Lines and sagging on the forehead - how can I fix this? (Photos)

Hi Jenny,
Thanks for your question. I can reassure you that it is fairly normal to see horizontal lines like this form over time. As the other providers have suggested, a neuromodulator treatment like Botox or Dysport is a great place to start to relax the muscles. This will prevent the lines from getting deeper and will also soften what is there.
If you experience some improvement but find the lines do not disappear, skin resurfacing such as a laser treatment can have an additive effect.
Finally, it could be that your forehead muscle is fighting gravity to pull up your brows, which descend slowly over time. You may want to consider a brow lift, which can be done in the office and has a fairly short recovery. This would not take the place of regular neurotoxin treatments but would enhance the results.
Hope this helps!Dr. H

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. It’s common for repetitive facial exercises and aggressive cooling techniques to accentuate dynamic lines or make early laxity more noticeable over time. If you’re looking for a smoother, more rested appearance, I recommend beginning injections with Botox since neuromodulators can soften overactive muscles and help prevent lines from deepening further.

At least from what I see in the photo, there is nothing particularly unusual about the horizontal "worry" lines present. They typically arise from repetitive movement of the frontalis forehead muscle, which eventually leaves etched in lines on the skin. In general, treatment is directed toward the underlying cause of the problem (I.e. the muscular movement) using Botox to soften the movement followed, if so desired, by the use of a low viscosity, malleable, cohesive HA filler to elevate and soften the appearance of the lines that already etched the skin.
You would be wise to consult with an experienced, board certified cosmetic dermatologist injection expert, and best of luck.