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Monday, March 2, 2009

How do I get rid of forehead wrinkles?

"People always say I look angry or worried because I have wrinkles on my forehead. Which wrinkle treatments will get rid of these forehead lines?"

Different forehead wrinkles require different treatment modalities
Forehead wrinkle treatment depends on the underlying cause and extent of damage to the skin.

Dynamic wrinkles are those that are present only during animation (active movement of the face) and are best treated with Botox. Botox will temporarily stop the underlying frontalis muscle from pulling on the skin and creating the furrows and wrinkles. A typical treatment will last three months.

Static wrinkles are those that are always present even when the face is at rest. If these creases are deep, a combination of Botox to stop the primary culprit (frontalis muscle) and a filler material (e.g. Restylane, Juvederm) to fill the dermal defect are quite useful. Filler materials are temporary as well lasting six months or more.

More aggressive and longer lasting treatments include Fractional laser resurfacing that work well on static wrinkles as well as a forehead lift in which the frontalis muscle is weakened.

Every individual requires a customized approach to meet their goals and expectations within their budget and recovery time constraints.

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Saturday, March 15, 2008

People commonly ask which areas of my face can I get injected with Botox™ (Botulinum Toxin)?

Botox is most commonly used to treat these problems:


  • "Frown lines" between the eyes

  • "Crow’s feet" on the sides of the eyes

  • "Worry lines" on the forehead

Experienced physicians may use Botox Cosmetic to:

  • Raise the corners of the brows

  • Widen narrow eyes

  • Improve “gummy smile” by lowering the upper lip by several millimeters

  • Treat “smoker’s lines” around the mouth

  • Decrease the depth of “smile lines” from the corners of the nose to the corners of the mouth

  • Soften “Marionette lines” from the corners of the mouth down

  • Reduce “pebble chin”

  • Decrease “neck cords” from the chin to the neck

  • Treat “necklace lines”

I have seen success with all these treatment areas, but some uses of Botox may not be appropriate for certain patients. There are some risks to treating any area, and the risks must be weighed against the benefit of treatment.

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