Botox alternatives for forehead lines? (Photo)

Question

Is there any alternative to Botox to smooth or help eliminate forehead lines? I was recently diagnosed with a neuromuscular disease & my Neuro said absolutely no botox. I asked if any other skin or wrinkle treatment were also to be avoided and he said that I only need to avoid Neuromodulator/Neurotoxin injections. I know it seems petty but I still want to feel pretty and like my old self amongst my dx. What else can I do? Pls help.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your concern. Since your neurologist has advised against Botox due to your neuromuscular condition, there are still several safe alternatives that may help soften forehead lines without the use of neuromodulators or neurotoxins:

Topical Treatments

Retinoids (such as tretinoin or over-the-counter retinol) help stimulate collagen production and improve skin texture over time.

Peptides and growth factor–containing creams may help support skin firmness.

Antioxidants like vitamin C serums can protect against free radical damage and brighten skin.

In-Office Procedures (Non-Neurotoxin Based)

Microneedling: Stimulates collagen production and improves fine lines and wrinkles.

Laser resurfacing (such as fractional CO₂ or erbium lasers): Can improve skin tone, texture, and reduce the appearance of lines.

Chemical peels: Promote skin renewal and smoothness.

Radiofrequency or ultrasound-based skin tightening (e.g., Ultherapy, Thermage): Stimulate deeper collagen remodeling.

Dermal Fillers

In certain cases, hyaluronic acid fillers can be used strategically in the forehead area to soften deep lines, though this should be done cautiously and by an experienced injector.

Lifestyle & Supportive Measures

Daily use of sunscreen to prevent further damage.

Good hydration, a healthy diet, and sleep optimization.

Avoiding smoking, which accelerates skin aging.

While Botox is the gold standard for forehead lines, these alternatives can still provide meaningful improvements and help restore confidence safely in your case.

Botox alternatives for forehead lines? (Photo)

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Botox alternatives for forehead lines? (Photo)

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Everything you need to know about Botox

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