Forehead wrinkles and Botox: Recommendations for treatment

Raffy Karamanoukian, MD answers: Do new wrinkles require dermal fillers or just Botox?

I am in my mid-30s and have just noticed some new wrinkles on my forehead as I tend to raise my eyebrows a lot. If they are new, slight wrinkles and not deep do you think I will need a filler or should Botox be enough?


Raffy Karamanoukian, MD
11 months ago

Transverse (Horizontal) forehead wrinkles are treated with Botox injection with excellent results.  Botox is a superior product for erasing transverse lines on the forehead.  The clinical efficacy of Botox is far superior to fillers in this area

My recommendation would be to undergo Botox first and then determine if you need additional treatment with more Botox or fillers.

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A: Botox for lines of Movement

Edgar Franklin Fincher, MD, PhD
14 months ago

We all get wrinkles for various reasons.  The ones that tend to dramatically worsen over time are usually caused by muscle movements and these are amenable to Botox.  Botox softens the muscle contractions and shifts the stress from muscle movement to other areas preventing the constant wrinkling in the same spots.

Botox can be used on the forehead lines, the frown lines between the eyes, the wrinkle lines on the nose, around the lips if done carefully, around the eyes for crow's feet.  Some lines that also bother people and are caused by muscle movement are the semi-circular lines out on the cheeks that become more obvious when we smile. These fine to medium lines can not be controlled with Botox without causing a droopy face.  These lines are best treated by laser resurfacing, either fractional, plasma or CO2 lasers.

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A: Botox for forehead wrinkles

Harold J. Kaplan, MD
6 hours ago

The question of whether to use Botox or dermal fillers is one that is based on the area of the face being treated and whether or not the wrinkles are related to muscle action.

Because Botox will relax the muscles that cause these forehead lines, it is the correct choice for this area. Dermal fillers would not be appropriate.

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