Get Rid of Forehead Wrinkles with Botox and Dermal Fillers

Also known as worry or expression lines, forehead wrinkles are the lines that occur between the eyebrows and the hairline. These lines are caused by facial expressions, especially those associated with stress, that cause the face to frown and the brow to furrow. Repetitive expressions cause fine lines to form, and these lines will eventually turn into wrinkles as a result of age, sun damage, and loss of facial muscle strength.

Skin naturally loses elasticity and becomes more fragile over time. Also, as people age, the body produces less natural oil, resulting in drier skin and more pronounced wrinkles. Skin also sags as a result of fat loss in the face over time. Exposure to UV rays accelerates the skin’s aging process and is considered the primary cause of premature aging. UV rays break down the skin’s natural collagen and elastin fibers. The loss of these connective tissues increases sagging and the appearance of wrinkles. Smoking also speeds up the natural aging process in much the same way as exposure to UV rays, but smoking may also cause changes in the blood supply to the skin.


Treatment for forehead lines

There are many wrinkle treatments available that have proven effective in reducing or completely reversing the effects of age and skin damage on the face. Options range from over the counter retinoid creams to plastic surgery. Injections, such as Botox and dermal fillers, are popular solutions whose effects last longer than over the counter methods but are non-invasive, unlike surgery.

Botox, or botulinum toxin type A, is injected in small doses into specific muscles and prevents the facial muscles from contracting and causing wrinkles. Since the muscles cannot contract, the skin appears smoother and wrinkles are less noticeable. Botox works well on crow’s feet and on the frown lines across the forehead and between the eyebrows.

Dermal fillers are soft tissue fillers that can contain fat, collagen, and hyaluronic acid. Dermal fillers, such as Juvederm and Restylane, are injected under the skin to plump and smooth out wrinkles and furrows. Some temporary swelling, redness, and bruising can occur in the treated area.

Maintenance treatments

The effect of these treatments varies based on the chosen method and the condition and age of the patient’s skin. The muscle weakness caused by Botox injections typically lasts about 3 months and requires regular follow-up treatments. Most patients require repeated injections, and some will develop a tolerance to Botox in the form of antibodies. The chance that a patient will develop antibodies increases with higher doses and more frequent injections.

Therefore, patients should be given the lowest effective dose with the least frequent interval schedule possible.

Of the dermal fillers, collagen-based dermal fillers last the least amount of time, generally between 3 and 4 months. Hyaluronic acid-based dermal fillers cause a smoothing effect that can last approximately 6 to 12 months. Some dermal fillers are chemically modified to be absorbed more slowly by the body. Longer-lasting dermal fillers include those containing calcium hydroxylapatite, a mineral found in teeth and bones. These dermal fillers last approximately 18 months. Dermal fillers containing poly-L-lactic acid (PLLA), a man-made polymer, can last up to 2 years.


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