Permanent Solution for Forehead and Eye Wrinkles? Doctor Answers, Tips
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Permanent Solution for Forehead and Eye Wrinkles?

My husband is in his late 30s and has severe wrinkles around his eyes and forehead. He is very expressive and his wrinkles are getting bad so quickly.

He has done Botox and it helps, but it is very expensive for him. They use so much with him that it is usually around $500-700 and only last a few months.

We just can't afford to that 3x a year plus some of the other stuff he is doing. Is there a more permanent option that he could be working toward (Blepharoplasty and Forehead lift) or is just Botox?

9 Doctor Answers | Asked by jcutter in Georgia
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Solution for forehead and eye wrinkles

One of the goals for a forehead lift is to soften the forehead wrinkles caused by the frontalis muscle. When patients raise their eyebrows, furrowing occurs in a horizontal fashion across the forehead. If the muscle is very strong and patients continue to contract that muscle, dermal atrophy will result. Botox is a good alternative as a conservative measure, but when that fails or patients do not wish to undergo Botox any longer, a forehead lift can be performed to soften the frontalis... more
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B

Be very careful when asking for a brow lift, you might get it. If you look up brow lift results in published papers and before and afters you will see that many surgeons successfully lift the brow. Unfortunately a true brow lift makes patients look scared or surprised! It is almost never necessary to elevate the medial third of the brow. Many women actually benefit aesthetically from a slight lowering of the medial third. On the contrary, there are few women... more
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Forehead and eye wrinkles

The surgical clipping of the corrugator and procerus muscle does diminish forehead movement for a longer period of time than botox injections. Even the surgical procedure doesn't always last forever though, but it is a good thing to try for the really expressive forehead with lots of wrinkling. The crows foot area, on the other hand, is much more difficult to treat surgically and my best advice would be to continue botox for that area. Your husband should consult a plastic surgeon for a... more

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Forehead and Eye Wrinkles

The corrugator muscles can be interrupted in the forehead if the wrinkles are between the eyebrows. A browlift can be be done simutaneously if brow ptosis is present. The laugh lines lateral to the eyes can be improved with the browlift. If the wrinkles lateral to the eyes are present without animation, they can be softened with filler injections.
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Solutions for forehead or brow lifting and alternatives to botox

As stated there are options available such as Forehead lift with or wtihout corrugator resection. Brow lifts can be achieved using at least 5 different approaches transblepharoplast (throught the eyelid) direct (above the brow) through an existing line in the forehead in front of the hairline in the hairline (coronal) endoscopic limited incision (temporal) Approaches can pass over the bone, under the muscle or under the skin. The best option for your husband will be determined after... more
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Permanent solution for forehead and eye wrinkles

Forehead wrinkles and many of those around the eyes are caused by descent of the brow. This is frequently compounded by skin form the brow crowding the upper eyelid and reducing the superior visual field. The frontalis muscle attempts to correct this by pulling the brow back up to where it belongs. This causes multiple wrinkles in the forehead. Botox can reduce the wrinkles by preventing the frontalis muscle from contracting, but it does not correct the underlying problem. Correcting both... more
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Forehead wrinkles are sometimes from low brows or extra eyelid skin

Botox is a good treatment to relax frown lines, brow lines and crow's feet. Patients seeking a longer lasting result may be a candidate for surgery. The frown lines can be softened by surgically removing some of the muscle called the corrugator. Horizontal lines may be from the need to hold up ones brow to keep drooping eyebrows or overhanging eyelid skin from leaning on the eyelashes. in that case, a browlift or blepharoplasty is the surgical alternative. I suggest you seek a consultation... more
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Permanent smoothing of Forehead Wrinkles

Forehead lines are caused by the shortening of the underlying Frontalis muscle lifting the brows upwards. If the brows are low, then a brow lift would greatly place the brows just at the upper rim of the orbits making constant upward pulling unnecessary, it will refresh the forehead and smooth it. The result would last many years. A Blepharoplasty will not smooth Crow's feet wrinkles and Botox remains a great modality for this purpose. Dr. P. Aldea
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Permanent elimination of forehead wrinkles

Botox works by weakening the active function of muscles. A surgeon can permanently disable or remove the same muscles to produce a long-lasting effect especially if the Botox has been proven to produce the results he wants without any disadvantage. The wrinkles of the forehead are more easily eliminated while the ones around the eyes themselves are more difficult since some of these same muscle are necessary to close the eyes.
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