Is There Any Help to Remove a Deep Furrow in Forehead

Doctor Answers 39

Botox and fillers work well in combination for deep forehead furrows

Botox is first common line of therapy to help with dynamic (movement-induced) wrinkles.  Soft tissue fillers such as Juvederm and Restylane can be used in combination for deep permanent (static) wrinkles.

Toronto Dermatologist
5.0 out of 5 stars 4 reviews

Treating deep creases/furrows in the forhead and brow

The lines that are found in the forehead and between the brows are caused by contraction of the facial expression muscles that are found just underneath the skin. Botox (or Dysport) should be the first line of treatment, in that it will prevent the muscles from contracting and therefore soften out the lines in the forehead and brow. However, it is not uncommon to find that these "expression" lines--or furrows--have been
"etched" into the skin over years of overuse. Although Botox may soften these lines, you may benefit from the use of a filler (e.g. Juvederm, Restylane) to fill out any remaining depth of the line/furrow in the skin.


Hope this helps!


Dr. Y

Haresh Yalamanchili, MD
Houston Facial Plastic Surgeon
4.9 out of 5 stars 31 reviews

Deep Brow Furrow Treatment

Hi jeani079-

Furrows in the brow can be soften by Botox or Dysport. If the furrows are deeper, then the additional of a filler such as Restylane or Juvederm is advisable. For extremely deep furrows occasionally surgical excision is an option.


Tom Kaniff

Thomas E. Kaniff, MD, FACS
Sacramento Facial Plastic Surgeon
4.7 out of 5 stars 25 reviews

Single deep forehead line

For most patients, Botox will suffice for forehead wrinkles. However in some patients when the usual two creases coalesce as one, Botox may be ineffective. Hyaluronic acid filler or autologous fat fascism grafts (LiveFill) are alternatives. In the frown area, doctors injecting fat or fillers must be cautious of embolic events.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

Botox for fiurrows.

The best approach is Botox used appropriately for 6 months or longer to achieve the mamximum.  Then, if furrows persist, consider Juvederm,  the best filler I feel.    Down the list is a variety of surgical approaches.  Even deep peels or Laser Rx can be complimentary.  Good luck.

George Commons, MD
Palo Alto Plastic Surgeon
4.5 out of 5 stars 36 reviews

Botox Is First Line for Forehead Wrinkles

Botox is an extremely effective and easy way to manage forehead wrinkles, including deep furrows. This neuromodulator relaxes the dynamic muscles that cause wrinkles, allowing the overlying skin to smooth out. Depending on how deep your furrow is, you may benefit from a hyaluronic-acid based filler such as Juvederm, too. I hope this helps.

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 66 reviews

Botox & Dysport are paralytics which will ultimately eliminate the wrinkle

As stated above the paralytics will eliminate the wrinkles, however it may take 3-4 treatments to see the complete resolution of the wrinkle. It is important not to allow the muscles to get to the point that they function, so you will need to be sure to reinject every 3.5-4 months, as soon as you see any motion what so ever.  If you are in a rush, you can certainly fill the crease to reduce the appearance until the paralysis of the muscles has taken effect.


Kimberley Lloyd O'Sullivan, MD
Providence Plastic Surgeon
4.9 out of 5 stars 18 reviews

Botox usually works well for forehead furrow- plan B is filler

Botox is almost always used first to relax the muscles responsible for the furrow.

If the results are not adequate, it can be helped with a judicious use of fillers such as Juvederm, Restylane, Radiesse, and others.  

Christopher J. Peers, MD
South Bend Facial Plastic Surgeon
4.6 out of 5 stars 5 reviews

Botox and Dysport work for forehead furrows

The lines that form on the forehead are due to muscle movement.  These muscles can be relaxed with Botox or Dysport and overtime, and with several treatments, you will notice the line becoming softer and softer.  If the line is etched into the skin, you may also need a filler like Restylane or Juvederm to help plump up the area in conjunction with Botox or Dysport.

Robert A. Weiss, MD
Baltimore Dermatologic Surgeon
5.0 out of 5 stars 13 reviews

Deep furrow in the forehead treated by botox

Your furrow may respond to treatment with botox if it is a muscle movement-related crease. If however it is caused by sagging thick skin and sun damage, then it may not respond.  Fillers may be needed as well as, or instead of, Botox.  An examination may provide useful information to help determine what the best approach is for you.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.