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BOTOX® for Wrinkles : Techniques
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Brow Lift
Botulinum toxin can also be used to elevate the brows, resulting in a more youthful appearance. This has been referred to in the literature as a chemical brow lift. The technique of lifting the brow includes injection of the glabellar area as described in the brow furrow section.
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After injecting the procerus muscle with 0.1cc (4 units) of BOTOX®, the nasal bridge should be massaged laterally. This allows the BOTOX® to affect the depressor supercilli portion of the corrugator muscle as shown in the figure.
Illustration from the textbook Baumann L. "Cosmetic Dermatology: Principles
and Practice" McGraw Hill, Philadelphia, April 2002.
Injecting 0.05cc of BOTOX® (2 units) into the lateral brow depressor muscles as shown in the figure can raise the lateral aspect of the eyebrow. Ahn et al. showed that treatment of the lateral depressors of the brow results in an average brow elevation of 4.83 mm when measured from the lateral canthus. Carruthers demonstrated that injections of BOTOX® into the glabellar area and lateral brow can result in brow elevations of 1-3mm when measured from the eyebrow to the midpupillary point.
Illustration from the textbook Baumann L. "Cosmetic Dermatology: Principles
and Practice" McGraw Hill, Philadelphia, March 2002.
Huilgol SC, Carruthers A, Carruthers JD: Raising eyebrows with botulinum toxin. Dermatol Surg 25:373, 1999.
Ahn MS, Catten M, Maas CS: Temporal brow lift using botulinum toxin A. Plast Reconstr Surg 105:1129, 2000.
Huilgol S, Carruthers A, Carruthers: Raising eyebrows with Botulinum Toxin. J Dermatol Surg 1999 May;25(5):373-5376.
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