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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?

Asked 35 months ago by mandapanda in worcester, usa
Sort 35 expert answers by:
+1

Botox for Forehead Lines and Creases

If the lines that you are describing become more apparent when you lift your brow upward, then you are a good candidate for Botox. Botox works to relax the muscles that cause these wrinkles. By relaxing the muscle contraction, the area smooths and the lines are less visible or not visible at all. The results typically last about 3-5 months and we use about 15-25 units in this area depending on your sex, the musculature of the face and how many lines are present.
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
+3

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.
Suzanne Kim Doud Galli, MD, PhD
Washington DC Facial Plastic Surgeon
+2

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... more
Shahram Salemy, MD
Seattle Plastic Surgeon
+2

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. Yours, Scott Sattler MD FACS more
Scott Sattler, MD
Bellevue Plastic Surgeon
+1

Botox or Juvederm Work Well For Horizontal Forehead Wrinkles

Minute doses of precise Botox works very well for forehead lines. The level of the eyebrows needs to be checked as too much weakening of the muscle can cause eyebrow, or eyelid skin droop. Small doses of Botox over multiple areas is very verry effective. Eyebrow balance is necessary, and to prevent droop, Botox may need to be given to the crows feet, or eyebrow area. In certian cases the best choice is direct filling of the forehead lines with Juvederm, as this does... more
Keith Denkler, MD
Marin Plastic Surgeon
+1

Botox works great for forehead lines

Botox works wonderful for forehead lines, but it can give you brow ptosis, or droopy eyelids. If you already have brow ptosis you may not want to use Botox.
David Finkle, MD
Omaha Plastic Surgeon
+1

Botox effective for transverse forehead lines

Botox is a truly effective treatment for transverse, active forehead creasing. It's inexpensive and has a very high patient satisfaction rate. I observe the forehead to determine whether the appropriate treatment is Botox or a facial filler. EIther way, the results are impressive. Some patients have these lines, even at early ages so your idea of pursuing this treatment is completely appropriate. Best of luck.
Robert L. Kraft, MD
New York Plastic Surgeon
+1

Treatment Of Horizontal Lines

Botox is an effective way to treat dynamic, horizontal lines. However, caution must be excercised on why the lines are created. If we use our forehead to hold up our brow, then Botox is not the treatment of choice. A forhead lift would be a better treatment. Another consideration, are the lines still present (static lines) when the forehead is relaxed? If they are present, use of chemical peels, Retin A and alphahydroxy acids will help minimize these lines... more
Kirk A. Churukian, MD
Los Gatos Plastic Surgeon
+1

Botox for Forehead Lines and Wrinkles

Thank you for your question. Forehead lines and wrinkles can safely and effectively be treated with Botox or Dysport (alternative brands of botulinium toxin). Botulinium toxins inhibit muscle contraction which minimizes the appearance of overlying skin folds and wrinkles. Horizontal lines on the forehead are caused by repeated activity of the underlying muscle (frontalis) making then an ideal target for Botox/Dysport. In our San Francisco Bay Area practice we commonly treat forehead... more
Steven H. Williams, MD
San Francisco Plastic Surgeon
+1

Botox for Horizontal Forehead Wrinkles Works Well

In my practice, the forehead is the second or third most popular area to get Botox, just after the glabella (area between the eyebrows) and crow's feet (squint lines next to eyes). Botox works very well to relax and soften the horizontal wrinkles of the forehead. Done correctly, you should still be able to raise your eyebrows when you are surprised. Find a well-experienced, board certified doctor if possible.
Steven Svehlak, MD
Los Angeles Plastic Surgeon
+1

Botox for horizontal lines

Yes Botox works wonders for horizontal lines in the forehead area. Make sure to choose a Doctor or nurse who has advanced training in Botox. Our nurse has advanced training and has worked with our patients for 10 years now. New clients $10.00 per unit for the first visit.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

Botox for Horizontal Forehead Creases

Horizontal forehead creases are an excellent indication for Botox. Treatment in this area is a little bit more complex than the glablella (frown lines) and periorbital area (crows' feet) so make sure the doctor performing the treatment has extensive experience in treating foreheads. Many factors come into play such as forehead height, shape and height of eyebrows, prominence of lines, etc. As a result to get the best result and avoid lowering the eyebrows or eyelids or getting an... more
Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
+1

Botox for forehead lines

Botox can certainly work for creases and lines on the forehead, smoothing them significantly. Typically on the average, I do about 10 to 12 units on the forehead but the units might be higher than this depending on how big the forehead is and the severity of the lines. Have a professional do this for you because the method and pattern of injection are very important, especially if more than 10 units are injected in the forehead. If not performed properly, you will feel a very heavy forehead.... more
Ben Behnam, MD
Santa Monica Dermatologic Surgeon
+1

Botox to reduce lines and wrinkles in the face

I have been using Botox to reduce lines and wrinkles in the face, including the forehead for over 20 years and yes, Botox or Dysport works great for reducing the horizontal lines of the forehead.  This is a large area and will require more units of Botox than say the Crows Feet or the Glabella if your forehead has many or very deep lines. You may also initially want to avoid having the Botox placed to close to the eyebrows to avoid eyebrow droop.
Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
+1

Botox for Horizontal Wrinkles of the Forehead

Botox works beautifully for the horizontal wrinkles of the forehead. Wrinkles of this nature are caused by expression or animation of the face, such as raising the eyebrows in suprise, and over the years these become apparent even when the face is relaxed.  Botox works to weaken or paralyze the muscle so the lines soften and will ideally dissapear.  I hope this answers your question. Kindest regards, Neil J. Zemmel, MD
Neil J. Zemmel, MD
Richmond Plastic Surgeon
+1

Botox works for forehead lines

Botox for forehead lines is definitely very effective.  The most important issue is to avoid over-correction, which will weaken the forehead muscles excessively, causing the eyebrows to drop somewhat and feel heavy. 
Roger J. Oldham, MD
Bethesda Plastic Surgeon
+1

Botox for transverse forehead lines

Botox works well for transverse forehead lines presuming the lines are dynamic, not static.  To tell the difference, if the lines are present when your face is completely relaxed, the lines are static and the benefit of botox is going to be minimal.  However if you see no lines on your forehead when your face is at rest, the wrinkles are dynamic, that is caused by the contraction of the muscles, then relaxing those muscles with botox will smooth out your forehead. Botox... more
Emily Altman, MD
Short Hills Dermatologic Surgeon
+1

Botox can minimize forehead wrinkles

Botox can definitely relax the forehead muscles and diminish horizontal lines there.  You need to have a surgeon evaluate you first as some people depend on the forehead muscle to routinely elevate their upper eyelids.  Cases like that might only be able to have "Baby Botox" injections as a compromise.
Darrick E. Antell, MD
Manhattan Plastic Surgeon
+1

Botox does work on forehead lines, HOWEVER.....

I am always careful not to automatically inject a patient's horizontal forehead lines until I watch him or her in natural conversation and get to know his or her face. Some patients always use forehead muscles subconsciously to elevate their brows and "keep their eyes open" while speaking. These patients will be very unhappy if Botox used to smooth their forehead makes their brow feel heavy and lids droopy. I use a "Botox Browlift" in this situation first, and... more
Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon
+1

Botox Works for Horizontal Forehead Lines

Botox is a very effective, safe, noninvasive, albeit temporary treatment for horizontal forehead lines (frontalis muscle). I generally recommend treatment of the glabella (11's) along with treatment of the frontalis muscle; the muscles of the glabella (corrugator supercili and procerus) can be recruited when they are active and the frontalis muscle has been treated with Botox. This leads to a rather strange appearance.
Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
+1

Forehead wrinkles

Botox works terrific for horizontal forehead wrinkles. These wrinkles are causes by resting (passive) and motor (active) animation of the forehead. Even if you have a brow lift proceedure you will still have motor activity in your muscles which will begin to work against the good results of your surgery. I start my browlift patients of botox usually 6-9 months after the browlift surgery . In younger patients who are not browlift candidates botox therapy can hopefully delay the need... more
Richard Galitz, MD
Miami Facial Plastic Surgeon
+1

Botox a great choice

This is my treatment of choice for forehead because it is both non-invasive and safe. Also, the temporary nature of Botox gives you a greater degree of control than more invasive techniques do.
Daniel J. Ladd Jr., DO
Austin Dermatologist
+1

Botox works beautifully on the Transverse Forehead Lines

Tranverse forehead wrinkles are caused by the repeated shortening of the muscle which lifts the brows "opening" the eyes. The extreme example of this is the REALLY surprised look. Weakening this muscle will smooth the wrinkles. However, weakening the Frontalis muscle must be done very carefully since many people have these wrinkles because they have excessive forehead skin that needs to be held up for them to be able to see. In such cases, the muscle works extra hard all the... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Forehead lines have multiple causes

The forehead lines can be improved with Botox, but unlike smile lines, it takes a very thoughtful analysis of what is creating the lines: Are the lines created by the forehead muscles trying to hold up a droopy brow ?  If this is the case - botox injection will create a lower brow.. Are the lines due to heavy upper lids or seperation of the muscle that holds up the lids and the forehead muscles are trying to compensate?  If this is the case using botox will create... more
Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon
+1

Botox for horizontal foehead creases

The horizontal forehead creases are caused by the forehead muscles pulling the eyebrows up.  You may naturally be very animated or you may have droopy brows and need them up in order to see well.  If you aggressively treat the lines with Botox, your brows will remain in a low position (pulled down by gravity).  You may not be able to look surprised!  Alternatively, you will remain tired looking or have difficulty seeing if you need your brows up.  In some cases,... more
Randy J. Buckspan, MD
Austin Plastic Surgeon
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