Botox Vs Fillers for Minor Forehead Wrinkles?

I am 30 and have two very small wrinkles on my forehead when my face is relaxed. I'd prefer not to even have those.

I've heard Botox would help but I've also been told fillers instead? I'm confused. I would upload a picture but you really can't even see them in those.

Doctor Answers 36

Botox vs. Filler

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Botox works to relax muscle movement and prevent lines from becoming a "fixed feature" in the face.  It can not take away the lines that are present with a flat affect.  At 30 years old, I doubt your lines are very deep.  I've found that my patients with fine lines experience a softening in the appearance of the lines after 1 treatment.  After 2-3 treatments of Botox I've seen lines completely go away.  I'd advise getting Botox 2-3 times before considering filler.  For safety reasons, it's best to avoid using filler when possible in the forehead particularly.

Salt Lake City Plastic Surgeon
5.0 out of 5 stars 37 reviews

Fillers for static wrinkles

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Fillers would be better for you because the wrinkles are visible even when your face is in a neutral expression. This means that they are "static" wrinkles, and fillers is the right treatment to smooth them away. If the wrinkles appeared only when you made a facial expression, like frowning, then Botox would be more suitable. Botox treats "dynamic" wrinkles.

Botox or Dysport

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Those lines are getting etched in over time from repetitive movement of the frontalis muscle. A little neuromodulation with Botox or Dysport will do the trick, especially after 2-3 sessions. Be sure you get a little between the brows as well to prevent brow drop.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

Forehead Wrinkles; Botox vs Fillers

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Wrinkles at rest - Fillers. Wrinkles only when animating (smiling,frowning,etc) - Botox.

Botox and fillers act differently BUT are compliment one another. Wrinkles due only to muscle activity can be erased by weakening the muscle causing them (Crow's feet -orbicularis oculi, forehead lines- Frontalis). Permanent depressions and creases in the skin can be lifted by placing the filler underneath them.

In your case, filler would improve the wrinkles but judicious placement of Botox would greatly prolong the effect.

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Wrinkles at rest

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Fine lines present at rest are a good reason to use Botox in the area, because continued treatment is the best protection from further wrinkle formation.

In the absence of photographs, I can tell you that in some cases, one of the newer hyaluronic acid fillers, like Restylane Defyne or Restylane Refyne, are suitable for these types of lines.  They can be injected superficially enough to result in a seamless cover up.  Just realize that filler is just a coverup for these lines, and is temporary.

Talk with your doctor about the best way to manage fine lines.

Best to you,

Gregg Kennedy, MD

Forehead lines Botox vs Fillers

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At 30 years of age Botox is definitely the treatment I would use. I very rarely ever use fillers in the forehead. Best Wishes, Maurice Vick MD

Botox is treatment of choice for forehead

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Generally, Botox is the treatment of choice for the forehead area, as it can be very difficult to place fillers correctly there. I would recommend starting with Botox to see if your wrinkles soften or even disappear, and if after a few Botox sessions you are still unhappy with the appearance of your wrinkles, you could try to find a highly skilled dermatologist who could potentially place a small amount of filler. Often, Botox works very well to soften lines that aren’t too deep yet.

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 91 reviews

Botox or fillers

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Thank you for your question. Botox can be used to soften the appearance of lines and wrinkles that deepen with expression. These include the horizontal lines of the forehead, the frown lines between brows and the smile lines (crows feet) on the sides of the eyes. They typically last 3-4 months. Fillers on the other hand is very effective at filling in the lines or shadows when you are not expressing yourself. They can also be used to shape and lift the face. I would recommend that you visit with at board certified plastic surgeon or dermatologist in your area to discuss your treatment options so they can be tailored to your concerns and goals.

Forehead Wrinkles: Botox or Filler?

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Fillers have virtually no role in the forehead. Botox can be very effective and help soften fine wrinkles on the forehead. The glabella region (between the eyes) is another common area for Botox treatment which usually responds well. This area is commonly referred to as the '11s' due to the vertical lines that form due to overactivity of the corrugator muscles. However, a horizontal line can also form due to overactivity of the procerus muscle.

Forehead wrinkles

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I would recommend starting with a neuromodulator such as Botox or Dysport to relax these muscles. The lines may resolve with this alone. If they don't, you may then consider filler to the area.

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.