What are Forehead lines?
We all have them, some more than others. Those pesky forehead wrinkles can really age you and make you look sad, tired and worried. Where do they come from? The horizontal creases seen on the forehead skin are due to the actions of the underlying muscle, the frontalis. The frontalis muscle runs up and down from your brow to your scalp. It serves to raise the brow to open up the eyes. It is this action that causes the forehead lines. When it contracts, the overlying skin bunches up and forms a crease perpendicular to the up down action of the muscle. When you are younger, the skin is in good shape and once the muscle relaxes, the skin snaps back and the line disappears. These are called dynamic lines. As we age, the skin loses elasticity due to loss of collagen from sun damage. All of a sudden, those lines don’t go away when the muscle relaxes. As a result, the forehead lines are there all the time or become static wrinkles.
How do I get rid of forehead wrinkles?
So as you can see, the frontalis muscle has to be relaxed to do anything about forehead lines. Botox is ideal for this purposes. Botox is a purified protein that is injected to relax the muscles of facial expression. Anywhere from 10-20 units of Botox can relax the muscle just enough to diminish or even erase the wrinkles. The good thing is that by relaxing the muscle, the wrinkles will not get worse. So Botox acts as a preventative treatment. The effect will last 3-4 months and with regular use, it can last even longer.
If the forehead lines are deep and have been there for a long period of time, dermal fillers may be necessary. Relaxing the forehead with Botox can only do so much. Dermal fillers like Juvederm can fill these deep ridges and when in combination with Botox, they can make the lines essentially disappear!
But as we mentioned earlier, the loss of collagen and skin elasticity is also a factor. To begin to reverse the signs of sun damage we can use products like SkinMedica retinol, laser resurfacing, microneedling and radiofrequency treatments. These are all designed to stimulate collagen production and restore skin elasticity. Sunscreen and a hat to prevent further damage is critical!
Do forehead lines indicate other problems?
Remember that the frontalis muscle lifts the brow to open the eyes. Some people have hooding or excess skin of their upper eyelids (ptosis). The droopy upper eyelids actually decrease their field of vision. As a result, these people continually contract their frontalis muscle to open their eyes up. If they Botox their foreheads, the brow will drop and their field of vision will be decreased! Hooded upper eyelids have to be dealt with laser tightening or a blepharoplasty.
Brow Shaping and Brow Lifts
The goal of Botox is not to just freeze the muscles. The brow is a complicated place with multiple muscles pulling it up and down. An experienced Botox injector must know their way around the brow and how Botox can shape it. There are also differences between the sexes in brow shapes. Most women prefer an arched brow and most men like a heavy, flat brow. Proper injection of Botox can actually simulate a brow lift in many women. It is important to give the patient the type of brow the prefer.
Find out more about Botox Injections at Beleza Medspa here: