Where on the Face Can BOTOX® Be Injected?


Summary of Content

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Upper face:


Lower Face:


The most popular area of use for BOTOX® is the face. By relaxing different facial muscles – from the forehead to the neck – wrinkles can be minimised, resulting in the smoothing of the overlying skin.

Upper face

Frown lines (between eyebrows)


Glabella lines (frown lines) are the vertical creases that appear between the eyebrows, generating a tired or angry look. This is a very effective area on which to use BOTOX®. An experienced practitioner can subtly smooth these frown lines, resulting in a rejuvenated and more relaxed appearance. If the glabella lines are deep set, the practitioner is likely to recommend treatment with dermal filler in combination with BOTOX®, which is a highly effective way to fill and smooth the area simultaneously.

Forehead lines


Sometimes referred to as ‘surprise lines’, these appear on the forehead when your eyebrows are raised. As you age, they become more apparent. Excessive lines in this area can give the face and skin an aged appearance.

Horizontal forehead lines are mostly due to genetic ageing. Sun damage or smoking can also result in the formation of creases that are deeper and more difficult to treat. BOTOX® can lessen the effect but may not remove the lines completely. During your consultation, your practitioner might recommend a combination of BOTOX® and another treatment, such as dermal fillers.

Top of the nose (bunny lines)


‘Bunny lines’ are the creases that appear when the nose wrinkles up; for example, when we sniff or smell something.

The careful placement of BOTOX® injections at either side of the nose can reduce the appearance of these lines. However, it is crucial that an experienced practitioner administers the injections, since your smile can be affected if they are not carried out properly.


Eyebrows/hooded eyes


There is an advanced technique that can be used to sculpt and lift the eyebrows to form the shape you desire. Sometimes called a ‘chemical brow lift’ or ‘BOTOX® facelift’, this procedure involves an experienced practitioner placing injections in a careful combination of areas on the upper face to open up the eye area and lift droopy lids.

On younger faces, the brow is well supported and its position above the eye remains high. However, the effects of ageing can cause the brow to drop, giving the eyelid a ‘hooded’ appearance. This can create horizontal folds in the surrounding skin.

BOTOX® can be used very effectively to counteract this effect, raising and defining the eyebrows. However, it’s important to use the treatment sparingly in this area to avoid the recognisable overarched, ‘surprised’ look.

In any case, recent trends have favoured the ‘boy brow’, characterised by the natural-looking, low arch seen on celebrities such as Kristen Stewart and Emma Watson.

But since every person’s face is unique, the precise placement of the injections and intended overall result will be determined with your practitioner during your consultation.

Around the eyes (crow’s feet)


The appearance of fine lines, or ‘crow’s feet’ at the outer corners of the eyes, and their presence even when you’re not smiling, is often associated with ageing. However, BOTOX® is very effective in reducing their appearance. It’s therefore one of the most popular areas for the treatment.

With careful assessment, BOTOX® in this area can also help alleviate drooping eyelids – an effect that can make the eyes appear smaller.

Under the eyes (tear trough)


Although it is possible to smooth fine creases underneath the eyes using BOTOX®, the area must be approached with caution. The muscle that is injected is the same muscle that partially controls the lower eyelid; therefore if too much is used, or the injection is placed incorrectly, it may lead to a drop of the lower eyelid.

If it is under-eye ‘bags’ that you wish to address – that is, the area between the lower eyelid and the upper cheek, or ‘tear trough – then it might be that a different treatment would be more effective than BOTOX®, or could be used in combination with BOTOX®.

For example, ‘bags’ under the eyes are often caused by loss of volume in the tear trough area, meaning dermal fillers may be more suitable. Alternatively, at The Cosmetic Skin Clinic we offer Ultherapy and Thermage® Eyes, which can also treat hollowing in the tear trough area.

Your practitioner will be able to advise on the best course of treatment for your concern during the consultation.

For more information about dermal fillers, contact the clinic or visit our dermal fillers page.

Lower face

Lipstick lines


The fine lines around the mouth that become more apparent with age are another concern that most cosmetic practitioners would recommend treating with dermal fillers rather than BOTOX®.

Many muscles in this area are used when we smile and for other facial expressions. Although some practitioners might use BOTOX® to help turn the corners of the mouth up and improve a person’s smile, this is usually carried out in conjunction with dermal fillers.

For other lines around the mouth, most practitioners would recommend the use of dermal fillers to smooth the wrinkles, creating a refined surface to the skin with minimal, if any, risk.

Chin (to prevent dimpling)


As we get older, the muscles in the chin, known as the mentalis muscles, become overactive – meaning they flex more often than they should, creating a dimpled, puckered appearance.

This effect is exacerbated by:

  • tissue loss, making the skin appear thinner
  • sun exposure
  • bone loss
  • gum recession

BOTOX® can be used to relax these muscles, thereby smoothing and reducing the overall dimpled effect.

Jawline and neck


Lines and wrinkles can develop on the neck as we age due to a number of factors, including:

  • genetics
  • the effects of gravity on the skin
  • weakened collagen
  • overworked facial muscles

BOTOX® can be used to smooth the neck in a procedure known as the ‘Nefertiti lift’. It is effective at relaxing two types of lines around the neck:

Horizontal – As we get older, horizontal creases or bands naturally form on the neck. These lines can be reduced by injecting small amounts of BOTOX® above and below the wrinkles wherever they appear – this could be all the way around the neck. Some practitioners refer to this as a BOTOX® ‘necklace’. These types of lines can be treated with a combination of BOTOX® and dermal filler, such as Juvéderm.

Vertical – Some people, especially those who exercise a lot, develop rope-like vertical protrusions on their neck that are particularly apparent when they speak. These bands, which are caused by the platysma muscles, strengthen and grow through years of eating, straining and general tension in the jaw. The muscles extend from the top of the chest to the lower jawline and can be more apparent when a person smiles. Sagging platysma muscles are sometimes referred to as ‘turkey neck’.

However, these bands can be very effectively smoothed and relaxed with BOTOX® treatment.

Jaw angle (teeth grinding – bruxism)


Prolonged episodes of teeth grinding and jaw clenching – known as bruxism – can result in:

  • worn teeth
  • headaches
  • earaches

In many cases, bruxism is linked to stress and occurs subconsciously, often during sleep. Sleep conditions, such as snoring and obstructive sleep apnoea (in which your natural breathing patterns are disrupted), have been linked to incidences of bruxism.

Bruxism may not be permanent; however, episodes often occur during times of great anxiety. Sufferers are also prone to overly clenching their jaw when concentrating particularly hard while awake.

BOTOX® injected into the jaw area can relax the muscles and effectively treat the condition.

What do I do next?

To find out more about BOTOX® treatment or to arrange a consultation, contact our clinics in London and Buckinghamshire.


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