The position of the eyebrows depends on the tug-of-war that is present between the frontalis muscle, which pulls them up, and the corrugator and orbicularis oculi muscles, which pull them down. The brow resting position depends on the relative resting tone or resting “pull” that each group of muscle exerts on the brow. By exploiting this, selectively relaxing the muscles that pull the brow downwards while not treating the muscle that pulls the brow up, we can tip the scale so that the brow rests in a higher position. This can be used to change the shape, or arch, of the brow, as well as globally, raise the brow.
My treatment for this group of muscles is a neuromodulator (such as Botox, Dysport, Jeuveau, or Xeomin). Typical treatments are 10 Units. Treatment of this area has the effect of altering the shape and position of the eyebrows.
Neuromodulator treatments in the office take 15 minutes (most of which is spent talking about the treatment and expectations), and the effects are seen as early as 2 days, and by 2 weeks, all of the effects have taken place. The duration of treatment typically ranges from 3-6 months, depending on the individual patient and dose used.