Ask a doctor

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 55

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 6 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 117 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

Botox for forehead lines

Botox can be very effective to soften the horizontal lines of the face.  However, if the lines are still present when you are not making any facial expression (i.e. static lines), then I would consider using a thin dermal filler such as Restylane Silk to soften the lines. 

Addressing horizontal forehead headlines.

Botox is one of the treatments that works very well for this particular area.

As simple, and common of a procedure as this is, the decision to undergo a medical intervention should not be taken lightly. When properly executed, Botox injections can be an important adjunct in positively impacting the cosmetic appearance of someone's face.

Consult a board-certified facial plastic surgeon or a general plastic surgeon in your community for this matter.

William Numa, MD, FACS
Boston Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Forehead wrinkles--Botox works like a charm!!

Botox is excellent treatment option for small forehead wrinkles.  If, after several Botox treatments, you are not happy with the amount of wrinkle reduction, you made need to undergo laser facial resurfacing in order to improve the stubborn problematic area.

Clyde Mathison, MD
Knoxville Otolaryngologist
5.0 out of 5 stars 5 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.

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.

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
4.5 out of 5 stars 39 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 9 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.