Deep static forehead lines? (photos)

These can be treated with a combination approach.  Please see a physician with experience .  Best, Dr. Emer.

Botox can be a great option for movement lines and static lines on the forehead.  Even deeper lines will begin to disappear after repeated injection.  It is especially important to be consistent and follow up before movement recurs to avoid back tracking.  With deeper lines, fillers can be helpful as well.  Hyaluronic acid fillers would be the best option for this area.  However, make sure to seek out an expert injector to achieve best results.

In my practice, male patients with deep static forehead lines could be improved with a combination of Botox and soft tissue fillers. Very deep lines benefit the best from combination superficial soft tissue filler (Belotero) with deep filler (Juvederm or Restylane) in combination of botox.Patients interested in treatment of static forehead lines should make a consultation with a Board Certified Plastic Surgeon specialized in natural  Botox and Fillers results. 

Hello jerronba,Thanks for your question.You are correct in assuming that Botox alone will not be enough.  That being said, Botox is your first line of defense because it stops further line creation due to muscle motion.  Any filler or fat works well in improving the depth of the lines.  I prefer Radiesse for this particular situation.  I also think that Microneedling treatments with PRP (platelet rich plasma) injections can help further soften the deep lines and correct the fine lines you might have.I recommend that you consult with a specialist in facial cosmetic surgery to learn more about your options.Good luck,Dr. Shah

Botox works surprisingly well in the forehead. Even deep lines can smooth with a single treatment. Realize though that Botox will prevent you from lifting your eyebrows as well as you would normally. I always recommend seeing an injector with extensive experience. Botox should always be customized to an individuals specific muscular anatomy.Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers

Whenever there are deep static or dynamic forehead lines one has to look for the reasons before fixing the lines. The most common reason for development of these lines is a condition called eyelid ptosis(droopy eyelids) which is the inability to open the eyes fully without the help from the forehead muscles. Those patients who have eyelid ptosis force the eyelids open using the forehead muscles. If the ptosis is corrected in early stage the lines may go away completely or mostly. In a late stage a combination of ptosis correction and forehead lift would resolve the problem.Ptosis could be the result of muscle weakness, detachment of structures, congenital, significant amount of excess skin or neurological problems. It is hard to judge from the pictures that you have posted as to what is causing these at your age. Although your seem to be forcing you eyebrows up with your forehead muscles. You may consider visiting a plastic surgeon who has experience in both forehead and eyelid surgery to see what would help you to get to the root of the problem. Botox effect is going to be temporary and you have long life ahead of you.Good Luck

Thank you for posting your question and photos. Botox injections alone would probably make a significant difference in the appearance of your lines. The wrinkles in the forhead are not easily treated with fillers. Good luck.

The best treatment for these lines are Botox.  You might also benefit from some lasers such as Fraxel to smooth out the lines and improve your appearance.  Best, Dr. Green

Hi! I agree with your insight that the deep creases on your forehead may be a family trait, and can appear at a younger age. You will need Botox injected conservatively, keeping in mind that your eyebrows will be in a more relaxed position and your brow could appear a little "heavier". Botox alone may be enough to eliminate the creases at rest if they're early and superficial (unfortunately there's no photo of your relaxed forehead to make a better assessment). If you have deep creases at rest, hyaluronic acid fillers will help to correct the depressed creases left after Botox takes effect . Etched-in creases are best corrected with Belotero Balance by itself or layered over a deeper filler such as Juvederm. This may take a couple of appointments. If you do develop the appearance of the heavier brow after Botox, it will reverse itself as the muscles recover from Botox. Sometimes surgical weakening of the forehead muscle is appropriate, but only if Botox and fillers don't give you the right balance and if you are inclined to pursue surgical treatment options. Hope this helps.

Botox can help soften some of these lines. Multiple treatments might improve this significantly. Filler can also be added to soften them a but more.