Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Botox

Q. I recently got my masseter muscles and temporalis Botox-ed with great results from a dentist in seoul (for bruxism). I got my procerus Botox-ed a week ago and I like the results. I want to Botox other parts around my eyebrows to lift the extra skin over my eyelids but I don’t want my brows to arch. I really like the straight eyebrow look. Where should the doctor inject to raise my eyebrows evenly, and where should she avoid to keep my eyebrows lifted but straight?

A. Thanks for this question.

Many but certainly not most Botox injectors understand the dynamics of protective and expressive muscle interaction around the eyes. It would be wise for you to consult with a talented and skillful injector as  those injectors that do not appreciate the varied anatomy and individual response to Botox use will never understand how to vary brow shape.

The frontalis muscle fibers integration into the orbicularis oculi and corrugator muscle(s) will determine brow height and shape. In my personal experience, I first attempt to raise and curve the eyebrow and then have the patient return 2 weeks later for very specific single unit dosing to shape the eyebrow. This is because, injecting the frontalis muscle obligates the patient to the final brow position until Botox wears off. So it is best to use a 2 step process.

I hope this is helpful. Good luck finding your expert Botox injector!

This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.