American Society of Plastic Surgeons
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Melissa
one year ago
Answered

How Do I Get That Raised Eyebrow Effect?

I enjoy the help Botox offers my eyes which even at 51 have barely a line...How do I ask for the more raised outer arch so popular these days? My lids are becoming a bit heavier with age though not ready for something invasive...

Procedure: Botulinum Toxin
Type: Question

Replies 7

Nelson Castillo

Thank you for sharing your excellent question. For many patients placement of botox into the outer/upper crow's feet, and under the arch of the brow can accomplish a raised look. Talk to your injector about your desired outcome. Best wishes.

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Nirmal Nathan
ASPS Surgeon
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Dear Melissa,

Thank you for your question. Every Botox injection I do is customized for my patient's facial anatomy. A surgeon with a good understanding of facial anatomy should be able to give you raised eyebrows. Be careful injecting too much in your forehead if you already have heavy lids.

Good luck,

Nirmal R. Nathan, M.D.

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgeons

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Elizabeth Morgan

To get your outer brows up, ask to have Botox injected UNDER the outer brow. The muscle under the brow pulls it down. So resting that muscle allows the muscle ABOVE the brow to raise it up. Hope this helps!

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Barry Citron
ASPS Surgeon
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The only thing I could add to Dr. Elizabeth Morgan's excellent answer is that it takes very little Botox to accomplish this....only 4 units, 2 units per side. So it is a great value, providing that your injector has the skill and anatomical knowledge to accomplish this correctly. If your injector is not a plastic surgeon and needs to be told by you where to put the Botox, you should strongly consider getting your Botox treatments from a board certified plastic surgeon instead. Best wishes.

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Sutton Graham
ASPS Surgeon
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Botox placed beneath the outer brow can raise that portion of the brow slightly, about one millimeter. It is usually necessary to avoid placing Botox in the lifting muscle above the eyebrow as well. You mentioned that your lids are becoming a bit heavier. If this is a concern, then discuss this with a plastic surgeon, and consider eyelid tuck. This can often can be done under local anesthesia with minimal downtime and will give excellent improvement. If brow droop is the major cause of your changes, then browlift may be the best way to spend what you currently dedicate to Botox. The consultation will help you decide which treatment methods are best for you personally.

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Curtis Wong
ASPS Surgeon

Botox placed under the arch of he brow that you want to raise may help elevate the brow slightly. Otherwise resurfacing of your forehead would also elevate you brows for months but your skin will eventually relax. Finally, if your brows are truly ptotic, a lift would be the best choice for the look you seek.

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Jeremy White
ASPS Surgeon

The key to lifting the outer arch of the brow with botox is injecting just under the lateral brow, but avoiding botox injection just above the area of the brow. This allows the forehead muscles to pull up on the brow while reducing the effects of the muscles that pull down on the brow. This does not always produce a dramatic effect, however, once the brow has descended past a certain point.

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