Forehead Wrinkles

  • Best Results1-2 sessions
  • Treatment RecoveryNo downtime
  • Procedure Time2-5 minutes
  • Skin SpecialistNurse
  • Duration of Results3-6 months
  • AnaestheticNumbing to sedation
  • Back to WorkImmediately
  • Cost$

Forehead Wrinkles

Forehead lines are horizontal wrinkles that are secondary to movement. They are more common in expressive personalities. These lines tend to get deeper with age due to skin laxity & volume loss. Simple muscle relaxing injectables can improve lines by reducing muscle tension. Dermal fillers are cautiously used in this area to correct volume loss.

FactsFacts On Horizontal Forehead Lines & Wrinkles

  • Forehead wrinkles are due to your frontalis muscle
  • Volume loss can contribute to lines & wrinkles
  • Loss of collagen over time exacerbates horizontal wrinkles
  • Anti-wrinkle injections are the safest & most predictable way to treat wrinkles.
  • Dermal fillers can add volume & contour the forehead
  • Lasers can improve deep wrinkles & stimulate collagen production

What are muscle relaxing injections?

Anti-wrinkle injections can reduce horizontal lines by reducing muscle activity. Over time static lines (lines at rest) will smooth out. Done well, this technique will not be overtly obvious to others.

Simple Botox injections can reduce muscle activity on the forehead.

Treatments take 2-3 minutes to perform, with no downtime required. Muscle relaxing injections typically last 4-5 months.

What is the catch?

The frontalis or forehead muscle is the only muscle holding up your brow. If an inexperienced injector chases the lines, this will result in a clinically significant drop of the brown. By treating the frown lines, this can counteract the relaxation of the frontalis muscle. This not only reduces the feeling of a heavy brow, but also gives a more natural outcome.

In the mature age group, one has to be more careful. In this age we want to LIFT, not relax.

What can dermal fillers do to forehead lines?

Dermal fillers are great in locations such as the cheeks, chin, lips & jawline. I do use fillers in the forehead area, especially the temples. My filler of choice is hyaluronic acid in this location. Fillers displace loose skin & re-establishes the natural curvature of the forehead.

For mid-forehead lines, I place filler either very superficial or deep. The risks of arterial injection are higher in these areas, & hence why I use cannulas. Fillers last between 12 to 36 months. They are best employed with muscle relaxing injections.

Yes, PRE-rejuvenation is important, however the injection intervals may range from 3 to 14 months, depending on your goal & expressivity.

What can laser resurfacing do?

A lot, especially when it comes to static wrinkles & sun damage. For mild forehead wrinkles, fractional laser resurfacing using Fraxel, LaseMD, Frax 1940 as well as CO2 & erbium/ HALO lasers can make a difference.

Deep laser resurfacing can be an option for etched forehead lines.

For epic, deep wrinkles, I use ablative CO2 & Sciton Joule lasers. One treatment can markedly improve wrinkles. Downtime; about 5-9 days.

If you have an element of dynamic wrinkling, a tiny bit of muscle relaxing injectables after laser can make a huge difference.

Davin’s viewpoint on forehead wrinkle treatments

Common concern, easy solution, but hard to execute well. This area can be tricky for young players. The lines that you see are due to the muscle that holds up your brows. Chase lines, drop brows. You can get around this by-

  1. Relaxing the depressors namely the frown lines, corrugators & procerus muscle.
  2. Modifying injection points
  3. Doing a two-step injection interval
  4. Using dermal fillers as myo modulators

I tend to use much less muscle relaxing injections in more mature patients. When the time comes, it will be a surgical consult as the brows are the rate limiting factor, not horizontal lines & wrinkles.

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