Wrinkle Treatment: Q&A

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How to Get Rid of Forehead Wrinkles?

People always say I look angry or worried because I have wrinkles on my forehead. Which wrinkle treatments will get rid of forehead lines?

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48 Doctor Answers | Asked by anon
+6

Botox or browlift for forehead wrinkles

Wrinkles across the forehead are usually a sign that your eyebrows are dropping and you are frequently raising your brows to try to hold your eyelids up. This usually begins sometime in the 30s. Sometimes the forehead has dropped so much that the brows can be pushing down on the upper eyelid skin and impairing your vision. If your case is mild, carefully placed Botox can soften the lines by decreasing the ability of those muscles to contract. But, be careful! If you weaken those muscles too... more
+4

Skillful Botox is key for natural results for forehead wrinkles

Because forehead/frown wrinkles nearly always come from the frowning/furrowed brow muscles, the careful use of Botox can nearly always lead to a much smoother, less worried brow. Often, this pattern of a worried look is hereditary and can start to appear even in one's 20's. Starting early with limited Botox (sometimes as little as 20 units makes a big difference in a 20- or 30-something) really helps to prevent the etching-in of these forehead/frown lines. If you've already got... more
+4

Botox for forehead wrinkles or surgery for permanent correction

Your concerns result from a ubiquitous human condition. We all begin to experience descent of our eyebrows and forehead tissue generally in our late 30s. This leads to an unperceived blockage of our vision by upper eyelid skin. Unconciously, the forehead muscles contract to raise the eyebrow and eliminate the barrier to full vision. This vertical contraction results in the typical horizontal forehead wrinkles you mention. Botox Cosmetic® can be injected into these muscles to smooth out... more

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+4

Getting Rid of Forehead Wrinkles

Those bothersome wrinkles in the forehead that we all get as we get a bit older come primarily from the repeated movement of the forehead due to expression; these are called dynamic wrinkles. It is impossible to prevent these, but we are able to get rid of them very nicely with a little Botox. The main goal in doing this is to eliminate the deep wrinkles and lines, but not eliminate facial expression. There are too many people walking around who have overdone the Botox and look like the... more
+3

Botox is all that 90% of people need to get rid of forehead wrinkles

To Marian, 1) Typically, both the horizontal forehead lines and the vertical frown lines between the eyebrows need to be treated with Botox. You will need between 30 and 50 units, and injection technique is very important. You see the full effect in 2 weeks, and patients usually get Botox twice a year. 2) As mentioned by other doctors, if you have deep, etched lines, you may also need fillers (Restylane), laser resurfacing, or a forehead lift. Creams don't help. Start with Botox. You... more
+3

Different forehead wrinkles require different treatment modalities

Forehead wrinkle treatment depends on the underlying cause and extent of damage to the skin. Dynamic wrinkles are those that are present only during animation (active movement of the face) and are best treated with Botox. Botox will temporarily stop the underlying frontalis muscle from pulling on the skin and creating the furrows and wrinkles. A typical treatment will last three months. Static wrinkles are those that are always present even when the face is at rest. If these creases are... more
+3

Botox is the place to start for forehead wrinkle treatment

For patients with dynamic wrinkles (those caused by active movement), Botox is the best, minimally invasive way to address your forehead wrinkles. For static wrinkles (those already present without contracting your forehead muscles), Botox may help soften these wrinkles but will not cause them to completely go away. You may need additional procedures, such as laser treatments, to improve your results. Soft tissue fillers, Juvederm and Restylane, may also be beneficial when used in... more
+3

Botox can treat forehead lines

Vertical frown lines between the eyebrows, and horizontal ('worry') lines on the forehead can be treated with Botox. Permanent removal of frown muscles (aptly named the 'corrugator' muscles) which create vertical frown lines between the eyebrows can be removed at the time of a browlift. This can be done endoscopically, through small incisions behind the hairline directly above the frown lines, or through an upper lid incision if upper blepharoplasty is being performed.
+3

Botox vs. Surgery for forehead wrinkles

Forehead wrinkles are caused by overactive frontalis muscles underneath the skin of the forehead. These muscles are deactivated by a commercially available medicine: botox. Botox works by inhibiting the release of acetylcholine neurotransmitters across the synaptic junction. Once blocked, the muscles are not able to tighten and this minimizes, temporarily, the wrinkles found on the forehead.
+3

Getting rid of forehead wrinkles depends on defining the...

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... more
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Comments (1)

As we age, the soft tissues of the brow descend, just as they do in the face. As this process progresses, this ptotic soft tissue can begin to crowd the upper eyelid skin, and actually reduce the patient's visual field on upward gaze.

To compensate for this, patients often unconsciously fire their frontalis muscles to lift this sagging tissue up, and in so doing improve their field of vision. However, this constant action of the frontalis muscle can produce significant transverse wrinkles across the forehead.

Many people think that these lines can be adequately treated by botox. It is true that the botox may soften the wrinkles somewhat, but, in fact, because botox weakens the frontalis muscle, it's use in a middle-aged patient with significant brow ptosis will only aggravate this problem.

The definitive treatment for brow ptosis is a brow lift. In our clinic, we perform an endoscopic browlift with endotine fixation, which produces a significant and long-lived elevation of the brow, while leaving small scars that are hidden behind the hairline.

This procedure will also dramatically improve the transverse forehead wrinkles, and with some additional dissection, the wrinkles that make up the "frown lines" can also be significantly softened, which can result in an even more dramatic improvement for the patient. The take home lesson here is that it is very important to understand the etiology of the wrinkles you are treating, and to know when something other than botox or fillers is needed to adequately address the underlying anatomical issues.

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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.

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