Nonsurgical Rejuvenation of the Upper Eyelid and Brow

Global Aesthetics Consensus: Hyaluronic Acid Fillers and Botulinum Toxin Type A—Recommendations for Combined Treatment and Optimizing Outcomes in Diverse Patient Populations

“…Declining tissue quality and consequent skin laxity are indications for combining fillers with lasers, energy-based devices, 22 or surgery when appropriate. In older patients, fewer injection sites and smaller toxin doses at each site may be indicated if muscle mass or function is reduced.…”

“…It is a composite of layered tissue expansion, with vertical and horizontal vectors; and tissue projection, with more vertical, bolus-type vectoring predominantly from deep tissues. 22,61 …”

Rejuvenation of periocular region in Koreans: A multimodal approach combining botulinum toxin, fillers, and micro‐focused ultrasound with visualization for optimal results

“…Theoretically, targeting of the brow depressors, which includes the orbicularis oculi, depressor supercilia, and corrugator supercilia, facilitates unopposed brow elevation by the frontalis (Sundaram & Kiripolsky, 2013). In the elderly, it is usually injected into the eyebrow depressor and forehead simultaneously, and in such cases, it is important to target the upper part of the forehead, rather than the lower and the mid-forehead, in order to achieve a significant brow lift (Jabbour et al, 2018).…”

29 Aesthetic Facial Use of Botulinum Toxin in East Asians

“…Eyebrow "lifting" with botulinum toxin, by leveraging the mechanism of botulinum rebalancing and weakening depressor muscles such as the corrugator, procerus, and orbicularis, has been described as a rejuvenative procedure. 24 While youthful eyebrows in Caucasians rarely sit high on the forehead, and eyebrows often become elevated with age due to partial compensation for upper eyelid ptosis, 25 eyebrow lifting would make sense in Asians who have a wider distance between the eyebrows and the palepebral fissure than in Caucasians, and who show brow drooping with aging.…”