Botox is a medication adapted from the naturally occurring botulinum toxin. It is synthetically produced for use as a muscle relaxant. Originally designed to help people with muscle spasms of the eyelids and face, it has been repurposed to minimize wrinkles by softening muscle movements in the forehead, eyebrows, corners of the eyes, and even the neck.

Types of procedures

  • Forehead: This site eliminates horizontal lines associated with raising the eyebrows.
  • Glabella: This technique eliminates vertical lines (the “eleven’s”) between the eyebrows associated with frowning or angry look.
  • Crow’s feet: This approach softens the starburst pattern of lines radiating from the corner of the eyes associated with squinting.
  • Eyebrow arch: This approach creates a more attractive elevated eyebrow shape or ‘arch’.
  • Turkey neck: This approach softens the vertical muscle bands or cords in the font of the neck.

Procedure details

  • During a consultation, you and your plastic surgeon will use a mirror to focus on the areas of your concern and move muscles to demonstrate the lines to be treated and develop a treatment plan
  • Local anesthesia is not required
  • Botox is injected into the muscles under the skin using a tiny needle
  • Aftercare with an small ice pack can minimize swelling and injection marks
  • Arnica Montana capsules may also help if you are prone to bruising

Risks & Benefits

Pain is minimal and resolves in seconds. Bruising is usually resolved in one day. Treating the entire forehead with Botox carries a risk of flattening the eyebrow arch or lowering the eyebrows. That is why your plastic surgeon will use experience and judgement to produce high quality results with conservative amounts of Botox. Rarely, one may see drooping of an upper eyelid. If this does not resolve in a week, an eyedrop can be applied to reverse this effect.

Botox produces a more youthful and relaxed appearance without surgery. Smoother foreheads and more attractive eyebrow shapes will last for months. Occasionally patients will note relief of headache as well.

Frequently Asked Questions

How long will it take to see results and how long will it last?

The Botox effect develops over several days after the injection. It should be fully apparent in about a week. New treatment will be required every 3-4 months.

What if I don’t see all the results I expected?
Occasionally someone needs a touchup of Botox after 7-10 days to maximize or balance the results. This tends to occur when a new patient begins treatment and we are learning the ideal dose, which may vary from patient to patient.

What if my eyebrows are already low to begin with?
In that case, you may not be a good candidate for Botox. A better solution may be to perform a forehead or browlift to restore a youthful position of the eyebrows and elimination of forehead lines.