My Goodness! I have been using this "new pattern" since 1998. I find I must always explain to the client that my technique is different than most others in town. I have had no droops. Great video. Thank you

I am a new injector (first client scheduled tomorrow!), I am soaking up as many of your videos as I can. I like your conservative and anatomical approach and am so thankful for all of your instruction and wisdom!

I find a pearl of wisdom every time I visit your site. I have been using this technique on myself through this past year.

Thank you so much for this continuing education that you are so generous to share with this community. I love your explanations and you always seem to find new and interesting information to share! You're the best!

Your videos are always so educating....i loving them and enjoy every singel time.Great job!!!!!!

Thank you Dr Tim and Amanda. Your videos are so valuable in my learning process.

I have been using this pattern for the same reasons you explained for many many years. Excellent!

I’ve been wondering about this! I’m so glad you covered this!

Yes I’ve been using this technique often for a long time - excellent results thank you excellent video ..

I really enjoy the content you put out and all the educational material (including the incredible posters for sale on your website). You and Miranda really care about your audience (and patients) and it really translates in your work. Thank you both.

Hi you2. I absolutely enjoy your show. I my self have many years of practice as an injector and your tips gives me moments of dejaveau and aha experiences in combination with giving me new perspectives of my work. Thank you very much. Been to Korea lately and learned about the Korean facelift technique with Dysport(small molecule)and Botox(big molecule)in combination which I have had much pleasure working with. Something to take up in the show🙏🏽🙏🏽🙏🏽👍🏼👍🏼👍🏼

Always enjoy and appreciate all the info you share. Thank you!

Miranda you always ask the right questions. Your a brilliant together for a pod cast. Thank you both very much

Definitely not miss out the second corrugator. Seen loads of practitioners do it and you can see strange pulls after. Always do all the corrugator, it’s easy to avoid lid complications if you are taught what to look for and what to do.

thank you for all of your vides.. love your sidekick Miranda! also loved your video on criticism it was helpful and funny.

Thank you for the continuing education. You are absolutely the best!!

Another excellent and educational video from you two beautiful people! Many thanks 😊

I really enjoy you and your wife! Thank you so much for offering your pearls.

Excellent. I'm your new biggest fan. . I find your holistic and ethical direction to integrate aesthetics within well being medicine really quite fantastic. 👋👋👋.

Medicine is always a dynamic discipline. You should embrace new findings and not be scared of it

Thank you for this video, I really really needed this in my life 👏👏👏

Thanks your training was easy and straight to the point amazing 🤩 thanks 🙏🏽

Excellent depth of explanation into the anat of these technqs. Thx Dr. Tim

wow, just love the content from you two xx

Thank you so much for sharing this!! I am a new injector and have only injected family members at this point! 😂. This video gives clear instructions, which I need! I’m a fan of 90 degree injecting so this technique really speaks to me. I am a big fan! Thank you 🙏🏻

I absolutely love your content, i learn a lot (new injector here- from AUS). Miranda, your questions are so good- exactly what is on my mind and then you ask it! I would've loved it if Dr. Tim showed us the new technique on a model or dummy.

Thank you for your time, great video, before and after pictures would be great so we can see the different.

Another great instructional video!

Thanks Tim and Amanda love your content xx

this man is fantastic. I don't understand how he is not on that BBC doc for non-surgical procedures

I've never been afraid of going blind etc until I started watching a bunch of videos!

Amazing content as usual 👌🏼👍🏼😊

Dr Pierce- What is the difference in terms of the injection angle with the 3-point technique? I asked this question a while back in a previous comment but never got a response. I would be oh so grateful to hear a quick answer to this!! Love your videos.

I think we need to still assess the mvt of the patient and the goal of the treatment. I have been using this intermittently and it’s not always a success. Often at the follow up, we need to address the tail of the corrugator. As well on occasion I’ve had to skip treating the procerus. But it’s always nice to hear outcome of new studies and it’s application. I’m a big fan of prof Cotofona and you two actually ;)

Just subscribed to your channel, can't wait to share the information.

Hey Dr. Tim, Hi Miranda!! Omg thank you for covering this I agree 100%. It’s so ironic that you posted this because I recently found myself choking on my thoughts over a recent bit I stumbled upon where DIYers are trying to learn technique off of a DIYers. So someone asked “so then, I should always inject the corrugator deeply to pass the frontalis to prevent droop?” My mind was blown by this! That someone out there probably armed with a 1cc syringe and no idea how to handle a syringe was asking this. Not once nor ever was the levator palpebrea even mentioned, as injecting the corrugator more latterly you definitely do not want to be as deep or migrate into that muscle to cause lid ptosis. Sure eye drops might help some to activate the mueller muscle, perhaps a mm at best. With luck a minor lid ptosis might be temporary (weeks) or perhaps you’re stuck for the duration of the tox. I actually love this simple medial injection pattern, I feel the (Botox) label dosage and “dots” only confuse and are too “cookie cutter”. Agree 100% as well on injectors with blinders on, thinking “oh go a bit higher because this is safer” or “do the dots” when on the contrary it’s the opposite and then you are risking brow ptosis. It’s a funky balance and as always case to case. Myself personally, I can do this pattern you describe and never get “spocky” (in fact can use the lift) BUT...that’s JUST ME! I’m so glad you took the time to share this and always mention the less is more rule. Or as I like to say.... “you can’t un-ring a bell”. You can always see how it settles and top off accordingly. I will definitely check out the links you provided on this topic. Apparently, I’ve torn my ACL so will have a bit of time on my hands as no injection is gonna fix that lol. Hopefully can even catch you guys on a Thurs. some time. Cheers!

really interesting and so well explained

Just fantastic. Thank You.

Thank you for the video, i love u guys!

Love you, as always, more pearls.

Anatomy anatomy anatomy 👍🏻 great as always.

Thank you, very helpful your video.

First of all .I appreciate your efforts. I believe that this modification of injection is surely reduce brow ptosis and eyelid ptosis but still not the best way of injection . If you stuck with it your patients will end up after many treatments with mark on skin at the mid portion of eye brow due to function of the lateral belly of the corugator musle . I suggest superficial injection of a low dose of Botox in this piont .just intradermal and I never had any case of drooping .

HE is a hot candidate for the Nobel Prize for the detailed and inimitable contribution of modern aesthetic medicine

Thank you so much 🙏🏼

Thank goodness

OMG I have been doing this myself on me realised too much frozen areas in the middle area meant all around would not be able to lift. And as you mentioned the eyelid would be dropping especially the older the person is. Every person should be treated differently older and younger especially. I always think of botox as time goes by as glue that goes in the right areas and leaves the untreated muscles to do the work at lifting the face. I have never been trained but learned a lot from having it done to me and by watching KZfaq clips like this. Now I'm the happiest with my results doing it myself. 🙈😁. I'm 54 now but no one believes it 😜☺️. I think i would be an incredible 💉 injector but I never been trained and I would like to try.

2 outer made mine flat line just two weeks ago. We went in and hit the #2 and #3 injection area lil more but went up a tad higher. It worked. Pretty happy with result. We also did not do middle of forehead. So glad we did not at all, could have really went heavy and that you cant tweak very well. Once falls from center injection, you stuck with it lol

Great video! Whats your opinion filling HA to buccal cheeks hollows?

I wish you could do mine. So knowledgeable

You can always bring them back and add a little more as needed.

Thanks alot.you prefer to inject Glabella from hairy brow or above in vertical position

Thank you for sharing your analysis and expertise.

You’re the best! ✨

I am 38 (soon to be 39) and began Botox around 33. I had moderately heavy horizontal lines on the upper forehead, but my main issue was the "11" wrinkles between the brows on top of what feels like a "dent" in the actual bone between my eyes, which will visually go away depending on where I have toxin injected. I say visually because if you rub the area, you can still FEEL the dent. I've found that each injector I've gone to has different explanations for the "dent" and how to treat it, with only an injection straight into it actually ever temporarily solving the problem. I'll literally ask for Botox (or Dysport, which I prefer, but I cycle between the two) to be injected into the dent but I am often told no...if we do that, the toxin will drift. So I'll be injected at other various spots which help the 11s but not the "dent". Lame. Secondarily, I have noticed a very subtle drop to my brows in that area (the "11"s area) which I dislike, as well as gentle "humps" above my eyebrows in that same area which I have been told are muscles over compensating due to toxin in the upper forehead. Say what?! This area of study fascinates me, and I'm grateful to have people like Tim and Miranda to explain anatomy and so much more for the layperson, because I'm beginning to feel my best course of action is to stop allowing injectors to do what they see fit and to be educated (and brave) enough to simply ask for injections in specific spots. Great content.

Ive always done 3 points injections for the glabella region... never had a ptosis... also never heard about that 5 points for the glabella

I had Xeomin (4 units) for an overactive brow that likes to shoot up when my eyes are open and it caused it to droop significantly for a week. I don't trust injections over my brows now.

Can you do something o. The corrugator incision and migraine botox

Thanks 🙏 😊

I got it down in Jan 2023 and my entire forehead and eyelids dropped. You can visibly see a ripple of botox stuck in my brow line and it’s Oct 2023. It’s progressively worsened, i have extreme crows feet and my face sides have dropped. A plastic surgeons assistant here in nyc did it and there’s been NO help. I called and called every day for 3 weeks straight after it and was totally ignored. They called back weeks later when i already had to see a Dr for it for damage. I’m still dealing with it. After getting preventative for 10 years, this injection was so painful and bad that it undid years of what i had done to prevent this. I’d say a gross amount of prions have brow ptosis. My nose bridge was swollen for months and o still jab pain in the injection spots.

Can you do a video on treating the Depressor Supercili? I have one brow that is much lower medially

The link to Dr. Cotofana's paper is just to the abstract. Is it possible to have access to the complete journal article?

May i ask a question in regards to Vollure XC. Today is Tuesday 5/18 and last Tuesday afternoon, I had some filler injected around jawline and outside mouth to fill a few lines. My doctor was running over an hour late. The only reason I became pissed was because I knew he’d had a shitty day and could care less about my injections that I’d driven over an hour for the appointment plus another hour wait with no explanation. I came wanting some work done and of all days, he went conservative which was a good thing at this point. My filler as of today still feels like it needs smoothed out some. It was too sore up until now for me to touch it but would it be safe or a good idea to navigate it around a bit mildly? Just to smooth it out or is it too late? It’s not possible to drive an hour any time soon for him to check on it. If there is any advice you may suggest that is safe, I’d be so appreciative.

What is the best treatment for extremely strong n stubborn glabellas?

My trainer said I must do both elevator and depresor muscles.. And yet I am seeing people just doing the glabellar or just the frontalis??

How many units of Botox are suggested for the 3 points?

Can filler and Botox be dissolved in the glabella area?? I had filler and Botox over a year ago and my glabella is still puffy like there’s fluid in the area between my eye above my nose. I never had swelling puffiness’s in this area until the doctor injected there. Is it possible that the filler is still in there? How can I shrink that area naturally? I’m nervous to go back have anyone inject anything in that area ever again.

Basic principles but individual client and muscle strength assessment ??

I wish you can do mine, I had 1st time botex injection 6 month ago and my brow was lifted like I have surprise expression on my face, never go back that firm again, which country are you practicing? I am in USA Los Angeles.

Chat's great but pictures would be better.

I'm currently in self isolation due to heavy brow droop, with eyelid that hangs over lashes- just for interest the other brow now is pointing halfway up my forehead. In short, I look like an ogre. This was my second treatment. The first left me overjoyed. All I wanted was just the one line between my brows softened. Never again. And there is no way on earth I would go back for an 'adjustment'. $450 Can. with a 'real' doctor.

I base my injection technique based on the patient in front of me and their specific needs.

Thank you for sharing this. Love your content and educational videos. Much appreciated! NP_Amber

I definitely agree that ptosis isn’t that common

🇩🇴 thank you

Hi, let you know, that I use your method and guide here in Brazil, no drops, ever, ladies loves the high brow

I have an appointment. I missed it because I’m scared to death of having droopy eyelid & I had a bony grand daughter born, which was the main reason why. I’m 50 and don’t want to stop my Botox and fillers but my eyes have never been droopy until now. My injector doesn’t want to cause my eyebrows to be frozen but when she doesn’t go low enough she leave to massive wrinkles on each side. I need help as to what to ask of her next week. Please help. I pay about 3 grand every time. I last took 56cc of Botox

Did I miss the studied dosage and reconstitution? Is it fair to say this is someone's technique, if it's a matter of proper pt assessment and knowledge of anatomy?

I had a lot of Botox injected into my face on the 2nd July to treat my facial/cranial Hyperhidrosis. 3 weeks on and I have seen no improvement in my Hyperhidrosis and even worse my left eyebrow and eyelid have dropped. I’m getting married in 2 weeks so it’s pretty devastating for me. Can anyone here recommend anything to help? Great video and very informative

I usually have botox around my crows feet and elevens area, but I had a brow lift with botox and my eyelid drooped terribly. Does this mean that it just wasn't injected correctly?

Hi I like to learning how injecting how can took the course

I had 40 units of Dysport in my glabella , 2 injections only, i ended up with Iatrogenic botulism poisoning as it travelled from the muscle to my nervous system with terrible side effects for almost a year and a half.

Great content. Do u guys have observed edema of the upper eyelid after Ob Label BTX injections? It is really crazy, but I have seen it several times , but people don't talk about this complication after BTX. Maybe you could talk a little bit about this.....🥰☺. Greettings from Germany.

Dr. Pierce! Quick important question - you state in the video that with the modified, 3-injection-point technique, that "the biggest difference is that you're not injecting the lateral part of the corrugator muscle; there's also some difference in the angle of injection" - but you don't elaborate further on the angle of injection/injection technique with the corrugators here. Can you please explain / reply and tell me what the difference is with the corrugator injection angle when doing the new 3-injection glabella technique? do you inject more in the middle portion of the corrugator or do you still insert the needle in the medial portion? What exactly is different? I showed this video with my injector and I am interested in having her try this technique but first just want to clarify what is done differently with the corrugator injections using this technique. Thank you tremendously in advance for your response I would really appreciate it!!! :) Alek

From where i bought thes injejtion

Is their a correction for a medial brow drop?

Plz answer me, microbotox injection on forehead with multiple injections VS normal botox pattern Which one is better fore reduce forehead line ?

Perfeito

I love the content but wish there was less chat before getting to the meat of the topic.

❤️

👏🏽

your videos would be better if you explained more with YOUR images pointing to the anatomy instead of talking over stock images.

👍🏽

has anybody got a free link to the full article?

😊👍👍👍

It's important to inject right. Wasted the products cost and result.

Why am I seeing turtles on a Botox video.....stay on topic❗️

I think these doctors need to be retrained. The majority are still using the old techniques. How can we get these injectors go back for retraining correctly on Botox fillers?

overly complex for a simple method of just showing the points to be injected

Common sense