Can a brow lift and BOTOX achieve the same results?

The signs of aging are often most noticeable in the upper part of our face. A sagging brow and wrinkled forehead skin can make you look tired, sad, angry and older than you feel. As this skin support network of collagen and elastin breaks down over time, patients increasingly are seeking ways to restore a more youthful look to their faces. While a brow lift can offer more long-term results, many patients also turn to BOTOX to see if they can achieve the results they desire. Here, we break down the differences between the two.


BOTOX is FDA-approved for use in treating forehead and frown lines, and crow’s feet. The injectable helps muscles relax and prevent nerves from sending signals to the muscles and contract, smoothing out lines and wrinkles temporarily. It’s most effective on forehead wrinkles, frown lines (the “11s” between the brows” and crow’s feet (the wrinkles around the eyes).

BOTOX is a popular treatment as it takes only a few minutes to inject, with little to no downtime, and is less expensive than surgery. Also, you won’t experience bruising or stitches like you would with surgery.

Often people will take a more conservative approach and try BOTOX before getting brow lift surgery. If you still see sagging after having BOTOX injections, a brow lift may be your next step. BOTOX may only soften or smooth out lines and wrinkles and not provide the lift you were expecting.

Forehead lift

If sagging skin and brows are the real problem, BOTOX isn’t going to fix it. Also known as a forehead lift, a brow lift can restore a firmer appearance to the upper third of the face by lifting muscles and subcutaneous tissues to raise the brow area. Results last a decade or more.

There are two methods for brow lifts. A coronal brow lift, also known as a traditional brow lift, consists of making one long incision back in the hairline from one ear to the other. The forehead skin is lifted away from tissues and tissues and muscles are trimmed and repositioned. It offers the greatest degree of lifting. An endoscopic brow lift consists of 3-5 short incisions hidden in the hairline. A video device is inserted into one incision to give the surgeon a view behind the forehead skin, while instruments to lift the skin and reposition muscles are inserted in the other incisions. Swelling and bruising can last 1-2 weeks, and most people return to work and light activities around 10 days.

BOTOX injections last about four months, whereas the results from a brow lift can last a decade or more. BOTOX is better if you have just minor drooping, but a brow lift can provide more dramatic results.

To discuss your options for rejuvenating your face, call (800) 676-5050 to set up a consultation at Longwood Eye & LASIK Center.


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