Wrinkle Botox, 3 Areas

• Expression lines in several places, such as the forehead, between the brows and around the eyes, bother you together
• You’re concerned about upper–lower or left–right imbalance from treating one area at a time
• You want to take care of three areas in a single visit

Choosing three areas doesn’t mean using the same amount in each. Less goes where the muscle is weaker, and an appropriate amount where it is stronger.

• 01

  Where you are now, and where we start

  Which three of the five areas should be combined for your expressions to look even, and the balance between muscles that pull against each other

• 02

  The change you want, the impression you keep

  The forehead and the area between the brows contain muscles that pull the brows in opposite directions, so brow shape can turn out differently depending on whether you choose one or both — we explain this first.

• 03

  How it differs from similar options

  The total amount used across three areas is larger, so we ask whether you’ve ever felt your expression became stiff after Botox.

• 04

  Health information and recovery schedule

  If you choose both around the eyes and under the eyes, the muscle circling the eye is treated in two places, outer and lower, so we talk in advance about how your smile may change.

The key with 3 areas is not “which three” but “how the three pull against each other”.

Expressions in the upper face are created as the muscle that raises the brows (forehead) and the muscles that lower them (between the brows and the outer eye area) hold against each other. If only one side weakens, the other becomes relatively stronger, which can change brow height or the shape of the brow tail. So when three areas are treated together, we don’t set the dose for each spot in isolation; we work out together how much strength will remain on each side. The US prescribing information for Botox Cosmetic also states that forehead lines should be treated together with frown lines.

How it works

• 01

  Muscles that raise and lower

  The frontalis raises the brows, while the muscles between the brows and at the outer eye area lower them. Treating all three together can reduce the chance of only one side being left to pull.

• 02

  The shape of the brow tail

  If only the centre of the forehead weakens and the outer part remains, the brow tails can look raised. When the forehead is chosen, we also decide how to handle the area above the brow tails.

• 03

  Dividing the dose

  Within the amount used for the three areas, we divide the proportions for each spot. For first-timers, it is safer to start low, look at the remaining movement after 2 weeks and reflect it in the next session.

• 04

  Choosing the combination

  You can choose three upper-face areas such as the forehead, between the brows and around the eyes, or group them around frowning expressions, such as between the brows, around the eyes and the bridge of the nose. Which combination suits you is decided by looking at your expressions.

1. 01

   Choosing three areas

   We ask you to make expressions and choose together the three places where lines fold the most.

2. 02

   Dividing the dose

   We compare muscle strength across the three areas to divide the amount for each spot, and decide on the product: Korean-made, Coretox or imported.

3. 03

   Checking balance again

   Around 2 weeks, when the effect has settled, we look at the balance of brow height and the shape of your smile.

What the procedure is like

• Because several spots are injected, small bumps may appear in a few places; they usually settle quickly.
• On the day, avoid rubbing the injection points or lying face down in a way that presses on your face.
• If your brows feel heavy or the two sides feel different within 2 weeks, let us know.

Safety & considerations

Treating three areas together increases the amount used at one time. If you’ve had Botox elsewhere, be sure to tell us so the total amount can be taken into account. Effect and duration vary from person to person.

1. Same day

   Needle marks in several places

   Small bumps form at several injection points and usually settle quickly.

2. First week

   Different for each area

   The change in the three areas may not arrive on the same day and can feel slightly different in each.

3. About 2 weeks

   Checking balance

   This is when all three areas have settled, so we look at brow height and the shape of your smile together.

4. 3–4 months

   Wearing off area by area

   The speed at which movement returns also differs slightly by area. (Results vary from person to person.)

If you need three areas on the same day, consult us about the 3-area option rather than choosing 1 area three times.

• Q. Can I decide on the three areas myself before I come?

  Tell us the three areas you want and we start from that combination. If, after looking at your expressions, another combination seems likely to look more even, we explain why — and the choice remains yours. For example, you can group the three upper-face areas (forehead, between the brows and around the eyes), or build the group around a frowning expression with between the brows, around the eyes and the nasal bridge.

• Q. I heard forehead Botox makes the brows droop. Is it fine with 3 areas?

  Heavy brows tend to occur when only the lifting force of the forehead weakens while the lowering force remains. Treating the area between the brows as well helps reduce that risk, but cannot eliminate it. If your eyelids are naturally heavy, we use an even smaller amount on the forehead.

• Q. If three areas are done at once, won’t my expression look frozen?

  Whether an expression looks frozen depends more on the amount used at each spot than on the number of areas. We recommend starting in a way that leaves a little movement, then adjusting next time after seeing the result at 2 weeks. Even within the amount for three areas, weaker spots get less and stronger spots get an amount to match, so the three areas do not all receive the same amount.

• Q. What if the effect is weaker in one of the three areas?

  Muscle strength differs from spot to spot, so even with injections on the same day, the effect can feel different. Let us know after about 2 weeks, once the full effect has appeared, and we reflect the amount for that spot in the next session. Movement also returns at a slightly different pace in each area, so at the next session we may also rework the combination of three areas based on which spot wore off first and which lasted longer.

• Q. Can I have laser or lifting treatments on the same day?

  Treatments that apply heat or pressure can press on or rub the areas where Botox was placed, so we set an order. Whether to have them on the same day, and in what order, is decided by looking at the treatment you’ll have alongside. For the same reason, on the day of Botox we ask you to avoid rubbing the injection points or lying face down with pressure on your face.