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Jason Emer, MD, FAAD, FACS

Where the toxin goes decides how the brow sits.

Neurotoxin 101: How Dr. Emer Lifts Brows, Prevents Lid Droop And Tightens The Neck Without A Trace

Dr. Jason Emer explains the real technique behind neurotoxin: where to place it to lift the brow without a spock look, how to tighten the jawline and neck, and why dose and placement matter more than unit cost.

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THE DETAIL IS THE DIFFERENCE.See the results ↓

Dr. Jason Emer MD · FAAD · FACS

Dr. Emer's neurotoxin technique lifts the brow without the spock look by placing a very small amount laterally and high by the tail, then a much stronger dose in the glabella and edge of the eye, combined with filler in the temple, cheek and brow tail to sculpt the whole face as one frame.

Your plan starts with Dr. Emer.

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From the filmed session

Inside the treatment. With Dr. Emer.

Neurotoxin 101: Lift Brows, Prevent Eyelid Droop, Tighten Neck And Jowls | Dr. Jason Emer

Open on YouTube

What Dr. Emer did · RE:SKN

Every procedure. In order.

  1. 01

    Lateral brow neurotoxin

    Very small amount placed laterally and high, inferiorly by the tail of the brow, in baby doses to relax the muscle pulling the outer brow up and prevent the spock look.

  2. 02

    Glabella and eye neurotoxin

    Much stronger dose in the glabella, placed low to avoid the frontalus fibers, and at the edge of the eye to lift the tail and smooth the forehead.

  3. 03

    Temple, cheek and brow tail filler

    Filler in the temple area, cheek and tail of the brow to elevate laterally, project anteriorly, support posteriorly and lift the outer eye.

    “We elevate laterally. We project anteriorly. We support posteriorly. And we lift.”

    Dr. Emer, in the film
  4. 04

    DAO and jowl neurotoxin

    Neurotoxin to the DAO area and jowl to lift the lip and allow the muscles of the cheek to compensate and pull up, elevating the midface.

    “If you did the DAO and jowl, we actually saw an elevation in the cheek because the muscles here when they're paralyzed along with the chin, these muscles kind of compensate and pull up.”

    Dr. Emer, in the film
  5. 05

    Nefertiti lift

    Neurotoxin to the entire platysmal band, all the way down to the clavicle and across, to elongate the neck and tighten the jawline by allowing the fibers of the platysma that come up on the face to strengthen and pull up.

    “I wouldn't do just here. I would go all the way down to the clavicle. All the way across. All the way down. And we would call that a Nefertiti lift.”

    Dr. Emer, in the film

Why patients fly in

What Dr. Emer does differently.

Lateral brow neurotoxin in baby doses

Most injectors are trained not to place neurotoxin laterally and high by the tail of the brow, which is why patients get the spock look. Dr. Emer places a very small amount there, then a much stronger dose in the glabella and edge of the eye, which lifts the tail and smooths the forehead without the peak.

“You will be trained not to do that, okay? But real life is definitely the go-to for everything.”

Low glabella placement to avoid frontalus fibers

Dr. Emer places the glabella dose low to avoid the frontalus fibers that come up from the brow, which prevents the frozen forehead look while still smoothing the lines.

Neurotoxin and filler as one sculpting plan

The neurotoxin smooths and relaxes, the filler lifts and projects. Together they sculpt the whole face: temple, cheek and brow tail filler supports the outer eye and brow while the neurotoxin smooths the forehead and lifts the tail.

“We elevate laterally. We project anteriorly. We support posteriorly. And we lift.”

Treating the entire platysmal band down to the clavicle

Most injectors treat only the upper neck. Dr. Emer treats the entire platysmal band all the way down to the clavicle and across, which is what elongates the neck and tightens the jawline.

“I wouldn't do just here. I would go all the way down to the clavicle. All the way across. All the way down.”

DAO and jowl neurotoxin to elevate the midface

Neurotoxin to the DAO and jowl lifts the lip and allows the muscles of the cheek to compensate and pull up, elevating the midface, a technique supported by published studies.

“There was a study done where if you did the DAO and jowl, we actually saw an elevation in the cheek because the muscles here when they're paralyzed along with the chin, these muscles kind of compensate and pull up.”

THE THINKING BEHIND THE TREATMENT

The story.
The decisions.
The details.

Follow Dr. Emer’s approach through the stages described in this case.

Back to the video ↗
  1. 01Before

    The starting point

    She came in with a brow that peaks too high on the outer edge, the result of neurotoxin placed the way most injectors are trained to place it.

    The classic spock look happens when the muscle pulling the outer brow up is left alone while the rest of the forehead is treated. She is here because the normal dose and the normal injection technique gave her exactly that.

  2. 02The plan

    What Dr. Emer decided to do

    Neurotoxin and filler working together to lift the brow, smooth the forehead, and tighten the jawline and neck.

  3. 03The session

    In the room, in order

    Dr. Emer's approach is the opposite: a very small amount placed laterally and high by the tail of the brow, then a much stronger dose in the glabella and edge of the eye. That relaxes the muscle pulling the outer brow up while lifting the tail, smoothing the forehead without the peak.

    • Brow and forehead
    • Temple, cheek and brow tail
    • DAO and jowl
    • Neck and jawline
    “We elevate laterally. We project anteriorly. We support posteriorly. And we lift.”DR. JASON EMER · FROM THE VIDEO
  4. 04The result

    What changed

    Neurotoxin alone will give her a little droop at the edge of the brow. That is expected, and that is where filler comes in: lift the temple, project the cheek forward, support the tail of the brow. The neurotoxin smooths, the filler lifts, and the result reads as one shape. In two weeks she will have an elevated brow, a smoother forehead, and a lifted outer eye, and no one will know she had anything done.

Explore the full treatment details +

Brow, neck and jawline treated as one frame / Patient story

The normal technique made it worse.

She came in with a brow that peaks too high on the outer edge, the result of neurotoxin placed the way most injectors are trained to place it.

The classic spock look happens when the muscle pulling the outer brow up is left alone while the rest of the forehead is treated. She is here because the normal dose and the normal injection technique gave her exactly that.

Dr. Emer's approach is the opposite: a very small amount placed laterally and high by the tail of the brow, then a much stronger dose in the glabella and edge of the eye. That relaxes the muscle pulling the outer brow up while lifting the tail, smoothing the forehead without the peak.

Neurotoxin alone will give her a little droop at the edge of the brow. That is expected, and that is where filler comes in: lift the temple, project the cheek forward, support the tail of the brow. The neurotoxin smooths, the filler lifts, and the result reads as one shape. In two weeks she will have an elevated brow, a smoother forehead, and a lifted outer eye, and no one will know she had anything done.

The technique that prevents the problems you came in to fix

The patient in this video has a brow that peaks too high on the outer edge, the classic spock look that happens when neurotoxin is placed the way most injectors are trained to place it. She is here because the normal dose and the normal injection technique made it worse, not better.

Dr. Emer's approach is the opposite: a very small amount placed laterally and high by the tail of the brow, then a much stronger dose in the glabella and edge of the eye. That relaxes the muscle pulling the outer brow up while lifting the tail, smoothing the forehead without the peak.

What happens when you treat the whole frame, not one line

Neurotoxin alone will give her a little droop at the edge of the brow. That is expected, and that is where filler or threads come in: lift the temple, project the cheek forward, support the tail of the brow. The neurotoxin smooths, the filler lifts, and the result reads as one shape.

In two weeks she will have an elevated brow, a smoother forehead, and a lifted outer eye, and no one will know she had anything done. That is the plan.

How a session is built

Four areas. One plan.

Neurotoxin and filler working together to lift the brow, smooth the forehead, and tighten the jawline and neck.

  1. 01

    Brow and forehead

    A very small amount placed laterally and high by the tail of the brow, then a stronger dose in the glabella and edge of the eye. That lifts the tail and smooths the forehead without the spock look.

  2. 02

    Temple, cheek and brow tail

    Filler in the temple, cheek and tail of the brow lifts the outer eye and supports the brow. The neurotoxin smooths, the filler lifts.

  3. 03

    DAO and jowl

    Neurotoxin to the DAO and jowl lifts the lip a little and allows the muscles of the cheek to compensate and pull up, elevating the midface.

  4. 04

    Neck and jawline

    The entire platysmal band is treated, all the way down to the clavicle and across. That is a Nefertiti lift: it elongates the neck and tightens the jawline.

The treatment, explained

What is neurotoxin injections?

Also called Botox, Dysport, Xeomin, Jeuveau, neuromodulators, brow lift, Nefertiti lift, jawline tightening, neck tightening, DAO Botox, platysmal band treatment.

What it is
Neurotoxin injections (commonly known as Botox, Dysport, Xeomin or Jeuveau) are a non-surgical treatment that relaxes specific facial muscles to smooth lines, lift the brow, tighten the jawline and elongate the neck. Dr. Emer's technique treats the brow, eye, jawline and neck as one sculpting plan, often combined with dermal filler to lift and project the face while the neurotoxin smooths and relaxes.
How it works
A very small amount of neurotoxin is placed laterally and high by the tail of the brow, then a much stronger dose in the glabella (between the brows) and edge of the eye. The glabella dose is placed low to avoid the frontalus fibers that lift the forehead. Filler is placed in the temple, cheek and tail of the brow to elevate the outer eye and support the brow. Neurotoxin is also placed in the DAO (the muscle that pulls the corners of the mouth down) and jowl to lift the lip and allow the muscles of the cheek to pull up. The entire platysmal band in the neck is treated, all the way down to the clavicle and across, which is called a Nefertiti lift and elongates the neck while tightening the jawline.
Who it is for
Neurotoxin is for anyone who wants to smooth forehead lines, lift the brow without the spock look, tighten the jawline and elongate the neck. It is especially suited to patients who have been elsewhere and want the result done right, professionals who need to look rested without looking done, and anyone whose brow peaks too high on the outer edge from the normal injection technique. The treatment plan, dose and combination with filler are individual medical decisions made during consultation based on your anatomy and goals.
Recovery
There is no downtime. You may have minor swelling or bruising at the injection sites for a day or two. The smoothing effect appears within a few days and reaches full effect in about two weeks. Recovery and activity restrictions are discussed at consultation.
When results show
The smoothing effect appears within a few days and lasts three to four months on average. Maintenance sessions keep the result consistent. When neurotoxin is combined with filler, the lift and projection from the filler support the smoothing effect of the neurotoxin, and the result reads as one sculpted frame.

Signature procedures

Only at Emer.

Face / jaw

MAX-JZ

Dr. Emer's male jaw and face sculpting: a sharp mandibular line and defined angles, built with structural filler, debulking liposuction with internal heating, and hidden-scar neck lifting when the anatomy calls for it.

Peptides / biologic optimization

RECODEX™

Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.

Body / AETHRAFORM top tier

MAXORIS™ APEX

The top tier of MAXORIS™ body sculpting: high-definition liposculpture, fat grafting and internal tightening, planned as one masculine geometry rather than separate areas.

From Dr. Emer's Instagram

The work, as he shows it.

@jasonemermd @recodexsystem

Why Dr. Emer

Sculpting is a craft. He set the standard.

Two decades of results, a global patient base, and techniques other physicians travel to learn.

Dr. Emer built his reputation on outcomes that read as natural at rest and unmistakable in motion. He pioneered facial and body sculpting approaches that are now taught internationally, and he personally performs every procedure in his practice.

Patients come to him when the result has to be precise: people who have been elsewhere and want it done right, professionals who need to look rested without looking done, and anyone who wants the brow lifted without the spock look that most injectors create.

  • MD, FAAD, FACS: board-certified dermatologist and cosmetic surgeon
  • Former Chief Resident in dermatology, Mount Sinai, New York
  • More than 10,000 patient encounters
  • Male facial sculpting longer than anyone in the United States
  • The highest filler volume on the West Coast
  • West Hollywood and New York
About Dr. Emer Schedule Consultation
EMER METHOD™×RECODEX™

Dose and placement

A very small amount in one spot, a much stronger dose in another. The difference between a lifted brow and a spock look is millimeters and microdoses.

Neurotoxin and filler as one plan

Neurotoxin smooths and relaxes. Filler lifts and projects. Together they sculpt the whole frame, not one line.

Treating the whole band

Most injectors treat the upper neck. Dr. Emer treats the entire platysmal band down to the clavicle, which is what tightens the jawline and elongates the neck.

Understanding the anatomy

The frontalus fibers, the platysma, the DAO, the glabella. Knowing where each muscle starts and stops is what allows the plan to work without a trace.

Asked plainly, answered plainly

What patients ask before they book.

How long does neurotoxin last?+

The smoothing effect appears within a few days and lasts three to four months on average. Maintenance sessions keep the result consistent. When neurotoxin is combined with filler, the lift and projection from the filler support the smoothing effect of the neurotoxin.

Will I look frozen?+

No. The goal is a lifted, rested look that reads as natural. You will still have expression, just without the lines and the droop. Dr. Emer's technique places the neurotoxin in very specific doses and locations to lift the brow and smooth the forehead without the frozen look.

Do I need filler too?+

It depends on your anatomy and your goals. Neurotoxin smooths and relaxes. Filler lifts and projects. Together they sculpt the whole face, which is often the better plan. Dr. Emer's approach treats the brow, eye, jawline and neck as one sculpting plan, not a list of separate injections.

What is a Nefertiti lift?+

Neurotoxin placed along the entire platysmal band, all the way down to the clavicle and across. It elongates the neck and tightens the jawline by allowing the fibers of the platysma that come up on the face to strengthen and pull up. Most injectors treat only the upper neck, which is why Dr. Emer's technique gives a more complete result.

Why does the normal technique give me a spock look?+

The classic spock look happens when the muscle pulling the outer brow up is left alone while the rest of the forehead is treated. Most injectors are trained not to place neurotoxin laterally and high by the tail of the brow. Dr. Emer places a very small amount there, then a much stronger dose in the glabella and edge of the eye, which lifts the tail and smooths the forehead without the peak.

What is DAO Botox?+

Neurotoxin placed in the DAO, the muscle that pulls the corners of the mouth down, and the jowl. It lifts the lip a little and allows the muscles of the cheek to compensate and pull up, elevating the midface. Published studies support this technique.

Is it about the unit cost?+

No. It is about where the neurotoxin goes, how much goes into each spot, and what the plan is for the whole face and neck together. The difference between a lifted brow and a spock look is millimeters and microdoses. Dr. Emer's technique is built on two decades of results and is taught to physicians internationally.

Can neurotoxin tighten my jawline?+

Yes, when the entire platysmal band is treated all the way down to the clavicle and across. That is a Nefertiti lift, and it elongates the neck and tightens the jawline by allowing the fibers of the platysma that come up on the face to strengthen and pull up. Filler in the back of the jaw and projection of the chin also supports the jawline.

Find out what your face can carry.

A consultation with Dr. Emer covers your anatomy, your goals, and whether neurotoxin, filler, or both fit your plan.

Schedule Consultation

West Hollywood and New York City

Dr. Jason Emer West Hollywood · New YorkSchedule Consultation