36 year old female: fraxel, botox or something else? (Photos)

Hello and thank you for your question. Based on your
photograph, you are a great candidate for botox in your forehead. The most important aspect is to find
a surgeon you are comfortable with. I recommend that you seek consultation with
a qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

It seems that you are concerned with two aspects of your forehead: wrinkles and skin texture.  Botox would be your best treatment option for the wrinkles that you are describing.  As for your skin texture and breakouts, I would recommend a consultation with a dermatologist to determine the skin care regimen that would be most appropriate.  They might also be able to perform your Botox treatment.

From your photos, Botox is your best option, least invasive and perfect for you. Consult with a dermatologist regarding your acne. Good luck!

Thank you for your question cf3555. Botox is a purified protein used to address wrinkles associated with facial expression such as the horizontal lines seen on the forehead when one raises the eyebrows. Treatments for acne include topical products such as retinoids, antibiotics (clindamycin), niacinamide, hydroxyl acids, and benzoyl peroxide. Oral medications include doxycycline. Treatments include microdermabrasion, chemical peels, and a variety of laser treatments. Please consult with a doctor for specific treatments. Good luck!

Botox can definitely help with forehead creases. This is not a permanent solution. Treatments are recommended every 3-6 months to upkeep. Always see a licensed board certified physician. As for your breakouts, If OTC medications seem not to help, please see a dermatologist. Depending on your situation, oral or topical medications may be prescribed. Another alternative such as laser treatments may help.

Your complexion will be improved by treating your acne. Treatment options for acne include Retin A, topical or oral antibiotics, and microdermabrasion or salicylic acid peels, or a combination of some of these options. Please consult a dermatologist. Botox will help to smooth out wrinkles on forehead. Fraxel or other laser is not indicated.

Thank you for your question.  The pictures that you submitted show horizontal forehead lines that become more obvious when you lift your eyebrows.  Botox is an excellent way to relax the muscles that cause those lines, so it looks like you are an excellent candidate.  You have also asked about breakouts, and for that I would suggest evaluation in a practice that offers medically supervised skin care. You would benefit from a comprehensive evaluation of your skin, and based on that a skin care program of: topical agents, home products and possibly even energy based devices like IPL or laser could be suggested.  Receiving your Botox and skin care from the same practice would make sense.

You need to see a dermatologist for your acne problems--oftentimes, the continued breakout is hormonally related. He or she could also treat your forehead wrinkles with Botox.

Thanks for uploading photos. For the horizontal creases you will not get a better result than with Botox injections. Although laser would improve the lines, if you were to weigh up the cost of both Botox would be far more economical. The acne breakouts are interesting as you are developing them in your thirties. I would start with some oral antibiotics, glycolic based skincare and progress from there. 

Great question. I think it is important to get evaluated in person by an appropriately trained physician. Getting acne under control is a must. Combination treatment with Botox, fillers and microneedling or laser could also improve the texture of your skin and soften static and dynamic forehead wrinkles. Topical skin care is must including sun protection and probably some sort of retinoid. Again, there are many treatment options and combinations. It is important that you be seen in person by a physician for a more complete consultation.