Will Botox Take Care of Glabellar Lines with Thin Skin?

I am only 29 and have noticeable glabellar lines that are present even when I don't furrow my brow. I also have thin skin. I am headed for a botox consultation in a couple weeks, but am wondering - will botox take care of these lines? They're not extremely deep, but more noticeable than most before/after photos I've seen of others with "problems" in this area. I'm just wondering what to expect.

Doctor Answers 33

Filling Your Glabellar Lines

Botox is the trade name of Botulinum Toxin Type A, a purified neurotoxin complex manufactured by Allergan.  It’s most common use is to reduce wrinkle lines caused by overactive muscle movement.  By relaxing the muscle the appearance of the wrinkle will be less.  A general rule is after treatment the appearance of the wrinkle will be the same as when you are not contracting the muscle and it is at rest.  As for your glabellar lines you would be a ideal candidate for Botox between your brows. Keepin mind, Botox takes 3-5 days to see early affects and is maximal by 7-14 days.  If the effect does not meet your needs the simple addition of a soft tissue filler can often soften the line further and prolong the clinical effectiveness of the Botox.  Remember to ask your physician what realistic expectations you should see following treatment. 

All the best, 

Dean Johnston, MD FACS 

Orlando Plastic Surgeon
4.6 out of 5 stars 11 reviews

Botox for glabellar lines

Botox will soften glabellar lines and prevent them from deepening.  There is no problem if your skin is thin.  If you continue to have the lines even after your Botox injections, you may need some filler for plumping.  They complement each other, especially in this area.


Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Botox is excellent for glabellar wrinkles

Botox is the treatment of choice for glabellar lines.  Thin skin is not an issue. It's rare that people have thin skin in the glabellar area. These frown lines are there because the muscle of the glabella has contracted for years and the skin overlying the muscles acts like an accordion.  Then the creases stay. Once the Botox relaxes the muscles and they no longer conrtract, the skin becomes smoother.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Botox treatment of Glabellar Lines

Based on your description you should have a nice improvement with Botox treatment. If you have lines present at  rest  you may also benefit from the use of fillers.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 reviews

Botox for thin skin - Fort Lauderdale

Botox is ok for use in patients with thin skin as the product is injected in the deep muscles of facial expression curtailing any concern for thickness of the epidermis. 

Will Richardson, MD
Fort Lauderdale Dermatologic Surgeon
4.3 out of 5 stars 10 reviews

Botox can help to prevent those fine lines from getting deeper

If you start to treat the fines lines now with Botox it can smooth them out by relaxing the muscle under the skin.  Botox at regular intervals is also a good option to help prevent those lines from deepening over time.  Your Botox results are not related to the thickness of your skin but to the muscle strenth, units used, and to the depth of the wrinkle.  Fair caucasian skin that is thin is more prone to developing wrinkles earlier in life, so Botox may be  a good wrinkle prevention in your case.  You can locate a Board Certified Plastic Surgeon by checking the websites of  the American Society for Aesthetic Plastic Surgery or the American Society of Plastic Surgeons.

Dan Mills, MD
Orange County Plastic Surgeon
4.8 out of 5 stars 33 reviews

Smoothing Base of Nose (Glabellar) Frown Lines

Botox will not smooth base of nose (Glabellar) lines present at rest but will improve them. The fact that you have thin skin works in your favor as such lines CAN be flattened nicely by the addition of a syringe of either Restylane or Juvederm to the treatment with Botox. Combination treatment not only works better but the results will last longer.


Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 108 reviews

Botox for Frown Lines and Thin Skin

Hi afisher1,

Thank you for your question. Botox is the primary method to help treat frown lines in all skin types. Botox works on the facial muscles which cause wrinkles, not the skin itself. As a result, Botox works will for thick or think skin. Initially, after 1-2 weeks you should see improvement of the furrows when smiling or active facial movement. Over time, one may see improvement in the  wrinkles at rest too. Only after a comprehensive evaluation can a specialist help determine appropriate options for you.

Don't forget other skin care tips such as hydration, avoid smoking, and sun block. Best of luck, you will enjoy your results!

Dr. Chaboki


Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

Botox works for forehead wrinkles and glabellar lines

Botox is the best choice for glabellar and forehead wrinkles without surgery.  This is true even for thin skin.  Surgery can permanently reduce forehead wrinkles and glabellar lines. 

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 16 reviews

Probably be even more attractive than the photo demonstrates if you get rid

of the wrinkles...botox is a perfect solution...the idea of thin skin doesn't matter...but don't drink too much...causes problems with the skin over time...

Ken Landow, MD
Las Vegas Dermatologist
4.6 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.