Devil Lines on my Forehead? (photo)

Question

Hi, I got botox (+ maybe restylane) in Feb 2012 on forehead, and still had a lil movement in the middle of my FH that looked strange. So I went back 2 wks later and the DR injected a little more in the middle. FH was perfect after that. But since it all wore off 4 mths later, when I sleep on my sides and wake up, I have 2 devil lines. I even tried injecting more botox last week hoping it would help - it didn't (all other lines are reduced though) Any idea why, and what I can do to fix ? Thanks

Ron Shelton, MD · Answer

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.

Nima Shemirani, MD · Answer

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

Michael Horn, MD · Answer

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.

Sam Naficy, MD, FACS · Answer

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.

Michael I. Echavez, MD · Answer

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.

Devil Lines on my Forehead? (photo)

Answers (5)