The Art of Facial Shaping with Botox Cosmetic

First things first though. Botox is not botulism. It is a highly purified protein that is FDA-approved for cosmetic injections. It is derived from...

There’s a lot more to Botox than meets the eye. We say this because the eyes are typically what most people think of when they think of Botox injections. The truth is that Botox can be used in many different places of the face to smooth lines, shape and lift. At Celibre Medical, our injectors are trained in the most advanced, artful ways to inject Botox. This allows us the ability to provide you with outstanding injection results that not only make you look younger, but also more naturally beautiful.

First things first though. Botox is not botulism. It is a highly purified protein that is FDA-approved for cosmetic injections. It is derived from Clostridium botulinum bacterium, but it is created in a strictly controlled, laboratory setting which assures you’re receiving a safe and effective product when purchased directly from the U.S. manufacturer, Allergan.

Botox works by relaxing the specific muscle that it’s injected into. It binds to receptors on the muscles that are normally stimulated by the signal molecule acetylcholine. When bound to Botox, these receptors essentially become blocked and the muscle stays relaxed, unable to contract. Of course, as our bodies regenerate, this effect wears off as new, unblocked receptors form on the muscle. When this happens, you’ll slowly start to see muscle contractions return. In full effect, Botox makes the skin over the treated muscles appear smooth and lines caused by their contractions that pull on the skin simply disappear.

Botox can shape the face by selectively relaxing certain muscles that are causing unwanted changes. By shifting the “balance of power” so to speak, Botox allows us to make other muscles work more efficiently at lifting and can help temporarily reverse signs of age.

Here is a brief description of the facial areas that can be treated with Botox and what it can do for each:

Frown Lines

The little frown lines between the eyebrows are the bread and butter of Botox. Also known as “the elevens”, we get them from repeated contractions of a group of three separate muscles (the eyebrow depressors) in the area above and between the eyes. They all contract together, pulling the inner eyebrows down and in, creating a scowl or “frowning” appearance. Carefully injecting each of these three muscles melts away that sour, unhappy appearance and beautifully smooths the skin between the eyes.

Remember how we talked about that “balance” in the section above? When the frown lines are relaxed, the forehead muscle can lift the inner part of the eyebrows up…this is one of the ways that Botox can be used to reshape the brows and open up the eyes.

Los Angeles Botox injections before picture Los Angeles Botox injections after picture
Botox for frown lines around the mouth

Crow’s Feet

A telltale sign of age, crow’s feet are the lines that extend from the outer edge of the eye. They are caused by contraction of the purse-string-like muscle that encircles the eye called the orbicularis oculi. This muscle allows us to blink or squeeze our eyelids shut, and it also contracts when we smile, which is what most people dislike! This is the second FDA-approved use for Botox Cosmetic. When carefully injected into the outer portion of this muscle, it will relax, softening the lines or making them disappear altogether with contraction. But don’t think that’s it—Botox is regularly used in many different areas to shape the face and soften lines. Even though these may be “off-label” (another term for not FDA-approved), they are widely requested and performed. As a result, when done by a knowledgeable, experienced injector, they’re considered very safe and effective.

Chemical Browlift

Ever wondered if there was a way to get a browlift without surgery? Well, there is! If you remember the orbicularis oculi muscle as described above, it encircles the eye and pulls the outer edge of the eyebrow down. This can make you look tired and make your eyelids feel heavy. Just a small amount of Botox injected into the muscle at the tail/outer edge of the brow relaxes this pull and can literally lift the brow up. Especially when combined with treatment of the elevens, this simple, easy procedure can be as effective as surgery for some people! Injections here can also help arch and shape your brow back to what it used to be years ago, or give you a new, sophisticated look if you’ve never liked the shape of your eyebrows.

Forehead

Are you looking permanently surprised?  If you’ve started noticing deeper horizontal lines across your forehead, then Botox may be the answer for you. Your forehead muscle is called the frontalis. Everyone has a bit differently shaped frontalis, so careful evaluation by your injector is necessary if you want treatment for forehead lines. Now, a really important piece of information here: your frontalis is the only muscle that lifts your eyebrows up. So, what happens if you get too much or the wrong dose of Botox here? You can end up with uneven eyebrows, flat brows or worse yet, lowered brows like a Cro-Magnon!  So, be very careful who you chose to inject you here. A good rule of thumb is to also treat (a bit heavier) the eyebrow depressors (remember the “balance of power”?) otherwise, you could end up looking worse-off than you started.

Bunny Lines

Say what? We know it sounds funny, but some people crinkle or wrinkle at the sides of their nose when the smile or talk. Over time, these little lines can permanently stay, which doesn’t look good. There is a small muscle called the nasalis on either side of the nasal bridge or nasal radix. When it contracts, it pulls on the skin covering the nose in this area, creating bunny lines. Just a small amount of Botox Cosmetic delivered in the right place here can make a big difference, but your injector needs to have an eye for these lines and make sure it’s placed in just the right spot to work well!

Smoker’s Lines

Have you noticed little vertical lines above your upper lip that act like a sponge for your lipstick? Maybe you don’t smoke, but you drink with straws or purse your lips often? All these activities cause pesky smoker’s lines, and no matter why you have them, we’re sure you’d rather not look at them in the mirror every day! Botox can help. The muscle that encircles the mouth works a lot like the one that encircles the eye: like a purse-string. Its name is the orbicularis oris. The difference here is that we need this muscle to speak properly and make natural facial expressions. Very small amounts of Botox, carefully injected into the strongest parts can make those lines soften and/or disappear while still maintaining natural function. Here’s another bonus: when the upper part of this circular muscle is relaxed, it causes the upper lip to roll slightly towards the nose (lip eversion). The translation is that your upper lip will look fuller and bigger making that lipstick or gloss look even better! We’ll often use a dermal filler such as Restylane or Juvederm in conjunction with this treatment to give you the very most natural, soft and full lips possible.

Mouth Frown

We’ve talked about frown lines, but what about a mouth frown? Go ahead, make a frown. Do you feel those muscles pulling the corners of your mouth down on either side of your chin? Those are your DAO’s or depressor anguli oris muscles. In some people, these muscles are overly active, creating a permanent mouth frown or downward angle at the corners of the mouth. This creates an unhappy and old woman (or man) look that can also lead to skin creases in this area too. Fillers are usually the first choice to treat this, but although they help the creases, they don’t improve the “look” of the mouth frown. Fillers can also bunch-up and create a heavy look around the mouth in this area, so they are not always the best answer. An astute injector understands this. By looking at your unique facial expressions and watching you talk, he or she can help you decide if Botox is a better choice. Again, careful injection can create a straight mouth or a slightly upturned one (don’t worry, you’ll be as happy as you look!) See our before and after pictures here on this technique to better understand how it helps.

Pebble Chin

This one is like it sounds—a bumpy chin. What’s the reason for this? You guess it…an overactive muscle in your chin area. It’s called the mentalis muscle. Again, this one isn’t a problem for everyone, but for some, this muscle stays in a state of permanent contraction which makes the skin look uneven and bumpy like an orange peel. Botox Cosmetic in the mentalis muscle causes it to relax, softening and smoothing out the skin on the chin.

We’ve covered a lot of ground here. We hope we’ve given you some good information of just how versatile and useful Botox Cosmetic injections can be when it comes to helping you achieve smoother skin and more youthful features. The procedures we’ve discussed as “off-label” are considered advanced techniques that require further training and advanced knowledge of facial anatomy to get right. Don’t think that because someone “does Botox” that they understand the nuance and skill necessary to perform all these injections. Make sure your injector has advanced training and experience with Botox. Ask questions and be an advocate for yourself.

Here at Celibre Medical Corporation, our injectors undergo rigorous training. We attend regular conferences, workshops and stay up on the cosmetic research journals to make sure we are up-to-date on all the latest and most advanced uses of Botox Cosmetic. Our goal isn’t to use them indiscriminately on everyone. We take pride in providing you with a very specific, individualized treatment plan that best suits you. Our aim is to help you look naturally younger, more refreshed and beautiful with Botox, not fake, expressionless or strange. When used appropriately, Botox can be a powerful secret weapon in the fight against age. Make sure your injector is on the same page as you and has advanced “weapons” training.

To learn more about Celibre Injections, please visit celibre.com/wrinkles.

More Botox Injections before and after photos

 

Lori Haney

RN, MEP-C, CMLSO


View All Blogs

Contact us for a FREE Consultation
BOOK A CONSULTATION
  • 5 star ratingLori was so knowledgeable and accommodating! She suggested a non surgical brow lift and it did wonders to help my... Read More

    Cristen F. Avatar
    Cristen F.
    8/26/2021

    5 star ratingThank you to all the Celibre Medical staff for always making me feel welcomed. I've been coming to this facility... Read More

    Darius T. Avatar
    Darius T.
    8/24/2021

    5 star ratingI was pleased about my first visitation. Kevin, the director was very professional, he explained and answered all my concerns,... Read More

    Yuka M. Avatar
    Yuka M.
    8/11/2021
  • 5 star ratingI have been going to Lori at Celibre for years. I consider her an artist in her approach to... Read More

    Debbie S. Avatar
    Debbie S.
    7/30/2021

    5 star ratingFor as long as I can remember my Dad has been the sunshine of my life. There was... Read More

    Jen O. Avatar
    Jen O.
    4/07/2021

    5 star ratingCustomer service- clarifying conversations- the desired results! These are some of the proficiencies you'll encounter with these skilled professionals. They... Read More

    Laila R. Avatar
    Laila R.
    4/04/2021
  • 5 star ratingLori is absolutely remarkable. She works miracles on my look. When I leave I look 10 yrs younger and it's... Read More

    roxanne w. Avatar
    roxanne w.
    4/02/2021

    5 star ratingI've been going to Celibre and getting treatments from Lori for over 10 years now. I've had dysport, fillers, and... Read More

    Lucy L. Avatar
    Lucy L.
    3/30/2021

    5 star ratingI just recently had the profractional laser done at Celibre in December. It has literally shaved 10 years off... Read More

    Dannie A. Avatar
    Dannie A.
    2/25/2021
  • 5 star ratingI highly recommend Lori for any skin concerns or treatments that Celibre offers! She took the time to listen to... Read More

    R V. Avatar
    R V.
    2/07/2021

    5 star ratingI normally do not write reviews but I have to say that Celibre is the best. The office staff... Read More

    Debbie S. Avatar
    Debbie S.
    12/31/2020

    5 star ratingI am so impressed with the service and quality from Celibre. I drive an hour for injections from Lori Haney.... Read More

    Robyn W. Avatar
    Robyn W.
    12/10/2020
  • 5 star ratingThe staff here are very welcoming and informative! I'm the type to ask to ask questions on anything new I... Read More

    Angilina M. Avatar
    Angilina M.
    10/09/2020

    5 star ratingThank you Celibre for making me feels so much better! Lori is a miracle worker! Fine lines so improved... Read More

    roxanne w. Avatar
    roxanne w.
    10/01/2020

    5 star ratingAlthough I'm new fairly new to Celibre, I've been very pleased with the service so far. Honesty is very important... Read More

    Anna C. Avatar
    Anna C.
    9/24/2020
  • 5 star ratingI loooove how the Celibre's staff is so knowledgeable in facial construction, symmetry & features and don't focus just on... Read More

    LadyLoops L. Avatar
    LadyLoops L.
    8/20/2020

    5 star ratingBeen here several times for laser tattoo removal with Kevin. Face tattoos are painful to remove. Kevin's communication with you... Read More

    Timothy J. Avatar
    Timothy J.
    7/25/2020

    4 star ratingCalled for a consultation and spoke with Kevin I told him I was interested in my smile lines so he... Read More

    Sheena S. Avatar
    Sheena S.
    7/06/2020
  • 5 star ratingI cannot say enough great things about this place. The front desk staff are super personable, nice and welcoming. Kevin... Read More

    Amber W. Avatar
    Amber W.
    6/16/2020

    5 star ratingI was referred to Celibre by a friend and was not disappointed. The office is clean, open and had great... Read More

    Lauren C. Avatar
    Lauren C.
    6/02/2020

    5 star ratingAwesome Staff and love the laser hair removable service... best thing I've done so far!!!

    Jackie A. Avatar
    Jackie A.
    2/27/2020
  • 5 star ratingOmg !!! What to say... I have a birthmark on my face and tried my whole life to get rid... Read More

    Coco C. Avatar
    Coco C.
    1/22/2020

    Went in to have some small skin tags removed as well as have some botox injected into my forehead...I didn't... Read More

    Jake Haney Avatar
    Jake Haney
    7/11/2019

    5 star ratingWhat an amazing experience!!! Not only did I love my results (which can we be honest, that's why we are... Read More

    Faith P. Avatar
    Faith P.
    7/11/2019
  • 5 star ratingVery professional and patient! They will educate you, and answer all of your questions.

    Wendy R. Avatar
    Wendy R.
    7/02/2019

    5 star ratingI had gone to Celibre 10 years ago and had a great experience- so I decided to go back and... Read More

    Andrea O. Avatar
    Andrea O.
    5/19/2019

    5 star ratingI had gone to Celibre 10 years ago and had a great experience- so I decided to go back and... Read More

    Andrea O. Avatar
    Andrea O.
    5/18/2019
  • 5 star ratingVery clean, kind friendly staff, provided me with a lot of preliminary information. I had a lot of questions and... Read More

    Sarah D. Avatar
    Sarah D.
    5/15/2019

    5 star ratingLori is an angel from heaven. I mean it!!

    I am a first time injector and was relatively nervous about...
    Read More

    Erin M. Avatar
    Erin M.
    5/05/2019

    5 star ratingLori is an angel from heaven. I mean it!!

    I am a first time injector and was relatively nervous about...
    Read More

    Erin M. Avatar
    Erin M.
    5/03/2019
  • 4 star ratingI had a great experience here. The staff is very friendly and welcoming. Nurse Kevin used Restylane to fill under... Read More

    Tiffany C. Avatar
    Tiffany C.
    4/03/2019

    5 star ratingStars to the moon for this wonderful place. Talk about an educated and highly skilled staff. I was beyond satisfied... Read More

    Nikki N. Avatar
    Nikki N.
    3/26/2019

    5 star ratingI love this place and the people that work here. Lori is the BEST! She takes the time to explain... Read More

    Rilee S. Avatar
    Rilee S.
    12/18/2018
  • 5 star ratingI called to ask for information. Very pleasant experience, not put in hold, very helpful and not pushy about making... Read More

    Esther L. Avatar
    Esther L.
    6/24/2018

    5 star ratingThe wait is finally over! I've been searching for a great place to help me take care of my skin... Read More

    Colleen B. Avatar
    Colleen B.
    4/04/2018

    5 star ratingGreat service and results. Lori was great at getting the look I wanted.

    Anita K. Avatar
    Anita K.
    11/28/2017
  • 5 star ratingI am blown away. The Office is lovely, the receptionist super nice, even the owners is hot, but really it's... Read More

    Meredith J. Avatar
    Meredith J.
    9/28/2017

    5 star ratingI had an amazing experience there. After going back and forth with one of the owners, Kevin, to make... Read More

    Sandra C. Avatar
    Sandra C.
    9/18/2017

    5 star ratingI highly recommend Celibre as a great place for laser treatments. Office is peaceful, front desk Associate friendly and waiting... Read More

    Téa M. Avatar
    Téa M.
    8/02/2017
  • 5 star ratingThis place is great. The staff is very friendly. Nurses are kind and personable. They meet great... Read More

    Jonathan Z. Avatar
    Jonathan Z.
    5/12/2017

    4 star ratingI didn't even know this place existed, only came in to accompany my mom for her visit. They offer free... Read More

    JeL C. Avatar
    JeL C.
    4/25/2017

    5 star ratingHave seen Lori twice for laser treatments on face. Everyone is very friendly and Lori is not only professional,... Read More

    Sofia Y. Avatar
    Sofia Y.
    4/03/2017
  • 5 star ratingI had a laser treatment on January 2017 with Lori Haney. After a month I came back to see Lori... Read More

    Rowena P. Avatar
    Rowena P.
    3/22/2017

    First of all, Lori Haney, the RN, is the kindest and most genuinely concerned medical professional I've ever had the... Read More

    Fatima Safi Avatar
    Fatima Safi
    10/24/2016

    5 star ratingI found celibre here on yelp, i was looking for a dermatologist and i went with the one with the... Read More

    Ana M. Avatar
    Ana M.
    6/20/2016