Small areas still deserve a complete assessment.

The techniques below involve uses outside BOTOX Cosmetic’s FDA-approved cosmetic indications. Off-label use means the specific treatment is not included in the product’s approved labeling. Suitability, expected benefit, and risks need an individual discussion; these are not standard add-ons for every patient.

Injectable lip lift / lip flip.

Sometimes called a “Botox lip lift,” a lip flip relaxes muscle activity near the upper lip so that a little more lip may show. It does not add volume or shorten the skin between the nose and lip, and it is different from a surgical lip lift.

Discuss the appearance of your lip at rest and when smiling, as well as what you want to preserve. Possible tradeoffs include temporary changes in drinking, speaking, or lip control. Our lip-flip guide explains the comparison with filler and our published cost estimate.

Corner-of-the-mouth lift.

When muscle activity pulls the mouth corners downward, selected toxin treatment may soften that downward pull. Patients may hear this described as “DAO Botox,” referring to the depressor anguli oris muscle.

A change in muscle pull is different from replacing lost volume or treating loose skin. Ask whether your concern is visible at rest, during expression, or both. Smile asymmetry and unintended changes in lower-lip movement are part of the risk discussion.

Gummy-smile treatment.

If an overly active upper-lip movement contributes to visible gum when smiling, an injector may consider treatment to reduce that movement. Gum display can also relate to teeth, gum tissue, or jaw structure, so an assessment should identify the cause first.

The goal is a carefully considered change in smile balance. Ask what improvement is realistic and how treatment could affect your smile; dental evaluation may be appropriate when the cause extends beyond muscle activity.

Bunny lines around the nose.

“Bunny lines” describe creases that appear along the nose when you scrunch or smile. Selected toxin treatment may soften muscle-related lines in this area.

Nearby muscles also contribute to facial expression. Discuss your smile and existing treatments together, rather than treating a nose crease in isolation. Changes in nearby lip or smile movement are possible.

Masseter Botox: jaw contour and clenching questions.

The masseters are chewing muscles along the sides of the jaw. Where muscle prominence contributes to a wider lower-face appearance, toxin may be considered to reduce that muscular contribution. It does not change the underlying jawbone or remove fat.

Clenching, grinding, or jaw pain needs assessment of its cause. Masseter injections are not a cure for every TMJ concern or a substitute for dental care. Discuss alternatives, possible chewing weakness, smile changes, and how reducing muscle size might affect facial contours.

Trapezius Botox and neck tension.

Sometimes called “Traptox,” trapezius treatment targets muscles across the upper shoulders and back of the neck. Cosmetic shoulder contouring and treatment of neck discomfort are different goals and require different conversations.

For neck tension or pain, start with a medical assessment. Evidence for botulinum toxin in common neck-pain conditions remains limited; a 2026 Cochrane review found a possible small short-term benefit with low-certainty evidence. Relief is not guaranteed, and findings about one diagnosis cannot be applied to every cause of tension.

Discuss physical therapy and other appropriate options as part of the plan. Shoulder or neck weakness and effects on function matter, particularly for work, exercise, and lifting. Trapezius treatment is off-label and differs from FDA-approved Botox treatment of platysma neck bands.

Why can the brow drop after Botox?

The frontalis muscle creates horizontal forehead lines when it contracts—and it also lifts the eyebrows. Relaxing it can soften those lines, but excessive weakening can reduce the support holding the brow up. The result may be a lower brow or a feeling of heaviness.

Overtreating the forehead is one important cause. Placement, individual anatomy, baseline brow position, and the balance with downward-pulling muscles also matter. Some people use their frontalis continuously to support a naturally low brow or heavy upper lids, making preservation of its lifting function particularly important.

A smoother forehead is not the same as a lifted brow.

Forehead injections above the eyebrow can relax the very muscle that elevates the brow. If too much lifting activity is lost, smoother lines may come with a heavier brow. A treatment plan should consider brow support as well as wrinkle reduction.

How does an injectable brow lift work?

A subtle brow lift may be achieved by selectively relaxing muscles that pull the brow downward while preserving enough frontalis activity to lift it. Around the outer brow, this can involve the lateral orbicularis oculi—the muscle surrounding the eye that contributes to downward pull.

The aim is to change the balance of muscle forces. Exact placement depends on the person’s anatomy and movement; “under the brow” is not a universal best injection location. Treatment near the eye requires particular care, and brow shaping is an off-label use of BOTOX Cosmetic.

Is brow droop the same as eyelid droop?

No. Brow droop involves the eyebrow’s position. Eyelid droop involves the upper eyelid itself and can occur if toxin affects the muscle that lifts the lid. Your provider should assess which is happening before discussing next steps.

If you notice heaviness, asymmetry, or drooping after treatment, contact your treating injector. Seek prompt medical assessment for vision changes. Ask before treatment how your injector will soften forehead lines while preserving brow support.

Chin refinement.

Selected muscle treatment may be considered for a dimpled chin. This refinement depends on anatomy and movement; less movement is not automatically the right goal.

Ask how a proposed change fits the rest of your treatment. Lip function and facial balance should be assessed together.

What to discuss at West Annapolis Medical Spa.

Our medspa has served Annapolis since 2014. An advanced consultation begins with your concern, your medical history, and a discussion of which approach—if any—fits your goals.

  • Describe the change you want and the movements you want to preserve.
  • Ask which injector performs the proposed technique and about their experience with it.
  • Discuss the product, off-label status, alternatives, risks, and expected timeline.
  • Confirm whether the treatment is offered for your particular concern, its full cost, and the follow-up plan.

Bring prior treatment details and your medication list. No fixed dose or injection pattern applies to everyone. Read our injector guide before your visit.

Safety and follow-up

Discuss allergies, muscle or nerve conditions, breathing or swallowing problems, pregnancy or breastfeeding, and previous reactions with your provider. Seek immediate medical attention for difficulty breathing, swallowing, or speaking after treatment. Review the product’s full medication guide.

Sources and further reading

Sources checked October 4, 2026. Educational information; your treating clinician determines suitability. Results vary.