Dr. Dean Kane Botox Q & A 
Q. I had vertical lines on my forehead done with Botox and the 11’s . The result was evil eyebrow look. I want to try again. The 11’s never actually worked. The vertical did but they are not bad and I am not too bothered about them. I want to know which of these two areas was the culprit for the drooping brows? I have noticed some celebrities with the same look, is it just a side effect? I hate the 11’s so much. What fillers would you suggest?
A. Muscles in the face for facial expression start at the bone and pull on the skin while those on the rest of the skeleton start on a bone and pull another bone across a joint for motion.
Those muscles used for facial expression are weaved in such a way that different muscles may come together to create different appearances even in the same area such as those between and over the brow.
Botox is an injectible muscle relaxer. The results are determined by relaxing those muscle fibers injected. The evil, peaked appearance of your brow following Botox is due to your unique distribution and weave.
After allowing the full onset of Botox, at 10-14 days, return to your injector for a easy “tweak” of Botox into the frontalis muscle just over the peak and the arch will gently round-out.
The corregator muscle is the primary muscle to create the inter-brow number “11” crease(s). When these muscles are paralyzed, a second muscle around the eye called the orbicularis oculi muscle is recruited by your brain to create this similar expression. Options to diminish the crease line include:
- Botox of the orbicularis fibers creating the recruitment response,
- Filler in the “11’s” to resist the recruitment of skin by the orbicularis.
These techniques are for the skilled and talented. Find a Board Certified, well experienced Plastic Surgeon, ENT Facial Surgeon or Dermatologist to provide this level of injectables.
I hope this has been helpful. All the best!
