If Botox didn’t work and you’re still seeing V-shaped lines on your forehead, it’s possible that what you’re noticing may not be dynamic wrinkles (which Botox is designed to treat), but rather other anatomical structures or static features, such as: Possibilities: Forehead veins – These can become more prominent with age, sun damage, or thin skin. They usually appear bluish or purplish and don’t go away with Botox since they aren’t related to muscle movement. Muscle or tendon definition – Some people have visible frontalis muscle bands, especially if they’re lean or have thin skin. Static lines or creases – These are permanent lines that form over time and don’t smooth out with Botox because they’re etched into the skin, not caused by movement. Skin thinning or volume loss – Makes underlying structures more prominent, especially in the forehead area. Treatment Options If Botox Didn’t Help: Depending on what exactly the lines are (a dermatologist can confirm), here are some alternatives: Dermal fillers – If the issue is due to volume loss or deep static lines, fillers like hyaluronic acid (e.g., Juvederm, Restylane) may help plump and smooth the area. Laser treatments – Fractional lasers (like Fraxel) can improve skin texture and reduce visible lines or superficial veins. Microneedling with radiofrequency – Stimulates collagen production and can improve skin thickness and texture over time. Sclerotherapy or laser vein treatment – If these are actually veins, a vascular laser or sclerotherapy might help reduce or remove them. Topical retinoids – Improve skin thickness and reduce the appearance of static lines over time (though slow-acting). Recommendation: It’s best to see a board-certified dermatologist or cosmetic surgeon for an in-person evaluation or a virtual consultation with photos. They can determine exactly what the lines are (muscle, vein, or wrinkle) and suggest a targeted treatment plan.