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Botulinum Toxin for Eyebrow Shaping: A Systematic Review

Jabbour, Samer MD*; Awaida, Cyril MD*; Kechichian, Elio MD; Rayess, Youssef MD*; Abdelmassih, Youssef MD; Noel, Warren MD§; Hachem, Lena el MD; Nasr, Marwan MD*

doi: 10.1097/DSS.0000000000001410
Review Article
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BACKGROUND Currently, there is no standardized approach for eyebrow shaping with botulinum toxin, and controversies still exist regarding this subject.

OBJECTIVE The objective of this systematic review is to summarize and compare all the published data regarding eyebrow shaping with botulinum toxin.

METHODS On March 10, 2017, an online search of published articles in the Medline, Embase, and Cochrane databases were conducted. All articles that used objective measurements to quantify the eyebrow changes after botulinum toxin injection were included in this review.

RESULTS Eleven studies were selected for inclusion with a total of 585 patients. All the included studies used onabotulinumtoxin A. Seven studies injected both the lateral and the medial eyebrow depressors, 2 studies injected the lateral depressors alone, and 2 studies injected the medial depressors alone. The highest elevation was observed in the lateral brow (0.4–4.8 mm). Bruising and headache were the most frequently reported complications, and only 5 cases of eyelid ptosis were noted.

CONCLUSION Botulinum toxin injection for eyebrow shaping is a noninvasive, safe, and reproducible procedure. Eyebrow reshaping can be achieved by targeting different muscle groups. However, further randomized controlled trials are warranted.

Departments of *Plastic and Reconstructive Surgery,

Dermatology, and

Ophthalmology, Faculty of Medicine, Saint-Joseph University, Hotel Dieu de France Hospital, Beirut, Lebanon;

§Department of Plastic and Reconstructive Surgery, Saint-Joseph Hospital, Paris, France;

Department of Obstetrics and Gynecology, Lebanese American University Medical Center, Beirut, Lebanon

Address correspondence and reprint requests to: Samer Jabbour, MD, Faculty of Medicine, Saint-Joseph University, Hotel Dieu de France Hospital, Alfred Naccash Boulevard, Beirut, Lebanon, or e-mail: samermed@gmail.com

The authors have indicated no significant interest with commercial supporters.

© 2017 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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