Your concerns result from a ubiquitous human condition.
- We all begin to experience descent of our eyebrows and forehead tissue generally in our late 30s.
- This leads to an unperceived blockage of our vision by upper eyelid skin.
- Unconciously, the forehead muscles contract to raise the eyebrow and eliminate the barrier to full vision.
- This vertical contraction results in the typical horizontal forehead wrinkles you mention.
Botox Cosmetic® can be injected into these muscles to smooth out the forehead but unfortunately, in many people, this can result in lowering of the brows producing and older, angrier look. Should this occur or be likely to occur if Botox is used, it can be nicely corrected with a forehead lift done through small incisions hidden behind the hairline (endoscopic).
The angry look you describe may also come from over active frowning muscles just above the nose (corrugator and procerus muscles). This problem is generally easily and very effectively managed by Botox injection in this area.
For Botox non-responders (about 4 % of the general population), or those patients who would like a more permanent correction, these muscles can be weakend at the time of endoscopic brow lifting or upper eyelid blepharoplasty.
None of these interventions, if done correctly, should produce an unnatural or frozen look.
