Erasing these fine horizontal forehead lines after tretinoin? Fractional laser or Botox? Skin type 3 olive skin, 25 yrs. (photo)

Thank you for asking your question. As you mentioned, Retin A helps improve the quality of the skin, but does not get rid of lines caused by movement (dynamic wrinkles). The horizontal lines caused by elevating the eyebrows are best treated with Botox. Make sure an experienced board-certified doctor performs the treatment in order to avoid any of the common complications seen with forhead injecting.Good luck,

Botox and other neuromodulators can be used to spot muscle movement and the resultant creasing of the skin.  Prevention of this repetitive damage to collagen and elastic fibers in the skin leads to decreased appearance of fine lines.  Although laser and other resurfacing treatments can help improve lines, it is important to prevent the increased creation of lines as well. 

Thank you for your question. Often times, patients are very satisfied with the results of botox cosmetic to treat horizontal forehead lines. A consultation at a facial plastic surgeon's office would be most beneficial to you so you can be fully evaluated and explained realistic results by a nurse, or physician. You may also be over-drying your skin with the tretinoin. While exfoliating with this ingredient is largely beneficial, you will want to make sure your moisturizer is occlusive enough to balance the skin's moisture. Fine lines and wrinkles are always more noticeable when the skin's moisture barrier is compromised. All the best to you,Dr. Todd Hobgood, MD

Thank you for your question. Forehead lines tend to respond very well to botox injections. By having those muscles relaxed it softens and prevents etched in lines. I would recommend to see an experienced injector to determine your candidacy.Dr. Daniel Ritacca

These lines are referred to as dynamic lines and will not respond to topical therapy.  It is the intrinsic muscles on the face that begin to pleat and line the face as we age.  Botox will relax those muscles and in return you will see the 'dynamic lines' disappear.  

Botox works very well on forehead lines but you mention they are static and Botox helps dynamic lines so you may need a combination of Botox and fillers I would avoid laser

The forehead lines will respond very nicely to Botox. If you are feeling like your skin is dull, I would recommend a fractional laser resurfacing. My favorite is Halo which is the latest and most advanced laser treatment for laser resurfacing and is called halo because of the glow it gives back to the skin. Finally, tretinoin is very good for prevention and you should continue using it to help the skin repair but also keep the skin from aging.  Good Luck!Dr. Quenby Erickson

Thank you for your Q.Laser resurfacing will certainly help and would be next on the priority list. MicroBotox will increase skin lustre and reduce oiliness and improve skin texture.Another highly suggested procedure would be microneedling with PRP.BestDr Karamanoukian#RealSelf100 Member