Botox and non-surgical eyebrow lift? 

Botox, amongst a variety of other neurotoxins including Dysport, Xeomin, and Jeuveau, is primarily used aesthetically primarily for wrinkle reduction and reversal. However, if administered using a specific injection technique, Botox may also be used to accomplish a non-surgical eyebrow lift that lifts and opens up the eye area for a more delineated and prominent supraorbital bridge that defines an attractive and lifted eyebrow. Before the advent of this minimally invasive procedure the brow lift could only be achieved through the means of plastic surgery. Dr. Schwarzburg developed his own unique non-surgical approach to lift this delicate area in a minimally invasive way to restore a youthful and vibrant appearance of an arched and elegant eyebrow. Lifting your eyebrows using Botox injections is deemed safe by the FDA when injected by a qualified and experienced board certified physician like Dr. Schwarzburg. 


Droopy eyebrows, medically classified as brow ptosis, are characterized by low sitting eyebrows, counter to their original anatomical position. The position of the forehead and activity of the muscles located in and around the forehead area have a significant impact on the placement and descent of the eyebrows. Clinical studies have provided consistent evidence that older age is associated with brow ptosis due to involutional and paralytic factors, including decreased skin elasticity, weakening of the frontalis muscle, which is the primary muscle in the forehead and volume loss. The combination of the above mentioned factors manifests itself as a wrinkly forehead and saggy and crinkled eyebrows, which is often perceived as sad, angry and unhappy. 

Increased skin laxity is predominantly due to a decrease in collagen and elastin production, both of which are the fundamental proteins that keep the skin firm, structured, and youthful and thus, cause sagging of the eyebrows as our bodies produce less with age. Muscle fibers also get weaker with age and lose the ability to maintain the healthy muscle tone leading to classic descent of the forehead. 

Extrinsic factors associated with the decrease in firmness and sharpness around the brows include photodamage caused by UV exposure and overall sun damage. Just as these intrinsic and extrinsic components cause skin sagging in various regions of the face and body, they have a large impact on the perkiness and tightness of your eyebrows.

Non Surgical eyebrow lift


Botox is a versatile tool and when utilized by a skilled and talented medical professional will do wonders to the forehead and eyebrow region of the aging face. Artistically executed Botox brow lift helps alleviate eyelid hooding, minimizes the appearance of forehead wrinkles and creases and lifts saggy eyebrows.

Achieving these results without a surgery requires a thorough understanding of facial anatomy and facial dynamics, as opposing forehead muscle forces must be balanced out properly. 

Most muscle groups in the face exhibit either downward or upward dynamics. 

Downward forces – Orbicularis oculi, a circular muscle around the orbit is responsible for pulling the lateral aspects or the tails of the eyebrows down through squinting and smiling. On the other hand, the glabellar complex is made up of a conglomerate of procerus and corrugator muscles, which are located between the eyebrows and exert downward force on the body and medial aspect of the eyebrows via frowning and furrowing. Together they are responsible for pulling the entire eyebrows down and the strength of these downward forces increases with age and explains the phenomenon of hooded and downturned eyebrows. 

Upward forces – Frontalis muscle is the only levator muscle in the forehead, meaning that it is the only muscle that pulls up the eyebrows. This muscle gets weaker as we age and is unable to provide a sufficient lift to the eyebrows maintaining them in the youthfully elevated position. 

Non-surgical brow lift is achieved by strategically placing Botox injections that weaken the glabellar complex and orbicularis oculi, allowing both central part and lateral aspects of the forehead to loosen up and for the eyebrows to lift up.

Non-surgical eyebrow lift with Botox is a clear winner when comparing it to its surgical counterpart as it is virtually painless, with no side effects and predictable and reproducible results. Surgical eyebrow lift sometimes results in permanent spock eyebrows, which is an unnaturally looking “surprised” look. Scarring, alopecia, and partial numbness due to nerve damage are some of the well-known post-surgical complications. Dr. Schwarzburg excels in Botox eyebrow lift providing his patients with subtle yet measurable outcomes.

How does a Botox brow lift work? 

In order to accomplish a Botox brow lift, Botox must be injected into two very specific regions of the face using a special patented technique, including the lateral aspect of orbicularis oculi (the muscle surrounding the eyes), the medial aspect of the glabellar complex, and  the superior aspect of the frontalis muscle (located in the top half of your forehead along the hairline). 

The intramuscular injection of Botox inhibits the release of acetylcholine, blocking nerve signals to the injected muscles which as a result causes them to relax. Injection of the orbicularis oculi and the corrugators releases the downward tension on the eyebrows allowing them to recoil superiorly. Partial paralysis of the superior aspect of the frontalis leads to compensatory strengthening of the middle and inferior aspects of the frontalis which pulls harder on the eyebrows. 

The combination of recoil from depressor muscles (orbicularis oculi and glabellar complex) and the extra pull from the levator muscle (frontalis) results in overall eyebrow elevation with naturally looking and lifted eyebrows.

Does Botox work for brow ptosis?

Botox brow lifts are commonly performed due to their high success rates. An annual survey announced that Botox injections, including those to treat brow ptosis, have increased by 459% in the past 20 years. After Botox is administered, the elevation of the eyebrows can be observed within 5 – 7 days, lasting for up to 4 months. In addition to a traditional Botox brow lift, neuromodulators are commonly injected before a surgical brow lift to improve the surgical outcome as overactivity of the frontalis muscle may affect the overall result of the surgery.

botox eyebrow lift

Does Botox Help Lift Eyelids?

Botox brow injections result in lifting of the tail of the eyebrow by releasing tension in the orbicularis oculi. That eyebrow lift also induces subtle and minor pull on the eyelid skin and opens up the eye. Hence, both the eyebrow and the eyelid raise together. However, this only works when you have little excess skin. Once you have significant eyelid hooding secondary to ptosis and overabundance of skin only surgical blepharoplasty serves as a definitive solution to this problem. A case study involving the injection of Botox to the pretarsal orbicularis muscle to correct mild ptosis found that an average dose of 3 units resulted in a 0.9mm lift in patients with micro-ptosis. The study concluded that Botox may be effective to treat marginal eyelid asymmetries and pseudoptosis, however, if you suffer from severe eyelid sagging or true blepharoptosis, neuromodulator injections are unlikely to achieve significant results. In this case, you may want to look into a surgical brow lift or a less invasive PDO thread lift.

How much does a Botox eyebrow lift cost?

The cost of treating brow ptosis with intramuscular Botox injections varies from patient to patient and the number of units needed to achieve their desired result. Based on your individual anatomy, including the strength and activity of the frontalis, orbicularis oculi, and corrugator muscles as well as your biological response to Botox, you can expect to pay anywhere from $200 – $800 for your brow lift injections.

What is the longevity of eyebrow lift results?

Botox eyebrow lifting effects last on average 3-5 months and depend on how fast your body metabolizes the toxin. This in turn depends on how active you are, for example, if you work out a lot or spend a lot of time outdoors you will inevitably be blinking more and this in turn will stimulate the muscles to contract more vigorously and dissipate Botox lifting results. 

How many units of Botox do I need to lift my eyebrows?

There is no set number of units that will suit each individual patient. As such, Dr. Schwarzburg never takes a “one size fits all approach” and will determine the number of units needed for your individualized treatment during your consultation. On average, you can expect to receive 20 – 50 units of Botox for a visually pleasing and attractive eyebrow lift, but this inherently depends on the complexity of your facial anatomy, the strength of your facial muscles, and your desired outcome.

Which muscles are injected for a botox brow lift?

The primary muscles injected for a Botox brow lift include the following:

  • Orbicularis oculi – located around the eyes and lateral ends of the eyebrows (also known to cause the formation of crow’s feet). When paralyzed the downward pull on the tails of the eyebrows is reduced
  • Frontalis muscle – covers the majority of the forehead. Relaxing the superior portion makes the middle and inferior parts pull harder on the eyebrows, producing a coveted eyebrow lift and arch
  • Procerus and corrugator muscles – located between the eyebrows. Their inactivation releases tension in the medial region of the eyebrows, lifting their inner ends

How can I do to prepare for a Botox brow lift?

Your preparation for a Botox brow lift usually means refraining from medications that may make you potentially bleed more and include blood thinners such as Aspirin, Ibuprofen, Naproxen and other NSAIDs for about 1 week. Excess intake of multivitamins, fish oil, St John’s wort, vitamin E should be stopped 5-7 days before injections to minimize bruising. Dr. Schwarzburg also advises to stay away from alcohol drinking 1-2 days before the injections.

What should I do after my Botox Brow lift?

Immediately after your Botox brow lift you may notice a few skin bumps, which are small aliquots of fluid that were just injected into the muscles. There is nothing to worry about as that Botox containing fluid is simply absorbed by the tissues over next 30 minutes. Icing the area will help those bumps disappear quicker. It is also prudent to not engage in heavy exercise for 48 hours to prevent Botox from spreading to non-targeted areas.

Who is a good candidate for Botox brow lift?

The ideal candidate for Botox injections to lift low-sitting brows is a healthy patient looking to enhance the shape and structure and/or minimize asymmetry in their eyebrows by adding a lift to the tails, arches, and inner corners of the brows. Lifting the eyebrows using Botox is most effective in patients with stronger facial muscles and largely depends on the patient’s overall anatomy. The best way to determine whether you are a candidate for this advanced medical procedure is to schedule a consultation with Dr. Schwarzburg who will examine your facial anatomy and compose a unique treatment plan that will work for you.

There are some contraindications that may not allow you to go through with the Botox non-surgical eyebrow lift including the following:

  • Advanced eyebrow ptosis where surgical correction is the only viable option
  • Genetically weakened muscles that preclude frontalis muscles overcompensation to produce desired results
  • Frontalis muscle insertion points that prevent the successful execution of the procedure due to unfavorable anatomy

Does Botox work for brow ptosis?

Botox brow lifts are commonly performed due to their high success rates. An annual survey announced that Botox injections, including those to treat brow ptosis, have increased by 459% in the past 20 years. After Botox is administered, the elevation of the eyebrows can be observed within 5 – 7 days, lasting for up to 4 months. In addition to a traditional Botox brow lift, neuromodulators are commonly injected before a surgical brow lift to improve the surgical outcome as overactivity of the frontalis muscle may affect the overall result of the surgery.

Can Botox eyebrow lift be combined with other treatments?

Yes! This minimally invasive method to lift the eyebrows is often used in conjunction with other rejuvenating treatments including the following:

  • PDO thread eyebrow lift – Polydioxanone threads can be used to lift and rejuvenate the forehead and eyebrow region. Due to the potential discomfort experienced once the threads have been inserted into the skin, neuromodulators are injected into the frontalis muscles to eliminate any tension that may be caused by the threads. A PDO brow lift typically lasts for up to 2 years and differs from a botox brow lift. Rather than paralyzing the underlying muscles, the linear thread equipped with sharp barbs is inserted into the skin and extended from the eyebrows to the hairline. The thread is then gently pulled upward along with the skin, as the barbs keep everything in place.
  • Surgical brow lift – There are four primary surgical options to treat eyebrow ptosis including browpexy, direct brow elevation, endoscopic, and pretrichial forehead lifts, all of which are invasive and require incisions to insert sutures, fixation screws, or anchors to fix skin tissues to underlying bone. While these methods do last longer than their minimally invasive counterpart, Botox is commonly used beforehand to enhance the overall outcome of the abovementioned surgical options.
  • Dermal fillers – An additional minimally invasive approach to enhance and contour the eyebrows for a more youthful silhouette is the administration of hyaluronic acid based dermal fillers such as Juvederm or Restylane along the medial section of the eyebrow to further lift the treated area. 

What will my results look like before and after my botox brow lift?

Before your procedure you will have unflattering droopy or heavy eyebrows causing pseudoptosis and making you appear older. After your Botox treatment your eyebrows will be lifted, with a beautiful arch alongside a smoother forehead and reduced crow’s feet.

Using laser resurfacing in conjunction with Botox

The latest and most advanced laser resurfacing tool is Fraxel, and is used to smooth and tighten the skin for a more youthful appearance. Fraxel Dual 1550/1927 is an updated version of the original Fraxel laser that offers the benefits of two lasers in the form of one. Fraxel Dual is used to treat superficial layers of the skin that show visible signs of aging and sun damage, including fine lines, rhytids, sun spots, and hyperpigmentation. In addition, this laser is used to treat various scars and to smooth out and improve skin texture. Fraxel is often combined with Botox to further polish and smooth out the skin and get rid of fine lines and wrinkles.

How can Juvederm be used in addition to a Botox brow lift?

One of the ways to augment Botox brow lift is to combine it with any of the Juvederm fillers. Botox alone is resolves muscular imbalance, but once Botox brow lift is fully settled the results can further be enhanced with any of the Juvederm fillers. Specifically, Juvederm filler placement right above the supraorbital ridge results in additional skin lifting. The benefit of Juvederm is that it restores facial volume, provides additional support and lifting effect for an overall more vibrant silhouette. Juvederm is also a great option because it tends to last up to 12 months ensuring longer lasting outcomes. 

What are nonsurgical brow lifts so hot and in demand?

Neurotoxins such as Botox and Dysport are commonly used to treat fine lines and wrinkles through intramuscular injection causing the relaxation of the treated areas, including those around the eyebrows. Through strategic placement of the medication using an ultra-fine needle, patients are able to lift their eyebrows without the need for invasive plastic surgery, making the process quicker and more tolerable with limited to no restrictions or downtime. In recent years eyebrow lifts have become increasingly popular, particularly amongst millennials and younger demographics as beautifully arched eyebrows seen in celebrities and social media icons such as Bella Hadid have created a very much sought after trend. 

Is Botox brow lift safe?

Botulinum toxin A is FDA approved as a safe non-surgical cosmetic injectable to treat eyebrow ptosis and cosmetically raise the eyebrows. The risks and side effects are minimal and temporary, making it a safer alternative to a surgical brow lift associated with a wide range of complications and extensive post-procedural downtime.

Things to keep in mind:

  • A botox brow lift is safest and most effective when performed by a board certified cosmetic physician, preferably one who specializes in minimally invasive procedures like Dr. Schwarzburg. This will ensure a properly executed treatment with outstanding results.
  • Your facial anatomy and strength of the frontalis and glabellar muscles involved in the procedure play a large role in the efficacy of the treatment. Before committing to lifting your heavy eyebrows using neuromodulators, you should consult with Dr. Schwarzburg to confirm that botox will deliver your desired outcome.


A botox eyebrow lift is a minimally invasive alternative to a surgical forehead lift. The procedure typically takes 10 – 15 minutes and results can be observed within 5 – 7 days post injections lasting up to 4 months. Depending on your unique anatomy, Botox may or may not be the ideal option to treat your eyebrow ptosis. 

How can I get started with my Botox brow lift?

To get your life-changing Botox brow lift transformation, you can book your one on one consultation with Dr. Schwarzburg at his boutique medical spa located on the Upper East Side of NYC. Known as the top Botox brow lift doctor in New York, Dr. Schwarzburg is a board certified cosmetic surgeon with over a decade of experience and highly sought-after credentials. 

To schedule your appointment with Dr. Schwarzburg you can contact the clinic by text or phone at (212) 774-4264, or email us at