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Botox
Is it possible to get rid of forehead lines without causing a eyelid/eyebrow droop?
Botox is FDA approved for the treatment of forehead lines but care should be taken not to over treat the area because the frontalis (forehead muscle) is the only muscle that elevates the eyebrows. Generally speaking, I advise against isolated treatment of the forehead without treating the glabella complex because it will result in unopposed depressor activity from the glabella and orbicularis. Depending on whether your forehead lines are static (at rest) or dynamic (with movement), you may benefit from filler treatment. Botox is typically recommended first, or in conjunction with fillers, as it prevents the wrinkles from deepening. I would encourage you to see an experienced injector for Botox treatment to see if you can achieve your desired outcome without the brow heaviness.
Clinical Context
Eyebrow position depends on a balance between the frontalis muscle, which lifts the brow, and the corrugator, procerus, and orbicularis oculi muscles, which pull it down and inward. Botox works by relaxing muscle activity, so treating the forehead without also softening the depressor muscles can let the downward pull dominate, causing a heavy or lowered brow. This is why an experienced injector plans treatment across the whole upper face rather than one area alone, adjusting dose and placement to keep the muscles working in balance.
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