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Does Botox Work on Horizontal Forehead Creases?

I am 38 years old. I am desperate to find a non-invasive procedure to help reduce the lines going accross my forehead. I have four (two are very small) but am very depressed about how old I feel I look because of them. Does Botox work on this type of crease?

Doctor Answers (52)

Botox is fantastic for forehead lines but consider skin care too


Botox treatment for dynamic wrinkles on the forehead is a great option for achieving a more youthful and relaxed appearance.

Another thing to consider is skin care. Products like Retin-A and alpha hydroxy acids help the skin to turn over more rapidly, thereby improving skin quality. They help reduce finer wrinkles and take the edge off of deeper wrinkles.

Washington Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Botox is an excellent choice for softening of these...


Botox is an excellent choice for softening of these forehead lines, but it's important to have a surgeon perform the procedure who understands the amount of Botox that will be effective as well as the pattern of injection to use. If the procedure is not done properly, it can leave you with an uneven position of your eyebrows or even drooping of your eyebrow or eyelid. So as with any procedure, do your homework, ask to see some Before and After photos, and pick the doctor whom you feel the most comfortable with.

Shahram Salemy, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 107 reviews

Botox works beautifully for transverse forehead rhytids...


Botox works beautifully for transverse forehead rhytids - brow wrinkes.

You should be treated by a qualified injector; I would suggest a plastic surgeon, as they generally understand facial muscle anatomy better than other providers.

You can expect the result to last 3-5 months, and then a retreatment will be needed if you like the result and wish it to continue. It should cost you about $400-500 per session, depending on where you are treated and by whom.

Scott Sattler MD FACS

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 40 reviews

Botox for the forehead

Botox works very well on the horizontal lines of the forehead.  In fact, I would say that it works best in this area.

Gary Lawton, MD, FACS
San Antonio Plastic Surgeon
5.0 out of 5 stars 25 reviews

Botox for the Forehead


It's not unusual for patients to request treatment of  horizontal forehead wrinkles. These wrinkles are caused by contraction of the frontalis muscle which is an elevator of the brow. When botox is strategically injected in the forehead, relaxation of this muscle occurs. This results in significant improvement in forehead wrinkles.

This treatment is associated with dramatic clinical improvement and high levels of patient satisfaction. If you're concerned about transverse forehead wrinkles botox is an excellent treatment option.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 99 reviews

Botox for forehead lines

Botox is excellent for treating forehead wrinkles.  Botox works to "freeze" the muscle that causes these lines.  If this muscle is unable to move, these lines are less likely to form, and, even better, less likely to worsen and become deeper over time.  Keep in mind if the lines are still present at rest, the Botox may not completely smooth these lines.  Botox is most effective for treating "dynamic" lines caused by muscle movement.  Combined with a good skincare regimen, Botox should be extremely beneficial.  An experienced provider can evaluate your skin and determine the best treatment plan for your needs.

Kent V. Hasen, MD
Naples Plastic Surgeon
5.0 out of 5 stars 32 reviews

Botox can not only help but prevent forehead lines

Yes, Botox is great for dynamic wrinkles, but Botox can also help prevent forehead lines from forming. Over time, with repeated injection, static lines (pre-existing lines) can also soften. As Dr Galli suggest, don't forget your skin care regime of vitamin As, Bs, and Cs as well as AHAs and Lactic acids. 
First time users of Botox may get a transient headache in this area, but it disappears after the first treatment. Expect the results to last 3-5 months. Oh, another thing... you will sweat less in this area as well!

Davin Lim, MBBS, FACD
Brisbane Dermatologist
5.0 out of 5 stars 2 reviews

Botox for Forehead Lines

Botox helps to soften the lines in your frown area and forehead. The exact treatment designed for you will be determined in consultation with your cosmetic physician. If the wrinkle is permanent, even when your face is relaxed, you may also require filler.

I also recommend seeing a medical aesthetician and skincare expert who may be able to help reduce the appearance of those wrinkles with another option. Laser skin treatments or micro needling may help.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 75 reviews

Botox is an excellent choice for horizontal forehead wrinkles

Botox is an excellent choice and will help you.
At 38, you may not need any more than about 8 -10 units of Botox.
As a part of maintaining your skin health high grade cosmeceuticals can help maintain the youthful appearance of the skin. It is best you consult with a Doctor who can offer all the options so that you get a holistic and balanced view

Naveen Somia, MBBS, PhD, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 33 reviews

BOTOX® alone or with other treatments is great for forehead wrinkles.

Although there are a lot of uses for BOTOX®, the forehead area is one place where this treatment really shines. Forehead creases are dynamic wrinkles that are typically caused by repeated muscle movements, and this is what BOTOX® was designed to treat—specifically, by temporarily paralyzing those muscles. However, very deep creases may require some additional complementary treatments, such as dermal fillers or resurfacing. For any use of BOTOX®, it’s very important to use a skilled injector, as the injection process is more complex than it might seem and needs an experienced hand for the best results.

Joseph J. Castellano, MD
Tampa General Surgeon
4.5 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.