Permanent fix for deep forehead lines

A combination approach to the deep forehead lines including skin resurfacing and tightening technologies such as fractionated CO2 laser, micro-needling, radio-frequency, combined with injections with Botox and HA fillers is ideal. In refractory cases of severe horizontal wrinkles in older individuals forehead lift surgery can be the most effective option.

Thank you for your question.  Yes you can permanently removed this lines with surgery nevertheless the use of botox and filler can give you a great result and very long lasting that is to me a better option that surgery since you are so young 

Unfortunately, there is not really a permanent solution for horizontal forehead lines. These lines are caused by muscle activity, so surgery will not be a long-term solution as the lines will come back. Plus, 24 is fairly young for a brow lift procedure. I would suggest Botox to smooth your dynamic lines, and potentially fillers as well if the lines are so deep that they are present even at rest. Please visit a board-certified facial plastic surgeon for an in-person examination to come up with a treatment plan. I hope this helps.

Since these lines are present in a young person they are obviously due to deep attachments of the dermis to the underlying muscle. Older people get them from wrinkles and they usually respond well to laser resurfacing or fillers. In this case, it would seem appropriate to free the wrinkle from the underlying muscle. There is an instrument called a ryhtid dissector that does this, and then fill in the space with some fat to fill up the space and keep it from re-attaching. This would be what I would try.

Dear andy9898Unfortunately, there is no permanent solution to your forehead lines that doesnt involve significant risk of complications. Your safest option is to work on a resolution/ maintenance plan of combining botox and fillers to minimize the lines. Brow lifts, lasers, ... are static solutions and your forehead lines are dynamic issues that have to be handled as such. You should certainly see more than one surgeon in consultation and make a well informed decision.