20 months ago
Getting rid of forehead wrinkles depends on defining the cause of the wrinkles. Some forehead wrinkles are due to motion of the muscles of the forehead and some are due to tethering of the skin to the deeper structures in the forehead.
For instance, some people, without even realizing it, always act to pull up their eyebrows so they can see. This creates forehead wrinkles. Other people are very animated and can use their forehead muscles in making expressions which can create wrinkles.
There are several treatments for forehead wrinkles:
- Botox - Botox works by paralyzing the muscles of the forehead. It can take 20-40Units to fully paralyze the main muscle of the forehead, the frontalis muscle. Once paralyzed, wrinkles caused by contraction of that muscle will fade. Unfortunately, they will return with return of function of the muscle.
- Forehead or brow lift - This surgical procedure can help in two ways. First, by elevating the brow and placing it into a more natural position, some people will no longer contract the forehead muscles to elevate the brow. Second, by pulling the skin and deeper structures tighter, some wrinkles can be smoothed.
- Ablative skin resurfacing - Using CO2 or erbium lasers, newer plasma technology, or deep chemical peels, forehead wrinkles can be improved by removing the outer layers of skin and promoting collagen tightening.
- Fillers - Several fillers on the market today, including the popular hyaluronic acid fillers such as Juvederm, Restylane, and Perlane, can fill in individual lines. Again, this effect is temporary and would need to be repeated every 6 months to a year.
- Microdermabrasion - This procedure is good for taking off the outer layer of skin cells and exfoliates the skin. It can help with very fine lines but is unlikely to do much for deeper wrinkles.
As always, a trained and experienced physician can determine the cause of the wrinkles and suggest a course of action likely to produce the desired results.
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