Where in the face is Botox usually injected?

Dr. Doris Day, MD
Dermatologist (Skin Specialist)

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.

Dr. Arthur W. Perry, MD
Cosmetic Surgeon

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)

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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? ...

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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.