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Will Botox work on forehead wrinkles?

Question posted by Cass from Vaughan, ON

Will Botox or other kind of injection work on forehead wrinkles? I have horizontal lines across my forehead like when you furrow your brow, but I have them all the time. Will some kind of injection work on this and which one would be the best?

Doctor's Response

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4 thoughts on “Will Botox work on forehead wrinkles?

  • ABSOLUTELY! A neuromodulator like Botox or Dysport would be your starting point and if the wrinkles are really deep you might benefit from some filler like restylane or juvederm as well. Without examining you its difficult to give specific advice, so I would suggest booking a consultation with a board-certified plastic surgeon near you. Hope that helps!

  • Dear Cass,

    Botox is a very safe and well-recognized
    injectable protein that relaxes muscles of facial expression and lead to unwanted
    lines and wrinkles.  The most common
    lines and wrinkles treated include the frown lines, the horizontal forehead
    worry lines, the Crow’s feet and then lower facial wrinkles such as lip lines
    and necklace neck lines.

    Botox injected expertly in just the right
    amount will work well on the worry lines and the forehead and the frown lines
    and the forehead.  The right amount of
    Botox that precisely matches the depth and extent of the wrinkle, but not too
    much to remove all the expression is part art and science.  I would suggest you seek out the consultation
    of an injectable physician, dermatologist, plastic surgeon who has significant
    experience in injecting Botox.  Once the
    right titration does and amount has been achieved and often delegation to that
    physician’s injectable nurse is a viable option and usually less
    expensive.  There are other options for
    forehead lines including fractional lasers and radio frequency devices, but
    Botox is the mainstay of control of forehead lines.

    I hope this information is of some
    assistance and best of luck.

    To schedule a consultation or find
    out more, please visit: https://spamedica.com/non-surgical-procedures/botox-toronto/

    R. Stephen Mulholland, M.D.

    Certified Plastic Surgeon

    Yorkville, Toronto

  • Hi Cass. Thanks for your question. Botox, known generically as onabotulinumtoxinA, is approved in Canada for the treatment of upper facial wrinkles including forehead lines, frown lines between the brows (the ‘elevens’) and ‘crow’s feet’ lines at the side of the eyes. Botox and other approved neuromodulators such as Dysport (abobotulinumtoxinA) work by temporarily relaxing the muscles that cause wrinkles. So, Botox and Dysport work best at reducing what we refer to as dynamic or motion-induced wrinkles. Wrinkles that are present at rest without expression are referred to as static wrinkles. These wrinkles don’t tend to improve to the same degree and may require soft tissue fillers or skin resurfacing to achieve the best results. Having said that, there may be some improvement in static wrinkles with repeated Botox treatments over time.Cass, It’s important to have a detailed assessment at the time of your treatment. No two faces are alike and there are frequently differences in the extent and pattern of wrinkles. For example, with age, it’s not uncommon for the position of the eyebrows to drop and for upper eyelid heaviness to set in. If this is the case, the pattern of forehead wrinkle treatment will need to be adjusted so as to try to keep the brows in a good position and to minimize the risk of further eyelid heaviness. Furthermore, it’s important to consider eyebrow shape prior to treating the forehead. For women, an arched brow is often considered ideal, while a straighter brow is more acceptable for men. The pattern of treatment will affect eyebrow shape.These are but a few of the considerations when treating forehead wrinkles. Make sure to see a physician who has detailed knowledge of anatomy, a discerning aesthetic eye and expertise in the subtle nuances of facial enhancement as well as technical expertise in treatment of the face.

  • Botox will prevent dynamic wrinkling (wrinkling caused by movement) if used before wrinkles have been created.  When wrinkles are present at rest, Botox can make them better if used consistently.  With wrinkles at rest, you will need a filler in addition to the botox.

Additional Information

Botulinum Toxin aka Botox

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