plastic surgeon in these types of cosmetic surgical procedures.

How does Botox work?

Botox is a neuromodulator treatment that contains the active ingredient botulinum toxin type A, a neurotoxin that blocks the neurotransmitters at the injection site. Botox disrupts the nerve signal in specific facial muscles in which it is injected, causing temporary muscle weakening and stopping the muscle’s ability to contract. The treatment works best when addressing dynamic wrinkles, which are creases that form due to muscle contraction in the face, such as forehead lines when you raise your eyebrows, glabellar lines when you furrow your brow, and crow’s feet around the eyes. When Botox is injected into the muscles responsible for these creases, the muscles relax, and the skin smooths out, reducing fine lines and wrinkles.

What causes frown lines?

There are many potential risk factors for developing frown lines on the forehead, specifically environmental factors that can enhance the appearance of wrinkles, including:

• Sun damage with the damaging UV rays causes fine lines and deeper wrinkles to form.
• Genetics
• Smoking
• Stress
• Alcohol
• Repeated facial expressions such as frowning or squinting

Patients can reduce the severity of the appearance of dynamic wrinkles by practicing sun protection, reducing stress, and avoiding triggers like alcohol and cigarettes. However, people will still experience the development of dynamic wrinkles. Patients can turn to cosmetic treatment, such as Botox or dermal fillers, to create a more youthful look.

Can Botox give you a brow lift?

Two opposing muscle groups largely control the position of the eyebrows. One group of muscles pulls the eyebrows down, and another group elevates the eyebrows. Botox can temporarily relax the muscles that pull the brows down and allow the muscles that elevate the eyebrows to work unopposed. The result of these Botox injections is a subtle brow lift with a natural-looking appearance.

Can Botox lift your eyelids?

Botox can have a subtle effect in lifting your eyelids by elevating the brow. Botox is used to lift the eyebrow’s outer tail, revealing a small amount of eyelid skin. The brow and eyelid raise by injecting Botox in small amounts into the eyebrows’ lower forehead and outer tail. If you are looking for a profound effect of eyelid lifting, you may want to consider a blepharoplasty, or eyelid surgery, to remove any excess eyelid skin.

How much is a Botox brow lift?

The price for Botox varies based on the experience of the injector. If you consult an experienced board-certified dermatologist, like Dr. Green, versus a nurse injector, the cost of a Botox brow lift will be higher. Medspas may have untrained injectors and are generally less expensive. When you have your initial consultation with Dr. Green, she will examine the treatment area to create the treatment plan that will be most effective for you. Once the treatment plan has been developed, her office will provide you with a nearer estimate of the total cost of the treatment.

One half of a syringe of Restylane under eye, 4 weeks later

How long does a Botox brow lift last?

The Botox brow lift is a temporary treatment that lifts the eyebrows and eyelids, smoothing out dynamic wrinkles on the forehead and between the eyes. A Botox brow lift can last approximately 3 to 6 months. When the Botox wears off, the lines in the forehead will be able to reform, and the smoothing effect of Botox will dissipate. Patients can return to Dr. Green’s office 3-4 times yearly for a touch-up appointment to maintain the treatment results.

How many units of Botox for a brow lift?

A Botox brow lift can take 4 to 6 units at the lateral aspect of each eyebrow. Commonly, patients have a vertical frown line at the glabella area, which needs treatment, and 20 to 25 units of Botox are typically required there. In addition, if some patients need the forehead lines treated, 10 to 30 units of Botox may be necessary for the best results.

Can Botox raise your eyebrows permanently?

Many patients new to cosmetic treatments worry about the permanent nature of a surgical brow lift, which will provide dramatic results that are difficult to reverse. Botox brow lifts, on the other hand, give the patients a naturally lifted look to the forehead for a youthful appearance. The results are temporary, so patients hesitant about the procedure do not have to commit to a lifted look for a lifetime. However, many patients find that they love the look of the Botox brow lift treatment, which can be repeated every 3-4 months to maintain the procedure results for patients looking for a long-lasting solution.

Which Botox lasts longer?

Five types of injectable neurotoxin treatments are available on the market: Botox, Dysport, Xeomin, Daxxify, and Jeuveau. Each of these treatments has similar results and serves similar cosmetic functions but differs in composition and what specifically they are FDA-approved to treat. While all five are composed of the active ingredient botulinum toxin type A, Dysport is a more diluted form of neurotoxin. Dysport injections can be made deeper than Botox, covering a more expansive treatment area. Xeomin is also a “purer” form of the botulinum toxin, meaning that it can act more quickly than Botox, though the effects of the treatment are ultimately the same. Jeuveau differs from Botox in its manufacturing process, using a purifying technique known as “Hi-Pure.” Botox, Xeomin, Dysport, and Jeuveau all last for approximately 3-4 months before the effects of the treatment begin to fade. Daxxify differs from the other four neurotoxin treatments in its longevity. Where the other botulinum toxin type A treatments last 3-4 months, Daxxify may have visible results for up to 4 months or more. All five treatments can be repeated to maintain the cosmetic results.

What causes brow ptosis with Botox?

Brow ptosis is when the brow appears droopy or heavy, which can occur improperly when Botox injections are done. If too much Botox is injected into the frontal muscles, the brow can become over-relaxed, leading to a drooping appearance. Ptosis can also appear if the injections are performed too low along the brow line or if the injector fails to balance forehead injections with glabellar muscle injections. To avoid side effects of a Botox brow lift, such as ptosis, it is essential to seek treatment from an expert, board-certified dermatologist like Dr. Green, who understands facial balance and a less-is-more approach.

How to fix Spock Brow with Botox

“Spock Brow” is the name for the appearance of overly arched eyebrows, similar to the character of Spock from the original Star Trek series. Overly arched eyebrows can occur if the forehead muscles on the outer edge exert more pressure than the central muscles. Luckily, this condition can be easily corrected with more balanced Botox injections in the center of the forehead.

Does a Botox brow lift hurt?

Botox injections do not hurt when injected for the brow lift, forehead, crow’s feet, furrows, or other facial muscles. However, some patients are more sensitive to cosmetic injections than others. If you are sensitive to injections, we recommend applying a topical numbing cream one hour before your treatment to minimize any potential discomfort from the Botox injections.

Where to place Botox for a brow lift

Depending on a patient’s anatomy, there are many ways to inject Botox into the forehead. If there are very low-set droopy brows, the procerus muscle needs to be injected (the muscle between the eyebrows), and a carefully placed amount of Botox around the orbicularis oculi muscles (the muscles around the eyes) to pull down the tail of the brow. In addition, there are times when the upper portion of the forehead needs an injection to relax the forehead muscle, which helps pull the brows up more.

How does Botox lift the eyebrows?

Botox injections can provide the eyebrows with a lifted, defined appearance. Dr. Michele Green in NYC is an Allergan Platinum injector of Botox with decades of experience providing her patients with what has been described as the “best Botox in New York,” including the Botox Brow lift. When you consult Dr. Green for Botox injections, you can discuss your unique skin concerns and ideal cosmetic results with her. Dr. Green will work with you to create a customized treatment plan that best addresses your needs and provides optimal natural-looking, long-lasting results.

How can I prepare for a Botox brow lift?

Refraining from blood thinners, like Coumadin, aspirin, Aleve, Advil, or Motrin, for one week before Botox injections is essential. It is also advised to discontinue any multivitamins, vitamin E, Fish oil,  or St. John’s wort for one week before injections and discontinue alcohol for two days before treatment.

What should I expect after a Botox brow lift?

Immediately after a Botox brow lift, you may have some swelling at or near the injection sites. There can be some localized bruising, which may be noticeable for a few days. Icing the treated area immediately after injection with a cold pack is recommended. Dr. Green also recommends being upright for 4 hours after Botox injections and refraining from heavy exercise or saunas 24 to 48 hours after treatment. Arnica forte is recommended to prevent any bruising. You can return to normal activities within 24 hours after Botox treatment.

Skincare to augment the results of Botox injections

Using the proper skin care is essential to the overall anti-aging process. Sun damage causes an increase in fine lines, wrinkles, and overall skin damage. Dr. Green will recommend the best skin care to treat sun damage and wrinkles and prevent future damage. Since Botox treats isolated muscles of facial expression but not skin tone or texture, it is essential to incorporate the proper skincare into your daily routine.

Dr. Green’s MGSKINLAB line of products has been formulated with powerful antioxidants, like her Vitamin C serum and essential retinols, as in the Antioxidant Infusion. Combining the best anti-aging products into your daily skincare can reverse fine lines, sun spots, and skin discoloration. Everyday sunscreen use is also critical for maintaining the best overall skincare routine, and Dr. Green’s line of products has some of the best sunscreens and eye creams.

What types of wrinkles does Botox injectable treat?

• Frown lines (glabella)
• Forehead lines and wrinkles
• Chin wrinkling
• Masseter muscle for facial slimming
• Crow’s feet around the eyes
• Platysmal bands around the neck for necklines and cords
• Lip flip for perioral wrinkles

Botox injections for forehead wrinkles

In October 2017, Allergan announced the FDA approval of BOTOX® Cosmetic for usage on moderate to severe forehead lines. These lines display horizontally on a forehead and are associated with adult frontalis muscle activity.

The forehead is one area that many people are concerned about because the wrinkles and lines that form in this area are very visible. Wrinkles in the forehead occur naturally as we age, but their appearance can make a person look overly serious and are sometimes known as “worry lines.” These lines can be caused by over-active muscles, pulling the skin and forming lines and wrinkles.

Before & After Photo: 1 syringe Restylane, Botox to glabella & forehead

To counter these lines, Botox can be injected into the forehead to help reduce the appearance of these wrinkles. Botox works because it is injected into the skin in small doses, and the serum prevents the signals from the nerve cells from reaching the muscles in the forehead, which stops the muscles from forming the lines in the first place. Botox is effective for around three to six months before a top-up is required. Botox works well as a treatment that is used on its own, but also, when combined with additional treatments, it can be a very effective combination procedure.

Botox is excellent for treating over-active muscles that cause a certain kind of wrinkle. On the other hand, wrinkles that appear because of the reduction of collagen, which occurs through the natural aging process, are not good candidates for Botox. Other procedures, such as dermal fillers, are more useful in these cases. As we age, we may benefit from different treatments to cover both types of wrinkle formation, so it is worth reviewing all options with Dr. Michele Green before proceeding.

Thermage for a laser brow lift

One of the newer ways to create a brow lift is through radiofrequency technology. Radiofrequency has been proven to tighten the skin around the jowls and neck for years. However, a newer use for Thermage®  is to give you a noninvasive brow lift, raise the eyebrows, and treat the periorbital lines around. Through the new Thermage FLX, there is no downtime, no needles, and no discomfort. The radiofrequency laser heats the skin, creates new collagen, and lifts the brows. The new collagen produced tightens and lifts the brow, giving you a rejuvenated and refreshed appearance.

Laser resurfacing with Botox injections

The Fraxel® laser is an extremely popular resurfacing laser to help rejuvenate the skin. The Fraxel Dual laser has two lasers in one to treat fine lines and wrinkles, hyperpigmentation, dark spots, and sunspots. Most patients who already have fine lines on their forehead or skin laxity also have had some degree of sun damage. The Fraxel laser is a “magic eraser” and removes actinic damage, sun spots, fine lines, and wrinkles with minimal recovery time. Many patients combine a Botox brow lift with Fraxel laser resurfacing to smooth out the skin’s surface and fine lines.

How can Juvederm be combined with a Botox brow lift?

Another method to enhance Botox brow lift’s effects is injecting Juvederm above the eyebrow area. Juvederm injections above the eyebrows help to lift the brows and fill in any areas of hollowing above that area. The result is restored facial volume and a rejuvenated appearance with an enhanced brow lift. Juvederm lasts up to one year and will help create a more youthful silhouette.

How to avoid a heavy brow with Botox

A heavy brow with Botox can be easily avoided by seeking treatment from an expert, board-certified dermatologist like Dr. Green. Too much Botox solution injected into the brow can make the browline appear heavy and the eyelids droopy. Regarding Botox treatment, Dr. Green employs a less-is-more approach, providing patients with a naturally youthful look. If you have already received Botox treatment from another institution and the brow appears heavy, rest assured that the cosmetic effects of Botox are temporary and typically last between three to four months. If your Botox injections have resulted in the appearance of a heavy brow, it generally will resolve on its own as the Botox disappears.

How do I get started with a Botox brow lift?

If you are considering a non-surgical cosmetic treatment option for achieving the appearance of a lifted brow and open eye area, a Botox brow lift may be the best solution for you. Dr. Michele Green was one of the first board-certified dermatologists in New York City to incorporate cosmetic Botox injections into her patients’ facial rejuvenation treatment plans. Castle Connolly, New York Magazine, The New York Times, and Super Doctors consistently name Dr. Green as one of New York’s best physicians for her holistic approach, ‘less is more’ philosophy, and dedication to her patients and expertise. As an Allergan Platinum injector of Botox with over two and a half decades of experience providing the best noninvasive cosmetic treatments available, Dr. Green will work with you to customize your facial rejuvenation treatment plan so that it is best suited to your unique needs and overall aesthetic goals. Contact us online today or call the NYC-based office at 212-535-3088 to schedule a consultation with Dr. Michele Green and get started with your Botox brow lift.