03/03/2026
First time neuromodulators.
When we treat the face, we’re not just looking at lines on the surface. We’re evaluating the muscle patterns underneath: how they pull, how they balance, and how they interact. The frontalis (your forehead muscle) lifts the brows.
The glabella (between the brows) pulls them inward and downward.
They are opposing muscle groups.
Neuromodulators soften muscle activity,
which means placement and dosing must be intentional. If one area is treated without thoughtfully balancing the other, heaviness or imbalance can happen.
This isn’t cookie-cutter aesthetic medicine.
Every face moves differently and every muscle pattern is unique. Strategic dosing between the brows can create a subtle lift, while placement across the forehead preserves natural movement and softens lines.
In this case, I chose a three-point technique between the brows instead of the traditional five-point pattern because her corrugator muscles are relatively short. The corrugators are the muscles responsible for pulling the brows inward and creating frown lines. Adding two higher injection points would have increased the likelihood of affecting the frontalis—the muscle that maintains brow elevation. When that balance is disrupted, it can lead to heaviness or even brow ptosis (a drop in the brow).
Precision matters more than.
The goal isn’t frozen.
It’s balanced, symmetrical and natural.
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۞ ᴛʜᴇ ᴀᴇsᴛʜᴇᴛɪᴄ ᴘᴏʀᴛᴀʟ (🅣🅐🅟)Unapologetically you — refined through soul and science.
Rachel Hensler, MMSc, PA-C
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The Aesthetic Portal
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