What can I do about forehead wrinkles? Forehead wrinkles are a common problem
often associated with aging but even younger people can have them due to
repeated facial expressions which cause creases to form in the forehead
other factors include genetics and environmental exposures such as sun
exposure and smoking discussing treatment options for forehead wrinkles
is something I do in my practice every single day
I’m Dr. Amiya Prasad I’m a Board-certified cosmetic surgeon and
Fellowship-trained oculofacial plastic and reconstructive surgeon I’ve been in
practice in Manhattan and Long Island for over 20 years the treatment of
facial aging and premature aging changes related to genetics and environmental
influences are a core part of my practice a well-known treatment for
forehead lines is the use of a neurotoxin such as Botox Dysport or
XEOMIN as an oculoplastic surgeon I was amongst the first group of doctors
administering Botox for patients before it was used for cosmetic purposes this
is going back to 1993 I’m also known for my work with other injectable treatments
like cosmetic fillers which can also be used to improve the contour of the
forehead I was also amongst the first group of
cosmetic surgeons to adopt regenerative medicine technology like platelet-rich
plasma or PRP for aesthetic purposes which I also find useful for this area
in addition I have extensive experience with brow lifting surgery which can also
have an impact on the appearance of forehead lines patients come in
complaining about their forehead wrinkles because of the visibility of
the lines on a large area of the face making
you feel that you may have an older looking appearance there are two factors
which contribute to the development of forehead lines one is the continual
creasing of the forehead skin due to facial expression and movement and the
other is the progressive loss of collagen and elastin in the forehead
skin while both causes are seen with facial aging environmental factors like
sun exposure and smoking can lead to accelerated breakdown of collagen and
elastin fibers in the forehead skin which leads to these wrinkles frequent
raising of the eyebrows causing the farhad to repeatedly crease can also
make lines on the forehead become visible prematurely one important
condition which is often results in forehead lines forming is the presence
of eyelid ptosis eyelid ptosis means the upper eyelid position is low because of
a dysfunction of the muscle which lifts the upper eyelid called the levator
muscle unconsciously people with ptosis are constantly raising their eyebrows to
try to lift their drooping upper eyelids in order to see better this also occurs
with eyebrow ptosis and excess upper eyelid skin or dermatochalasis there
are several treatments to address decreased collagen and elastin in the
forehead skin laser radiofrequency or micro needling can have a smoothing and
tightening effect on the forehead skin through the stimulation of collagen
production as a response to the treatment the principle is that the body
naturally produces collagen as an injury response so these medical devices create
controlled injuries to stimulate a collagen healing response there is also
ways to induce collagen production with virtually no
injury we perform a lot of procedures using platelet-rich plasma or PRP PRP is
the concentration of wound healing and growth factors present in your blood
which are activated for example when you have a cut PRP is basically a
concentrated form of your body’s natural wound healing factors which stimulates
collagen production as part of the healing process
the concentrated wound healing and growth factors within the PRP improves
overall skin quality health and thickness I often combine PRP treatment
for forehead lines with the hyaluronic acid filler using a device and method
called skin boosting placing hyaluronic acid into the dermis increases the
volume within the dermis to help lines wrinkles and folds appear less deep PRP
combined with hyaluronic acid has an also a synergistic effect increasing the
effects and benefits of collagen production to treat and reduce forehead
wrinkles due to muscle movement I use an injectable neurotoxin like Botox Dysport
or XEOMIN strategic placement of a neurotoxin into a muscle called the
frontalis muscle which is responsible for lifting the eyebrows reduces the
activity that causes the deep lines to form if you think of the forehead skin
as paper the more is crumpled with activity and movement the more it
creases by reducing the movement there is less creasing with consistent
application of Botox the reduced movement improves the appearance of the
forehead lines even at rest it is important to have Botox done by an
experienced doctor who understands what would look right for you it’s common to
see overdone Botox in the forehead resulting in a frozen unnatural and
expressionless look in my opinion with just the right amount of both
cocks placed in the right way you can improve the appearance of the forehead
lines but still allow for head movement which comes from natural facial
expressions Botox can also be used for non-surgical brow lifting known as the
Botox brow lift to relieve frown lines or the number 11 lines Botox is placed
in the eyebrow depressor muscles which are the corrugator procerus and
orbicularis oculi muscles by relaxing these depressor muscles and by
strategically relaxing part of the elevator muscle called the frontalis a
lift can be achieved while still reducing the appearance of forehead
lines surgical brow lifting is also an option to remove redundant skin and
raise the forehead skin to help with these lines there are several brow
lifting techniques which can be customized to the individuals needs
the surgeons experience and thorough planning prior to surgery are keys to
developing a predictable outcome most swelling and bruising from surgical brow
lifting lasts about one to two weeks and the healing process like any other
surgical procedure continues for a year while there are several options to treat
forehead lines for most patients it can be done without surgery and with minimal
if any recovery time however with time it’s important to maintain results by
periodically relaxing the muscles building on skin quality improvement and
sustaining volume to minimize the depth of the forehead lines I hope you found
this information helpful thank you for your question