Botox - Related Article

Can Botox be used in areas other than the frown lines?

By

Botox is a neuromodulating protein that reduces the stimulation of muscles by the nerves. When injected in key places, the movement of facial muscles is reduced and that results in a decrease in lines. The FDA has approved the use of Botox for frown lines. This means the FDA has reviewed the effectiveness and safety when Botox is injected into the corrugators and procerus muscles, commonly called the frown complex. When a drug has been approved for use for one indication, practicing physicians often try the drug for other uses that conceptually should work by the same principal. They then present their experience at continuing educational meetings.

For many years now, dermatologists and plastic surgeons have been using Botox for indications other than the “elevens” (THE FROWN LINES BETWEEN THE BROWS). The crow’s feet and forehead lines are the most common wrinkles injected “off-label” by experienced physicians. The treatment of all three of these areas at the same visit can also result in a reshaping and lifting of the brows.

The use of Botox in the lower face is another “off-label” way to improve lines and reshape the face. Botox is injected into the fine lines around the mouth to reduce “lipstick” lines. It can be injected into key areas to reduce the downward pull of certain muscles and result in a lift of the corners of the mouth. When injected into a muscle near the nose, a gummy smile (where too much gums show at full smile) can be improved. A muscle on each side of the nose can be injected to eliminate the “bunny lines” seen when some people frown hard. When people grind their teeth and for certain ethnic groups, the masseter muscle is hypertrophied. This results in a squared jaw shape that is not as feminine as an oval or heart shaped face. Botox into this muscle can soften and reshape the square face. Finally, Botox can be injected into the platysma muscle of the neck and jaw line. This can lift the lower face and improve jaw line definition.

The results of Botox when injected into the lower face are not as dramatic as when the upper face is injected. For this reason, Botox is usually used to complement the effects of dermal filler.


Meet one of the countrys leading experts in the field of non-surgical skin rejuvenation.

Lupo Center for Aesthetic and General Dermatology
Mary P. Lupo, M.D. - Connect on Linkedin

Our mission at the Lupo Center is to provide patients with innovative, effective, and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical, and cosmetic treatments to all patients.

Board-certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD, has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of the Women’s Dermatologic Society, adjunct professor of dermatology at Tulane, and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for the approval of new drugs and devices, and acts as an advisor for numerous aesthetic-minded companies.

Dr. Lupo was recently recognized as a trailblazer for women in dermatology and for her dedication to educating dermatology residents and fellows.

She has also received the following awards:

  • 𝐋𝐢𝐟𝐞𝐭𝐢𝐦𝐞 𝐂𝐚𝐫𝐞𝐞𝐫 𝐄𝐝𝐮𝐜𝐚𝐭𝐨𝐫 𝐀𝐰𝐚𝐫𝐝 from the 𝐃𝐞𝐫𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐲 𝐅𝐨𝐮𝐧𝐝𝐚𝐭𝐢𝐨𝐧 - Recognizes full-time academicians who have dedicated their careers to educating dermatology residents and fellows;

  • 𝐖𝐢𝐥𝐦𝐚 𝐁𝐞𝐫𝐠𝐟𝐞𝐥𝐝, 𝐌𝐃 𝐕𝐢𝐬𝐢𝐨𝐧𝐚𝐫𝐲 and 𝐋𝐞𝐚𝐝𝐞𝐫𝐬𝐡𝐢𝐩 𝐀𝐰𝐚𝐫𝐝 from the 𝐖𝐨𝐦𝐞𝐧'𝐬 𝐃𝐞𝐫𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐢𝐜 𝐒𝐨𝐜𝐢𝐞𝐭𝐲 - Recognizes dermatologists of national prominence who have been trailblazers for women in some aspect of dermatology.

Dr. Lupo has authored over 90 published articles and book chapters and has spoken on various dermatological topics at nearly 480 national and international meetings and seminars.

Appointment Request:

If you submit an online appointment request, we will contact you to schedule the date and time. All new-patient appointments must be scheduled over the phone.


Success Stories

Lupo Center for Aesthetic and General Dermatology
Review From Casey C.
I’ve been injected by several physicians over the years and Dr Lupo is the best. She gave me an eyebrow lift with filler and it looks like I had surgery.
More Success Stories