Yes, Botox can paralyze frown lines

Kenneth D. Steinsapir, MD answers: Can botox totally paralyze my frown lines?

I am 22, and have in the past 2 years gotten into the habit of furrowing my brow almost all day. The muscles have now achieved a life of their own, and are constantly working against my will. I look strange - young looking skin, yet with very noticeable furrows on my forehead. I want to TOTALLY paralyze the muscles between my eyebrows, so that not only will the lines go away, but hopefully with paralyzed muscles for up to a year I'll be cured of the habit. What do you suggest? Can botox totally paralyze my frown lines?

Kenneth D. Steinsapir, MD
12 months ago

Dear Sbim

The worry lines between the eyebrows are often frozen with the standard treatments. This worry line area is actually the indication for which BOTOX received FDA approval. Freezing the forehead is another matter. When too much BOTOX is used on the forehead the eyebrows fall. This is generally a less desirable result.

The liquidfacelift.com website is a good place to look for a reputable injector. The doctors specialty should be one of the core specialties: Dermatology, ophthalmology, otolaryngology, or general plastic surgery. Your treating physician will assess you and determine the best approach to help you achieve your goal.

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A: Botox and frown muscles

Brent Moelleken, MD
12 months ago

Botox, carefully applied, can probably stop your frowning. With a little effort on your part with biofeedback, you may able to break or at least minimize your tendency toward heavy frowning.

There is a delicate balance in the forehead and frown muscles affecting brow position, facial animation, as well as risks, benefits of the injections, so definitely discuss those with your doctor prior to proceeding.

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A: You can relax the muscles and over time, you can minimize movement greatly

Don Mehrabi, MD
12 months ago

Thanks for your question.

Botox will only relax / paralyze the glabellar muscles for approximately 4 months, and some cases, slightly longer. However, these effects are temporary, and your muscles will again regain their ability to make those frown lines. Doing Botox regularly over time will cause these muscles to atrophy and become weak, and thereby not be able to strongly produce your frown lines anymore.

Although you are young, and some may think it might be early for you to do Botox, I don't agree and think that doing Botox now is the best way to prevent getting lines you truly dislike. My advice is to do Botox regulary, every 4 months or so, for the first year, then start spreading the injections out to 4-6 months as the muscles have weakened. The best time to do Botox for you is when you start noticing the muscle movement returning.

Hope this helps and good luck!

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A: Botox for freezing frownlines

Harold J. Kaplan, MD
2 months ago

Hi Sbi,

If your frown lines are not visible when you are not frowning, then it's a fairly certain assumption that Botox will solve your issue. If the lines are there even when you are not frowning, then there is a possibility that removing the frown lines would involve a combination of dermal fillers and Botox.

We're guessing by your age that you will probably only need Botox, but find a reputable Botox practitioner near you to find out for sure. Once you start, you will need to visit about 3-4 times per year to maintain your results. Good luck.

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