What can help with my deep frown line and those big lumpy things in my forehead? (Photo)

Hello! Thank you for sharing your photos and details—let’s go over this together.

From what you described and what I can see, the deep frown line and the prominent tissue (the “lumpy” areas) on each side are likely a combination of:

Glabellar frown lines (the vertical lines between your brows)

Mild prominence or thickening of underlying muscles or tissue from repeated expressions

What can help:

✅ Botulinum toxin (Botox or similar neuromodulators):

This is the most effective, non-surgical approach for softening and smoothing deep frown lines and preventing them from deepening further.

It also helps relax the surrounding muscles that create those “lumpy” folds when you frown or squint.

✅ Dermal fillers:

If there is volume loss or deeper static creasing, a small amount of filler can be used to plump the line itself after relaxing the muscles with Botox.

✅ Skincare and resurfacing:

Topical retinoids can help gradually improve fine lines and skin texture.

Microneedling or laser resurfacing can also soften etched-in lines over time.

✅ Brow lift surgery:

A brow lift can elevate sagging brows and smooth the forehead to some degree, but it won’t always completely erase glabellar lines or muscle prominence.

Even after a brow lift, neuromodulator treatment is usually still needed to keep frown lines relaxed.

Based on the photo provided, it seems like there is overactive frown muscles. The bump can be due to hypertrophy or strong corrugator (frown) muscles. In my opinion, I think injecting neuromodulator or anti wrinkle medications to the frown and forehead region in conjunction with skin-needling with exosomes can improve the concerned area significantly.

Based on your photos, you appear to be a good candidate for a neurotoxin like botox. This would function to paralyze the muscles that are making the vertical lines, and it would also soften the bulge in between them. I hope this helps! Sincerely, Dr Joseph

Taken care of these kinds of problems are routine in the hands of an experienced, board certified cosmetic dermatologist. For the "bumps," Botox works very well, since these are really muscles in static tension and Botox can easily relax them. And, if there are any residual lines that have resulted from the creasing of the skin by the static and dynamic tension of those same muscles, then the use of a low viscosity, cohesive, malleable HA filler can help to smooth them. So, in the right hands, these two issues are quick and easy peasy to treat. Hope this helps and best of luck.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. For addressing deep frown lines and the lumpy extra skin next to them, Botox can be a very effective solution. Botox works by temporarily relaxing the muscles responsible for creating those frown lines, which can smooth out the skin and reduce the depth of the lines. By targeting the underlying muscle activity, Botox helps prevent the repetitive movements that contribute to the formation of deep lines. Additionally, this relaxation can create a more relaxed and natural appearance, reducing the "angry" or "muggy" look you're concerned about. While Botox won't directly address the lumpy skin, it can help minimize the dynamic wrinkles that contribute to their appearance. I hope this helps and best of luck!

You appear to be a good candidate for Botox. This product can soften the appearance of the "bumps' that concern you. The treatment is done in the office with no downtime. The final results are seen after two weeks and the product will fade gradually over three to four months. See an expert injector near you to learn more.