While there are no medication alternatives to Botox, there are procedures which can be done as alternatives to Botox treatment for the lines between the eyebrows.
Lines between the brows can be divided into those that are present at rest or even after Botox administration and those that are created with frowning (muscle motion). Botox will paralyze the muscles and stop the lines created with muscle motion and soften the lines present at rest due to resting tone of the muscles.
For those lines which are present even with Botox administration or at rest, there is an alternative in the Surgiwire procedure. These lines are created by adhesions between the skin and deeper structures. By releasing these adhesions, the lines can be softened or even erased.
Lines between the brows which are created with frowning are due to two muscle groups in the forehead - the procerus and corrugator muscles. An alternative to Botox is removal of these muscle groups which can be accomplished through an upper eyelid incision. While a surgical procedure, it can produce permanent results and end up being cheaper than repeated Botox administration.



