27 years old with loose skin on the forehead - is there any treatment? (photos)

Question

Makes me look tired and angry all the time. This is one of my biggest insecurities, which makes me less confident.

Mike Majmundar, MD · Answer

Most of the issue in the photo are horizontal lines.  Many patients want a surgical option to this but the best is still a neuromodulator such as Botox.  Having said that, it does appear as if you have excess folds in between the lines.  I would consider a consult with a facial plastic surgeon and see if a trichophytic brow lift would be an option.

Semih Yildiz, MD, FEPOBRAS · Answer

In the photo, the main visible concern appears to be horizontal forehead lines, which are often related to frontalis muscle activity rather than true loose skin at age 27. A facelift would not usually be the right treatment for this type of forehead concern.

The most common first option is carefully placed botulinum toxin treatment to soften the forehead lines and reduce the tired or angry appearance. The dose and placement matter, because over-treating the forehead can make the brows feel heavy, especially if the forehead muscle is helping hold the brows up.

If there is also early skin texture change or mild laxity, treatments such as medical skin care, resurfacing lasers, microneedling radiofrequency, or other collagen-stimulating procedures may help, but they are usually secondary to assessing the muscle pattern and brow position. An in-person consultation with an experienced facial aesthetic doctor is the best way to decide whether the issue is dynamic lines, brow position, skin quality, or a combination.

Yannis Alexandrides, MD, FACS · Answer

Non-Surgical Treatments can help to reduce the appearance, skin-tightening treatments like Thermage, Potenza and Accent Prime.

However, for the best results, I recommend a Brow Lift with Facial Fat Injections to help soften the folds and furrows in the upper facial third.

Timothy M. Rankin, MD, FACS · Answer

It appears that you have a strong frontalis muscle (raises our eye brows). This may be addressed easily with botox. If botox makes your eyebrows sit too low, then you can always play with the dose of botox to the desired muscle activity/ level of wrinkles or consider a brow lift that may help to resposition your eyebrows, but at 27you, this would likely be premature.

Zoran Potparic, MD · Answer

It would be in your best interest to consider consultation with a board-certified plastic surgeon. Botox injections seem to be a good starting point. Good luck.

Gary M. Horndeski, MD · Answer

You would benefit from a frontal hairline browlift.  This will excise the excess skin and eliminate some of the wrinkling.  You may also try Botox to help eliminate the wrinkling.

Best Wishes,

Gary Horndeski, M.D.

Jacob Tower, MD · Answer

Hello, hope you are well. The only thing that can be seen in this photo is forehead rhytids (wrinkles), presumably from raising your eyebrows. Those rhytids can be softened by using Botox (or similar medications). If the problem is that you have a low brow position you could consider a brow lift, but it is not possible to give any further advice without seeing what your face looks like at rest. Hope this helps!
Best,Dr. Tower

Adam Goodwin, MBBS, FRCS(Plast) · Answer

it's that easy. just start with a small dose maybe 15 units in total. you will be amazed. 
I have a whole video on Botox and what it can do for you on my YouTube channel Adam goodwin surgery, if you'd like to learn more. Best wishes, Adam, Goodwin.

27 years old with loose skin on the forehead - is there any treatment? (photos)

Answers (8)

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