Treating forehead wrinkles with Botox or Dysport

An angry look can be caused by knitting the brows or pulling the eyebrows together when we concentrate or frown. This condition can be treated with Botulinum Toxin A in the form of Botox or Dysport. The goal is to relax those muscles that make us frown. Too much relaxation of too many facial muscles can make us look weird, but losing the ability to frown just makes us look relaxed and takes away that "angry" look.

Forehead wrinkles are typically dominated by dynamic nature of your expression where facial muscles are intentionally as well as involuntarily contracted. Botox or Dysport will do a fine job relaxing these set of muscles with precise injections performed by a board-certified dermatologist or plastic surgeon. Touch-up treatment may be considered using fillers such as hyaluronic acid to fill in the static lines, i.e. wrinkles that are evident at rest. Sculptra may be used by an experienced physician with advanced expertise to replenish bony structure of the eyebrows and temples to better defy force of gravity. Topical retinoid and/or laser resurfacing may be helpful to address the fine lines and textural changes of the skin on the forehead.

Great question. As a facial plastic surgeon, who is in the top 1% in the country for Botox, I evaluate people for both surgical and non-surgical rejunation. I think you are bothered by what is perceived as an angry look. That may actually be to sagging of the eyebrow.  The position of our eyebrows often tell if we are happy, sad,s urprised, etc. If our brows are down, people perceive that as an angry look. People that have naturally droopy brow will often subconsciously try to raise their brow to get that heavy eyelid skin upward.  When this happens people can develop deep lines in the forward from constantly raising their eyebrows. 

The worst thing you can do for a person like this would be to give Botox/Dydport to relax the forehaed so that they can't raise their brows which would lead to even droopier brows. Make sense? If your brows are in good position then Botox/Dysport would certainly be a good choice.

Good Luck!

There are many treatment options for forehead wrinkles, and the right one for you depends on what you are experiencing. Wrinkles can usually be treated with a Botox or Dysport injection, provided your brow is in a good position already.

These products work to relax the muscles of the forehead, which reduces or eliminates the appearance of wrinkles. However, if your brow tends to droop, relaxing those muscles further will not help much.

If this is the case, or you notice deeper creases or excess skin, a Brow Lift may be a good option. During this procedure, the underlying tissues and muscles are repositioned to eliminate the lines and sagging.

It’s recommended that you visit with a Board Certified Plastic Surgeon to discuss these options thoroughly. Based on what you are experiencing, your surgeon will make suggestions and delineate a treatment plan that works best for your unique situation.