Still Have Faint Forehead Lines After Botox Doctor Answers, Tips
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Still Have Faint Forehead Lines After Botox

I had botox done about 2 1/2 weeks ago on forehead and bunny lines. The middle area of my forehead is "frozen" but I can still see faint lines. Is this normal? Will they go away in time? My doctor said to exfoliate the area because it is the new skin coming in that will be void of lines. Is this correct? And if so how long do I have to wait before exfoliating? (I had my touch up on Tuesday) Thank you!!

18 Doctor Answers | Asked by lizzie1978 in Ontario, Canada
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Combining Botox With Other Treatments for Best Effects on Diminishing Wrinkles

Lines, wrinkles and furrows often have two components to them. One is a static component, i.e. lines that we see when the face is at rest. The second is a dynamic component, i.e. the wrinkling that we see with movement of the muscles of facial expression.  In youth, when we smile, scowl, or raise our eyebrows, the force of the movement of our facial expression muscles is countered by the presence of normal and healthy collagen and elastic fibers. After years of sun exposure and... more
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Remaining Lines After Botox

Expression lines on the face develop after years of muscle contraction in combination with aging skin.  Botox can help relax the muscles so that the lines can improve.  It takes time for the lines to improve completely.  In some cases where the lines are very deep, they may never totally go away.  In those cases, sometimes filling agents are used in conjuction with Botox. An analogy can be made to a sheet that has been folded up in the back of your closet for... more
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Forehead lines remaining after Botox need filling in or peeling off

If the lines are still there after botox or dysport then you need a filler to fill them in or a chem peel to peel them off or both.  Just exfoliating with a cream doesn't usually do it.

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Botox will relax lines, but may not completely remove them

Your experience is one that many patients have, since Botox works best on dynamic wrinkles (wrinkles with facial motion) rather than static wrinkles (wrinkles at rest). Lines that were years in the making may not be improved with just one treatment, but patients often find that after repeating Botox every 3-4 months for a few sessions, these lines at rest may begin to diminish as well.  They may not completely disappear however, but they won't continue to worsen either.... more
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Botox takes a while to work

Creases in the forehead have been formed over many years of contracting the muscles. Once the muscles stop contracting, the lines can take quite a while to disappear in some patients.  If you continue to maintain the inability of the muscles to contract by having repeat Botox before the muscle wakes up ( around 3 to 4 months), the lines should continue to improve.  Patients who have suffered a stroke which affects their forehead may display one side of the forehead that is very... more
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Botox for Forehead lines

Botox usually works very well for forehead lines. Allow at least 7 days for the full effect and any residual lines may be related to residual muscle activity which may require some additional botox. However, if there is little to no movement in the region treated with botox and there is residual lines, then you may be a candidate for the additional of soft tissue fillers or fractional ablative technology, such as fractional CO2, Fractional Erbium or Fractional RF. Of course, you... more
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Likely will Not Go away

If you start BOTOX before you develop any lines then you can prevent them from occurring for a long time. However if you already have lines, they will always come back once the BOTOX wears off. If they are moderate lines BOTOX will help diminish them but they will not disappear. If you have very faint lines usually BOTOX will make these go away, but once it wears off they will return. An alternative method to treating lines are use of fillers or laser resurfacing.
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Botox for forehead wrinkles

Botox is great for relaxing muscles and minimizing the appearance of wrinkles but sometimes there are limitations because the muscle has been used over many years and consequently the wrinkles associated with it are deep. The wrinkles that are most likely to still be present after adequate treatment with botox are those that are present at rest. A filler may help to minimize the appearance of these lines. This in conjunction with Botox to prevent further deepening of the lines will... more
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Wrinkles still evident after Botox

The main goal of Botox and Dysport is to temporarily stop the muscles ability to move and create wrinkles.  Once the wrinkle has formed,  you will need more than Botox to erase the line.  Depending on the depth of line/wrinkle, you have several options.  Topicals with Tretinoin (Retin-A), Alpha Hydroxy Acids and Vitamin C are great home products to reduce the appearance of wrinkles but it does take time and patience.  If you are looking for an faster result,... more
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Options for persistent wrinkles after botox

As you know, botox relaxes hyperactive muscles that cause wrinkles by repeatedly folding the skin with expression. Over time these may become "etched in" so that botox will not erase them completely. Some people find that acceptable because it is a more natural look, but there are options for further treatment. In your case it sounds like the botox did its job in terms of relaxing the muscle. I would advise waiting another few weeks because sometimes the etched in lines... more
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Skin wrinkles remain after Botox

Botox relaxes the facial muscles that are the cause of wrinkles, but it has no direct effect on the skin. Wrinkles that are visible when the underlying muscles are fully at rest are "etched in the skin" and will not improve unless the skin is directly treated by other modalities. Injection of a filler substance such as hyaluronic acid (Restylane, Juvederm) into the skin will temporarily smooth the wrinkles, but long-lasting improvement requires skin resurfacing, which is best done... more
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Botox helps lines of expression

There are two types of wrinkles.  Dynamic wrinkles, which get worse with facial expression, and static wrinkles that are there even when your face is relaxed.  Botox relaxes muscles and improves dynamic wrinkles.  The lines that are there even when your face is relaxed, will still be there.  If you keep getting Botox, over time the skin will regenerate and the fine lines may also improve.
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Faint forehead lines after Botox

Photo would help. But try either more Botox or a filler directly into the lines, such as Restylane or Juvederm. This should alleviaye the fine lines. Even a light TCA peel could help. From MIAMI Dr. B
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Normal and fixable

The main reason this occurs is that if this was the first time Botox was injected in that area. There are two options to rectify this. One, is to wait and see. The second Botox treatment, which should be performed the minute you start noticing movement back, should take care of it since the skin will undergo the normal changes. Second, is to be more proactive about it. That could be filled in with either a hyaluronic acid filler that will fill in the spaces rightfully or using a... more
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Add hyaluronic acid filler

When sun damage is present, the relaxation of the underlying muscles alone cannot totally remove wrinkles. Fillers can give immediate improvement over and above the Botox effect. Laser is another option, but might involve downtime, depending on the laser used. After several times using Botox, the smoothing of the wrinkles will be better, especially if you add sunscreens and retinoids to your skin care.
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Botox and persistent forehead lines

Botox is a "neuromodulator". What that means in layman terms is that it acts to weaken or paralyze the muscles that are responsible for creating the lines on top of the muscles. By placing botox into the muscles, the lines tend to soften because the muscles can no longer pull the skin edges up or down. However, over time just like a deep wrinkle on a shirt or blouse, the line becomes engrained in the skin. Botox only makes the lines less deep. However, with continued use of the... more
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Botox is not about freezing the forehead

If you still have lines, perhaps either you don't know what to ask for or your doctor does not know how to help you.  The most important thing to understand about BOTOX is that it should not be used to freeze the forehead.  Sure done densely enough there will be very few forehead lines.  On the other hand your eyebrows will drop line stones (think Marcia Cross).   What one really needs is a BOTOX forehead lift.  While this opens the eyes, and reduced the... more
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Botox and Wrinkles

Botox is just a paralytic - it just paralyzes the muscle underneath.  Unfortunately, the wrinkles have formed over thousands of times as the skin folds in that area.  Paralyzing the muscle prevents you from making them, but in some people, the wrinkles can still be seen.  If they are fine enough, then something to exfoliate them may work well.  However, if they are still visible, you may need some sort of filler ( juvaderm or restylane) to help hide them.  In terms... more
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