Where in the face is Botox usually injected?

Arthur W. Perry, MD
Plastic Surgery
Botox is most commonly used on the wrinkles between the eyebrows. This area is called the glabella. The muscles between the eyebrows are called the corrugators and are useful for only one purpose: to create a fearful expression. Called vestigial muscles, they were at one time important because the scowling appearance scared away enemies, telegraphing an imminent attack. Let us hope that humans don't need these muscles anymore.

Botox is also used to eradicate the horizontal lines of the forehead. The injection must be placed in the middle portion of the forehead; otherwise, drooping of the brow will occur. Creative Botoxing can elevate eyebrows, evening out asymmetry. The crow's-feet area, to the side of the eye, is also commonly treated. Newer locations include the lines on the sides of the nose (called bunny lines) and dimpled chins.

Brave surgeons may inject the muscles around the mouth, to decrease the wrinkles of the lips and even to lower the upper lip in the case of a "gummy smile." But 16 muscles around the mouth all contribute to the smile: the chance of injecting them exactly symmetrically is not high. Asymmetrical injections will make it look as if you have had a stroke. And overdoing the injections will cause speech problems, even drooling. It will affect kissing and playing the trumpet. I do not advise these injections. Some surgeons have begun to inject the neck to reduce the vertical bands. I do so only in select patients: women with early bands and relatively good skin quality. If done too aggressively, the injection can cause problems with swallowing. But if it works, it can stall the need for a neck lift for many years. In addition, some surgeons inject the muscles of the chin to smooth out a rumpled appearance.

Straight Talk about Cosmetic Surgery (Yale University Press Health & Wellness)

More About this Book

Straight Talk about Cosmetic Surgery (Yale University Press Health & Wellness)

The public’s recent exuberance toward cosmetic surgery has spurred an unprecedented demand for appearance-changing procedures. But how can an average consumer discern the hype from solid truth? ...
Joseph Ajaka
Botox is used in the face to treat wrinkles. The synthetic strands within Botox tell your muscles to refrain from contracting, thus relaxing the muscle and providing wrinkle-free skin.
The proven and most popular areas for Botox for the face are the areas surrounding around the eyes, the brows, and the forehead. 
Around The Eyes - The eyes are the key to the soul, but unfortunately the area around the eyes are subject to many muscle movements brought about by facial expressions. Commonly known as Crows Feet, Botox helps your muscle relax, with less need for squinting and crinkling around your eyes.
The Brows - Any form of facial expression, smiling, laughing, and/or frowning all use the muscles around the brows.  Almost being punished for showing emotion in your face, these lines can give a person an angry or sad look about them. Fortunately Botox can be used to temporarily reverse this.  Your appearance of these wrinkles, as well as your overall look can change considerably, with the treatment lasing anywhere between 3-4 months.
The Forehead - Forehead lines, also known as “surprise lines” can give a tired like and haggard looking appearance. It is possible to recreate a smooth and natural look again to this area, improving your aesthetic appearance.
It is important to note that excessive contraction of muscles can eventually cause wrinkles to “crease”. If you stretch these “crease” lines and the wrinkle does not disappear, then Botox can help to reduce the appearance of the wrinkle, however not completely remove. Other treatments such as Juvederm or Sculptra may be recommended.
Given the complexity of the system of muscles in face, It is important to remember to always see a trained medical professional when getting Botox.
Dr. Doris Day, MD
The most common areas for the use of Botox are the frown lines between the eyes, the furrows of the forehead, the crow's feet at the sides of the eyes, and creases in the neck. Botox can also be injected into specific muscles of the forehead and around and under the eyes to raise the eyebrows and create a beautiful arch. This opens the eyes and makes them appear larger. I call this the “Botox facelift,” or sculpting of the face with Botox.

Botox is also great for smoothing those bumps on the chin, and to create more of a smile in people whose mouths have a downward curve in the relaxed state.

Continue Learning about Botox Injections

How safe is Botox?
Dr. Doris Day, MDDr. Doris Day, MD
Botox is the most highly studied and published drug available today. Since its FDA approval 25 years...
More Answers
How is Botox administered?
American Academy of Ophthalmology's EyeSmartAmerican Academy of Ophthalmology's EyeSmart
Using a very fine needle, your doctor injects the Botox directly into the targeted facial muscles. A...
More Answers
What Is the Treatment for Hyperhidrosis (Excessive Sweating)?
What Is the Treatment for Hyperhidrosis (Excessive Sweating)?
How Does Botox Work?
How Does Botox Work?

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.