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Frown Lines 

Botox®, Dysport® or Xeomin® for Frown Lines: the "11"s

No More Angry Look

Express concern without appearing angry.

Young woman frowning

One of the most requested treatments is to relax the muscles between the brows: the glabellar area.

Most of us have frown lines due to intense glaring at our computer, phones or our trades that require intense focus. These muscles are activated when a person is feeling concerned, worried, or concentrating, but often comes across as a look of anger. Overactive contraction of these muscles can not only make a person look angry, instead of concerned, they also create deep vertical lines (known as the "11's"), and can contribute to migraines.


Neuromodulators (Botox®, Dysport® & Xeomin®) are injected into the five muscles in this area giving a softer appearance. The eyes and other facial movements then convey concern and concentration without the detracting appearance of anger.


The center muscle between the brows is called the Procerus and pull the brows inward and down. There are also two Corrugator muscles to each side of this that primarily pull inward, but also direct the brows and forehead down.  Each person’s anatomy will be slightly different, so the clinicians at Ithaca Medical Aesthetics will carefully examine the area and muscle action to determine your customized injection plan and dosing.





woman getting Botax injection into forehead

Can I just treat the Frown Lines?

The Frown Lines can often be treated alone, however, depending on your wrinkle pattern, we may recommend treatment of other areas for an even improvement.

You can imagine that if you have general wrinkles over the face and then smooth just one area, this may lead to an unnatural look. Younger people with a genetic predisposition to deep lines in this area can usually just treat this area alone as they tend to be free of wrinkles in the surrounding area.

To get rid of deep frown lines we have to understand that frown lines are due to muscles of the face that

cause the frown.  If left untreated the frown lines can get even deeper.

Pink Bubbles


Schedule Your Complimentary Consultation Today!

What to expect with Treatment:


Prior to Botox® treatment, we evaluate your anatomy and movement with you relaxed and then making facial expressions, including frowning, raising the brows and smiling. We will determine the proper location and dose for the injections. 



Most patients require 5-7 injections to the area between the brows and over the inner portion of the brows. Some patients benefit from additional injections along the sides of the upper nose, where additional muscles may contribute to creasing in the center of the brow.


Injections may feel like a tiny pinch, but are not considered painful. We offer a vibrating tool that distracts from the injections and most patients feel only the vibration rather than the pinch.


The injections take about 1 minute to perform.



There is no recovery time. You may have tiny red bumps, like mosquito bites. This generally goes away within minutes. Rarely, a small bruise may occur.


We recommend not lying down, exercising or touching the treated area for 4 hours after the injections.



As with other Botox® injections, results come on gradually and usually are apparent in 3-4 days with maximum effect in 7-14 days. 


Botox®, Dysport®  and Xeomin® last on average 3-4 months, so to maintain results, you will need to come in for touch-ups a few times a year.


*results may vary

If  you would like to know more about Frown Lines and how to get rid of that angry look, reach out to Ithaca Medical Aesthetics to schedule an appointment or

a complimentary consultation 

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