Devil Lines on my Forehead? (photo)

many patients who never have had Botox have these diagonal outer forehead sleep creases. Why you only noticed them after the Botox wore off does not make sense. Regardless, I would not chase these lines with Botox. Belotero filler may help but has to be done conservatively so that at rest the lines don't look elevated. Sleeping on one's back truly helps these lines go away.

The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Dear hanz1121,


A filler such as Juvederm (along with Botox) would help soften these lines, but may not fully make them go away or resolve

The next step, if there is still a fine line, is to use a mild chemical peel or strong moisturizer, that can resurface that area


Best regards,

Nima Shemirani

If lines of the forehead are accentuated when you move your face, botox will help. If the lines are there independent of motion of the face, fillers work better to correct the area. Sometimes the so called "devil lines" or diagonal lines of the forehead are formed by an area you sleep on. In this case fillers work better to correct the area.

From what you've posted, it's very difficult to tell what exactly is happening. Treating the forehead with a neuromodulator over time can lessen the severity of those lines, however, if you're not visiting an experienced and well-trained injector, you might not be getting the best results and all options available to you.

In my experience, Botox alone does not work very well for diagonal lines on the forehead.  The reason for this is that those lines are not caused by muscle movement (like the horizontal lines across the forehead), but are normally caused more by the sleeping position of the head.  I would recommend using a filler in the diagonal lines.  My preference would be Belotero because this can be injected more superficially than the other fillers and can have a greater effect than something that is injected more deeply.  

These lines are caused by creasing your forehead while you sleep on your sides.  Botox will not help.  Fillers will soften the lines but you must sleep on your back to prevent them.  There are special pillows made to help you sleep on your back and prevent rolling onto your sides.

You need MORE BOTOX injected with fillers to each line area. The need of more units of BOTOX is specific for you. Be sure to tell the injecting doc it takes more units to get effective result. 

I agree that Botox will not correct the diagonal forehead lines.  Consider a filler composed of hyaluronic acid such as Belatero, Resylane or Juvederm.  Often I treat this area with a filler after slighly diluting it with a very small amout of lidocaine.  I have achieved excellent results with this technique.

I do not think that Botox will help these unless you can move your forehead in a way that is causing them. I would try Belatero as this is a superficial filler for fine lines. 

I'm confused - did you get Restylane in your forehead too? Was it into these lines? Botox's ability to work depends largely on your injector and his/her technique. The number and concentration of units matter too, but the injector is key. Seek a board-certified dermatologist or plastic surgeon and have an in-person consultation. My assumption is that your Botox isn't being placed into the right area, so certain muscles are still able to move, which is causing strange "devilish" lines.