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How long after a brow lift can I get Botox to raise the outer corner of my eyebrows more?

Three months after a brow lift is generally an acceptable time to use Botox or Dysport for an additional lift of the outer brow. After three months the swelling from the surgery should have subsided and the position of the brow does not change dramatically from this point on without additional intervention. In order to achieve a temporary additional lift of the outer brow, a small amount of Botox or Dysport may be injected into the upper/outer portion of the circular muscle around the eye (orbicularis oculi). Depending on your desired results, you may require additional surgery as a more permanent solution. As always if you are unsatisfied with your results it is best to first discuss your outcome with your surgeon.

Clinical Context

Botox used after a brow lift works differently than Botox used to lift a heavy, unlifted brow. When there's been no surgery, Botox relies on weakening the muscles that pull the brow down, competing against tissue that hasn't been repositioned. After a brow lift, the tissue is already surgically secured, so Botox is simply fine-tuning muscle balance for a subtle extra lift, not correcting sagging. This means the effect after surgery is usually smaller and more subtle than Botox given as a standalone brow-lifting treatment.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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