21 - What can I do about these forehead creases and eyebrow asymmetry? (Photo)

Question

The forehead crease formed after years of raising my eyebrows to hide the crease between my eyes/ at the top of my nose. Also my eyebrows are uneven, I’m 21

Behnoush Zarrini, MD · Answer

At 21, the deep horizontal line you see is a result of muscle memory. Because you have been subconsciously lifting your brows to compensate for the bridge of nose crease, your frontalis muscle has become hyper conditioned, causing the skin to fold prematurely. Here is my professional assessment:
 + Corrective Neuromodulators: Using Botox or Daxxify is the most effective way to retrain the muscle to stay relaxed, allowing the etched skin to smooth out over time.
 + Symmetry Adjustment: We can address your eyebrow asymmetry by varying the dosage on each side, precisely balancing the resting height of your brows for a more symmetrical appearance.
 + Procerus Targeting: To stop the root cause of your brow lifting, we would also treat the crease at the top of your nose. This allows you to feel comfortable keeping your brows at a neutral, relaxed position.
 + Daxxify Advantage: Studies have shown that Daxxify can provide a very clean and long lasting smoothing effect for deeper lines, making it an excellent option for a strong frontalis muscle like yours.
When you completely relax your face in the mirror, does that deep horizontal line stay visible, or does it disappear when you stop lifting your brows?

David Yew, MD · Answer

Botox is the most common treatment because it relaxes the forehead muscles that create the lines. Deeper static creases sometimes respond better to a combination of Botox plus SkinPen microneedling.  Asymmetry is normal, please watch our video that we have linked to how we apply it to aesthetics.

Danielle Shanley, MD · Answer

Hi! Great question! My first suggestion would be Botox or Dysport. If you've never heard about these injections, Botox and Dysport are neuromodulators that paralyze the muscle in the area of injection to decrease the depth of the current fine lines and wrinkles and prevent them from getting worse. Another treatment suggestion I have would be Morpheus8. Morpheus8 is radiofrequency microneedling that will help with the reduction of those deep fine lines and wrinkles while creating collagen stimulation and cell turnover. The best treatment plan would be to do both Botox and Morpheus8, and being 21 is the best time to start! This will prevent any fine lines and wrinkles from getting deeper!

Kally Papantoniou, MD, FAAD · Answer

In cases like this, a small amount of neurotoxin can help relax the overactive muscles and rebalance how the forehead and brows move together. The key is being conservative and strategic so you soften the lines without flattening the brows further or creating new asymmetry.

An experienced injector can tailor placement to subtly even things out rather than just “freeze” the area. It’s definitely something that benefits from an in-person evaluation so they can watch how your muscles move and adjust accordingly.

Camille Cash, MD · Answer

This crease may be softened by Botox.  It can help address brow asymmetry as well.  The treatment is done in the office with final results seen after two weeks.  To further treat the crease you can consider treatments such as SkinPen.  Visit with an expert injector to learn more.

21 - What can I do about these forehead creases and eyebrow asymmetry? (Photo)

Answers (5)

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