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Brow Lift Injections

Author: Dr Naomi / 28 Oct 2015

Before and after chemical brow lift

Before and after chemical brow lift

Before and after brow lift

Before and after brow lift

Before and after brow lift injections

Before and after brow lift injections

Before and after brow lift injections

Before and after brow lift injections

The most superior non-invasive treatment to lift the brows is muscle relaxing, antiwrinkle injection B or D (due to Australian regulations, we are not allowed to name the drugs used). We also love to use skin boosters and dermal fillers for browlifting.

Small injections using a very fine needle are performed to the eye area into the muscles which causes the eyebrows to be lowered (orbicularis oculi). Somewhere between approx 3-10 injections  will be performed on each side
Best results are obtained with brow lifting if the crow’s feet are injected at the same time (because that part of the orbicularis oculi that causes crow’s feet wrinkling, also pulls down the brows, so treating this area will increase the result)

The medial (middle part of the) brows may be lifted by injecting the procerus muscle and parts of the glabella area.

The consultation for  injections for brow lifting

History-taking  is very important in the treatment of injectable brow lifting. The following should be explored:
Is there a genetic component? ie are there others in the family who have brow drooping. How has this progressed?
Has the patient had treatment before?
Were they happy every time?
Did the effect of the injections last well?
Which area came back first?
How is the patient’s metabolism? Do they exercise? Are they very muscular? Do they have trouble putting on or losing weight?
Is it the inside brow height or the outer brow height bothering the patient?
Does the patient have a certain eyebrow look in mind?

Does the patient want the outer brow area or the inner brow area lifted?

Have they every had any complications, eg eyelid droop or eyebrow droop or “spocking”

Does the patient want a more natural appearance, or do they want the maximal effect possible?

The examination

The doctor will examine the face and brows. In particular, she will look at many features, such as:
Where the brows sit currently, what shape they are.
Whether there is any eyelid droop or asymmetry.
Whether the temples/ forehead need filling. How much projection the brow has lost.
Whether the root of the nose has lost its youthful curve
Whether the patient needs a brow lift or an upper blepharoplasty

Choosing the dose 

The doctor will assess the face and decide on the best dose after taking a history and examining the patient.
If the patient has a history of poor longevity, or needing high doses or wanting maximal effect, then a higher dose may be suggested
If a patient has a history of complications with muscle relaxing injections, or if their budget is small or if they want a more subtle result, then a smaller dose might be chosen.

Pain relief during treatment

A numbing cream (eg EMLA or LMX ) may be applied to the area prior to the treatment (45 minutes prior is ideal) Glad wrap may be used over the numbing cream to increase its effect.

Most patients do not bother with numbing cream because it takes so long to work and because the treatment isn’t very painful anyway.
Ice is always used to decrease pain and to reduce the risk of bruising.Nitrous oxide (happy gas) is available for use with cosmetic injectables
Very rarely patients will use Penthrox for brow lifting injections
If the patient requires a skin booster or a dermal filler, local anaesthetic may be injected first.

What happens during the brow lift treatment itself?

The face will be cleaned with alcohol.
Ice will be applied to the area briefly before treatment
The doctor will inject approx 6-12 sites around the eyes and brows above the brows, injecting in the muscles which pull the  eyebrows down eg orbicularis oculi and procerus. Then pressure with gauze will be applied.
The procedure itself takes less than 5 minutes.

How do I look afterwards?

Sometimes there is nothing to see. Sometimes there can be redness, small lumps, which can look like mild acne and usually resolve quite quickly.
Most people could come during their lunch break during work and go back without their coworkers noticing anything

Side effects and risks?

In general, injectable brow lifting is low risk.

Headache happens in around 10% of new users.

Bruising occurs in a significant number of cases.
Asymmetry: One side may be better treated than the other, this is usually because the patient is asymmetrical to start with.
Infection is a very rare complication, but always a possibility when the needle goes into the skin.
Eyelid droop is a possible risk with browlifting treatment. It is very uncommon and in our practice below 0.5% over the last decade which is much lower than the stated rate.

Who is unsuitable for treatment for injectable brow lifting?

There are some patients who will be unsuitable. The closer a patient’s brows are to their orbital rim (the bone you can feel above your eyes, then the higher the risk of lid droop from this procedure.

Instructions for care afterward

No makeup for 4 hours
No massage that day
No heavy exercise that day
No lying down for 4 hours
Lots of smiling and frowning is suggested for a few hours
Lay off the acid face products for 24 hours

What to expect after brow lift injection?

The effect of the injections will not start to occur for 2-8 days.
The maximal effect of the drug will be at 3-4 weeks, so a review should be booked in at 3 weeks (only after the first treatment, for subsequent injections, a review appointment shouldn’t be required)
What if I get asymmetry at some time before the 3 week point? Do I call the doctor?
No. No need to call the doctor. Sometimes asymmetry will occur because one side just comes on quicker than the other. Usually it will right itself by the time of the review appointment. If it doesn’t, then it can be treated at the review appointment. There is no point in coming in early for treatment of asymmetry. Treating asymmetry too early could lead to droop or further asymmetry

Do I call the doctor if I get eyelid droop?

Yes, organise a review appointment as early as possible if this occurs, as the doctor may be able to prescribe some eyedrops which can lift the eyelids

What do I do if at 4 weeks post treatment if I want the brows even higher?

This is not uncommon, it is great to do 2 treatments for brow lifting. This is safer than doing a double dose in the first treatment. The second treatment should be at 3-4 weeks after the first. A greater result is possible using this method

How long will the treatment last?

The answer to this is very individual and depends on the patient’s metabolism, the dose, the placement etc.
Typically this is what happens:
At 3-4 weeks, there is a maximal effect
at 8 weeks, brow starts to lower
at 12 weeks, half of the effect should be gone
at 16 weeks most of the brow lifting effect should be gone
For most patients, this is very close to what occurs.

When should I have my next treatment for brow lifting?

at 3 months.
Price for muscle relaxing injections for browlifting?
Typically from $360. If other areas being treated then it will be cheaper
Cost from  $360
With brow lifting if done with crow’s feet injecting (which is the best way)
Cost from$490

Before and after injections for browlift and crows feet. Patient not smiling.

Before and after injections for browlift and crows feet. Patient not smiling.

Before and after injections for browlifting. Patient not smiling

Before and after injections for browlifting. Patient not smiling

Before and after muscle relaxing injections to correct eyebrow asymmetry.<br/> Patient’s face smiling in both images

Before and after muscle relaxing injections to correct eyebrow asymmetry.
Patient’s face smiling in both images

Before and After muscle relaxing injections to fix uneven eyebrows.<br/>Patient’s face at rest in both images (ie not moving)<br/>Also note that with both eyebrows dropping the patient also looks younger

Before and After muscle relaxing injections to fix uneven eyebrows.
Patient’s face at rest in both images (ie not moving)
Also note that with both eyebrows dropping the patient also looks younger

Before and after injectables and dermal filler for browlifting and crows feet

Before and after injectables and dermal filler for browlifting and crows feet

Before and after brow lift injections and frown line injections

Before and after brow lift injections and frown line injections

Dermal filler for ageing eyebrows! Injector: john 💉💉💉💉

A video posted by Dr. Naomi 💉💋😷 - The Manse (@drnaomi1) on

Browlifting and wrinkle prevention 💉 Keeping a doll perfect! ❤️❤️❤️ #dollsofdrnaomi the gorgeous @joannatriantos

A video posted by Dr. Naomi 💉💋😷 - The Manse (@drnaomi1) on

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