I am 25 years old, I have forehead wrinkles. My question is what treatment should I do? (Photos)

Forehead wrinkles are caused by mechanical injury to the skin due to overuse of the brow raising  (frontalis) muscle. Botox is an ideal treatment for this area because is smooths the brow and prevents further injury to the skin by relaxing the muscle. Over time, the body repairs the injured skin and the lines further diminish.
The downside of Botox is its longevity. Botox has to be injected every 3-4 months to maintain its effectiveness. You could consider an alternative treatment such as a superficial dermal filler, however, these too are temporary in nature (6-12 months) and pose more significant risks such as small irregularities, uneven appearance, and skin injury from vascular occlusion. In very rare cases, filler injected into the forehead has resulted in injury to the eye through collateral circulation. Bio-stimulatory dermal fillers such as Ellanse containing PolyCaproLactone (PCL) can last longer, but  but are not yet FDA approved or available in the United States. 
You could consider treatment with a heat-based energy device such as  micro-needle RF or a fractionalCO2 laser. These devices create a controlled injury that results in new collagen, elastin and thicker skin. However, you will continue to move and crease your forehead over time, and the wrinkles are likely to recur. This leads me back to Botox as my first choice. Best wishes.

Botox is the best way to prevent forehead wrinkles from worsening. It stops muscles from causing wrinkles and will keep your skin looking wonderful for years to come, provided you get touch-ups every three to four months. Your doctor can recommend great skin care products. I’d also advise regular chemical peels. I hope this helps.

Thank you for your question. The best treatment for forehead wrinkles is Botox. This will paralyze your muscles and prevent wrinkles from forming.

Thank you for your question! Botox or Dysport are excellent injectable treatments I use in my NYC practice in order to reduce the appearance of wrinkles and fine lines cause by muscle movement. Botox works by decreasing the muscle movement in the treated area, which will then smooth out the wrinkles you are experiencing. For my younger patients, Botox is an excellent preventative treatment to stop the static lines from becoming etched into the face. Results last 3-4 months. Hyaluronic acid based fillers can also be an option, and these results can last up to 12 months. For optimal results it is important to consult with a board certified dermatologist. Thank you for your question, best of luck!

Thanks for the question. Botox, Dysport or Xeomin are  neuro modulators that decrease muscle movement by blocking the release of a chemical Acetylcholine from the nerve endings thereby decreasing dynamic wrinkles that is wrinkles that are caused by muscle movement. All these drugs work great on the upper face and last 3-4 months. One has to be careful though in some cases they can cause upper eyelid droop which is temporary. In your case any of these above drugs given in small amounts every 3-4 months would be effective. Alternately you could have some collagen fillers put in what they are also temporary and can have side effects especially if the injection is inadvertently made into a blood vessel.

Botox is definitely the go to for forehead lines. Some laser treatments could also help soften the appearance of these lines.

Botox or Dysport are my go to treatments for dynamic forehead lines and wrinkles. The results last 3-4 months. Plan on getting atleast 3 treatments a year to see and maintain the best results. 

Thank you for your question. Botox is great way to treat unwanted wrinkles. Botox works by blocking signals from the nerves to the muscles making the injected muscle(s) no longer able to contract, which causes the wrinkles to relax and soften. Results typically last 3-6 months. I recommend having a consultation with an expert injector to determine the best treatment plan for you. Best of Luck!

Thank you for your question and for sharing your photographs newface25. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.It is difficult to make an assessment without a formal exam in the office where I can view the skin in multiple angles and observe wrinkles formed with facial expression. However, I hope the information provided here is useful.The pivotal studies used 20 units of Botox in the forehead area above the brows to address the horizontal lines seen when one raises the brows. These studies demonstrated that the peak results are seen 14 days after the treatment and most people enjoy their results for 3-4 months. At that point, a maintenance treatment is recommended. While some people start to see results as early as the next day, it can take two weeks for full results so patience is important. We have our patients return two weeks after their treatment to assess their results via photographs. At that time additional units may be added if necessary. If I had a patient who looked like the person in these photographs I would say he/she is a good candidate for this treatment.The pivotal studies for the horizontal lines on the upper forehead were published many years after doctors had been using Botox. In these studies, 20 units of Botox were used to treat this area. However, in my experience I find that anywhere from 10 to 20 units works well in this area. For patients with narrow foreheads a lower dose may be used and those with a broad forehead generally require higher doses. I have also found that the full results in this area are seen by two weeks. Therefore, we have our patients return two weeks after their treatment to assess the results via photographs. At that point additional units may be used if further enhancement is desired.When patients present with concerns about specific wrinkles in the upper face such as the frown lines, I always assess and usually treat the other wrinkles in the upper face including the horizontal forehead wrinkles and crow’s feet. The reason is to maintain a harmonious and natural balance to the appearance of the upper face. The muscles in the glabella which are responsible for the formation of the frown lines serve to pull down on the inner brows when a person frowns. Similarly, the muscles around the eyes which are responsible for the formation of the crow’s feet seen when smiling (orbicularis oculi) are also responsible for pulling down on the brows, but in this case the outer brows. On the other hand, the muscle in the upper forehead which is responsible for the formation of the horizontal forehead wrinkles when a person raises the brows (frontalis) serves to pull the brows upward. If one of these muscles is relaxed with Botox and the others are not, the other muscles will still be active. This will lead to an unbalanced and unnatural appearance of the upper face where the brow can be elevated, depressed, or uneven in shape or position. Therefore, I recommend that my patients take a global approach to the upper face when receiving Botox treatments and treat all three of these areas. Sometimes bunny lines on the bridge of the nose are also treated.A common misconception is that Botox is only for those who are in their 60's or 70's. On the contrary, I have a lot of patients in their 20's who receive Botox. This is either for prevention or for those who have expressive faces. I find that the younger one is when one starts receiving Botox treatments the more signs of aging will be delayed. In other words, Botox can be used to prevent wrinkles from either appearing in the first place or from getting deeper over time.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids as described above. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.Please consult with a doctor for specific recommendations. Good luck!

Forehead lines are tricky! Mainly because the problem is caused by muscle movement and therefore Botox is the best treatment. Other procedures that last longer can be a concern if they leave you with a heavy brow. Botox is wonderful over time. Patients who treat routinely every 3-4 months for several years will have lasting treatment, preventive and smooth results. Combination treatments include Pelleve resurfacing, chemical peels, and microneedling with Platelet rich plasma. Hoping the best for you!