Treatment for horizontal forehead wrinkles?

I was told by my plastic surgeon, that Juvederm would not "effectively address" the horizontal wrinkles that run across my forehead. These lines are not deep, but they are very noticeable. If a combination of Botox and Juvederm won't work to reduce these wrinkles, then is there an injectible treatment for them? What are my other options?

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13 answers to “Treatment for horizontal forehead...”

A: Horizontal Forehead Wrinkles

By Daniel Reichner, MD - Orange County Plastic Surgeon

I don't agree with your doctor unless you have absolutely no response to Botox. Most of my patients have a combination of Static and Dynamic Forehead wrinkles. I always start with 30 to 40 units Botox in the Forehead, but I have no problems using hyaluronic acid fillers which can help soften these... more

A: Fillers do not work well in this area

By Ronald Shelton, MD - Manhattan Dermatologic surgeon

Fillers do not work well in dynamic lines such as the forehead creases because every time you contract the muscle the skin pleats. The filler would tend to spread next to the crease and might make it look deeper, or if it does look good at rest without raising your forehead, you might see the filler... more

A: Horizontal Forehead Wrinkles are Treated with Botox

By Raffy Karamanoukian, MD - Los Angeles Plastic Surgeon

Horizontal forehead wrinkles are known as dynamic 'laugh lines,' as they arise from animation of the face (namely lifting of the forehead muscles). Since these are dynamic wrinkles and not static (wrinkles while laying still), they are best addressed by Botox. Static wrinkles are present at rest and are... more

A: Injectables vs. surgery

By Steven H. Williams, MD - Bay Area Plastic Surgeon

Assuming you do not have significant brow and lid ptosis then Botox would probably be the first thing to try. Be advised that if you do have a lot of sagging tissue over your brow and lids that your frontalis muscle (the muscle over your forehead) is likely helping to keep skin out of your visual fields. ... more

A: Botox then fillers

By Richard P. Rand, MD - Seattle Plastic Surgeon

As you can see, Botox is the primary treatment for forehead lines because it paralyzes the muscles that cause the wrinkles. IF you have practiced these wrinkles long enough, they becaome permanent and might also need some fillers to improve them. Chemical peels and laser resurfacing and browlifts... more

A: You may need a brow lift

By David Shafer, MD - Manhattan Plastic Surgeon

If you have horizontal wrinkles which are only present with animation of your brows, then Botox will take care of them. If the wrinkles are there at rest, then you may need a combination of filler and Botox. However, if you have significant wrinkles at rest, the you may actually benefit from a brow lift... more

A: A Little of This, (?) a Pinch of That: Paralyze, Then Patch

By Athleo Louis Cambre, MD - Los Angeles Plastic Surgeon

Wrinkle lines on the face or forehead which are the result of muscular activity typically cannot be effectively addressed by Hyaluronic Acid (HA) fillers. These "dynamic" lines will still be noticeable even after filling with HA, since the underlying cause has not been addressed. HA... more

A: Botox will help-But there is a price

By Marc Cohen, MD - Philadelphia Oculoplastic surgeon

As the several other doctors have mentioned, the lines of the forehead are due to the action of the muscles that lift the brows. The lines that come and go with expression (dynamic wrinkles) can be treated with Botox. The lines that are still present when you relax your brows (static... more

A: Your plastic surgeon hit the nail on the forehead

By Kenneth R. Francis, MD - Manhattan Plastic Surgeon

Notluke, Trust in your board certified plastic surgeon. He/she knows best, having examined you and assessed your individual needs. Go for the Botox. That is where your money is for softening the forehead lines. If it doesn't provide enough flattening or not a quick enough effect for you... more

A: Botox is the best choice to reduce forehead lines.

By Susan E. Downey, MD - Los Angeles Plastic Surgeon

Horizontal lines across the forehead are caused by muscle contractions under the skin. Botox temproarily paralyzes these muscles and therefore reduces the lines in the overlying skin. Fillers such as Restylene and Juvederm are used to fill in deep lines or grooves. Fillers work... more

More answers to Treatment for horizontal forehead wrinkles?
Englewood - Aesthetic analysis is vital
Los Angeles - Horizontal Forehead Lines and Botox... Does She or Doesn't...
New York City - Botox along with a filler usually helps.

Comments

drbanda
95 posts
11 Dec 2008

The majority of horizontal forehead lines will almost completely clear up with Botox alone. Your physician may have to inject a dose on the high end to achieve this but it should eventually work. Over the years I have had less than a handful of patients who needed a filler for these lines after I thought I had injected enough Botox over several weeks. Hyaluronic acid fillers such as Juvederm work great when there is need for a filler.

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