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Does Botox Work on Horizontal Forehead Creases?

Forehead lines and wrinkles can safely and effectively be treated with Botox or Dysport (alternative brands of botulinum 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 Dublin 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.

Clinical Context

Botox and Dysport temporarily relax the frontalis muscle, softening horizontal forehead lines within days to about a week, with results typically lasting three to four months. Effects wear off gradually as the muscle regains normal activity, so lines return unless treatment is repeated. Because the frontalis also helps lift the brows, careful dosing and injection placement matter to avoid a heavy or drooping brow appearance.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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