Botox (onabotulinumtoxinA) is a widely used injectable medication for cosmetic purposes, primarily aimed at reducing the appearance of facial wrinkles by temporarily paralysing targeted muscles. Directors at Azthetics Academy and professional aesthetic trainers Dr Aziz and Dr MacDonagh share their thoughts on the three most popular Botox treatment areas and how to safely and responsibly use injection patterns for optimal results:

Frown Lines (Glabellar Region:)

The area between the eyebrows, known as the glabellar region, is a common target for Botox injections. Frown lines, or “11” lines, often develop in this area due to repetitive muscle contractions from activities such as squinting or frowning.

The injection pattern typically involves administering several small doses of Botox into the corrugator supercilii and procerus muscles, which are responsible for causing frown lines. Careful attention should be paid to avoid injecting too close to the midline to prevent brow ptosis or drooping.

Dr Aziz Says:

“Always keep a close eye on your patient when administering botox for any signs of adverse reactions, such as excessive swelling, bruising, or asymmetry. It’s important to educate the patient on when to contact you if they experience any concerning symptoms post-treatment and provide them with the correct aftercare advice” 

Frown Lines Botox Injection Patterns

Forehead Lines:

Many people are concerned about horizontal forehead lines meaning that the forehead is are a popular area for Botox treatment. Forehead lines develop due to normal repetitive muscle movement, such as raising the eyebrows or expressing surprise.

Injection patterns for the forehead often involve targeting the frontalis muscle, which is responsible for raising the eyebrows.

The injections are typically spaced evenly across the forehead to achieve a natural-looking result while minimising the risk of asymmetry.

Dr MacDonagh Says: 

“When administering botox to the forehead area, it’s important to emphasise proper patient positioning and muscle relaxation techniques to optimise injection accuracy and minimise discomfort. Nervous patients could benefit from a stress ball to squeeze or relaxing music in your treatment room.”

forehead botox injection lines

Crow’s Feet (Lateral Canthal Lines):

Crow’s feet refer to the fine lines and wrinkles that form around the outer corners of the eyes. These lines are often the result of smiling, squinting, or sun damage.

When administering Botox for crow’s feet, the injection pattern usually targets the orbicularis oculi muscle, which encircles the eye.

The injections are placed strategically to relax the muscles responsible for the formation of crow’s feet while preserving natural facial expressions and avoiding eyelid drooping.

In all injection patterns, it is crucial to assess each patient’s facial anatomy, muscle strength, and desired outcomes carefully. Tailoring the treatment plan to the individual patient can help achieve optimal results while minimising the risk of adverse effects such as eyelid drooping or asymmetry.

Dr Aziz Says:

“When administering botox to the crows feet area, prioritise precise targeting of the orbicularis oculi muscle while minimising the risk of eyelid weakness or drooping.”

crows feet botox injection patterns

Proper training and techniques are essential for ensuring safe and effective Botox administration. Medical professionals should always undergo thorough training and certification in cosmetic injectables to deliver the best possible outcomes for their patients.

At the Azthetics Aesthetics Training Academy in Bristol, we offer both a Foundation Botox & Fillers Course as well as an Advanced Botox Training Course. Both courses will be taught by Dr Mahmoud Aziz who’s background in clinical medicine working in the NHS means that huge emphasis is always placed on patient safety. 

If you enrol in our CPD accredited Botox courses, you will develop a clear and in-depth knowledge of facial anatomy and Botox injection patterns. After completing our Foundation Botox & Fillers Course, you’ll be comfortable injecting in all three areas of the Crow’s feet, forehead, and frown lines. Our Advanced Botox Course covers procedures including Bunny Lines, Gummy Smile and Excessive sweating. If you are interested in becoming a Botox practitioner or furthering your skill set, then take a look at the Aesthetic Training Course Dates. We would love to have you join us.