Does Botox Work on Horizontal Forehead Creases? Tri Valley Plastic Surgery

I am 38 years old. I am desperate to find a non-invasive procedure to help reduce the lines going accross my forehead. I have four (two are very small) but am very depressed about how old I feel I look because of them. Does Botox work on this type of crease?

Botox for Forehead Lines and Wrinkles

Thank you for your question. Forehead lines and wrinkles can safely and effectively be treated with Botox or Dysport (alternative brands of botulinium toxin). Botulinium toxins inhibit muscle contraction which minimizes the appearance of overlying skin folds and wrinkles. Horizontal lines on the forehead are caused by repeated activity of the underlying muscle (frontalis) making then an ideal target for Botox/Dysport. In our San Francisco Bay Area practice we commonly treat forehead lines/wrinkles at the same time as the lines/wrinkles between the brows (glabella) and around the outside of the eyes (crow’s feet) to promote a refreshed, younger looking upper face. One possible side effect of using Botox or Dysport to treat forehead lines/wrinkles is lowering the eyebrow (brow ptosis). To minimize the risks of treatment visit the office of a Board-Certified Plastic Surgeon. I hope this helps.

Botox (onabotulinumtoxinA) is an FDA-approved neuromodulator that temporarily relaxes targeted facial muscles to reduce the appearance of dynamic wrinkles. It works by blocking the release of acetylcholine at the neuromuscular junction. Results typically appear within 3–7 days and last 3–4 months, though some patients report longer duration with consistent treatment. Common treatment areas include the glabella (frown lines), forehead, and lateral canthal lines (crow’s feet). Dosing is measured in units and varies by treatment area and muscle mass.

Patient safety protocols, including operating in accredited facilities with board-certified anesthesiologists, significantly reduce surgical risk.