Botox treatment for forehead wrinkle formation is probably the most common procedure we perform at JH medical spa.

In order to fully understand the anatomy behind forehead wrinkle formation, we suggest you visit our Botox page. But suffice it to say that the two main cosmetic issues with the forehead distill down to (1) the vertical 11 lines that form in between the eyebrows, and (2) the horizontal wrinkles that are seen across the mid to upper forehead. These are shown visually in the adjacent photo example. The former are more frequently called ‘frown lines’ as they are readily produced when people frown. The latter wrinkles are easily seen when people look surprised and lift their brows up.

Botox for Vertical Wrinkles

Botox for the vertical 11 wrinkles in between the brows will stop these muscles from moving, thus creating a smoother, less wrinkled lower forehead. This is shown here in the adjacent before and after photo of the same patient. On the right side of the photo, the patient is trying to frown after getting her Botox treatment. She isn’t just sitting at rest. She is actually trying to recreate those vertical 11 wrinkles. But she can’t because the Botox has effectively and predictably stopped the glabella muscles (which are activated when you frown). Had this patient been photographed without trying to frown, you would see that her eyebrows are slightly elevated at rest following the Botox injection.

Botox for Horizontal Wrinkles

And how about the horizontal forehead wrinkles? Those too were inactivated by the Botox as is seen here in the adjacent photo. In this image, the patient truly is trying to make the forehead wrinkles visible by lifting her brow. If you look closely, her eyebrows are a bit exaggerated in terms of arching not because that is the way they look at rest. They are being pulled up as she tries to recreate the horizontal forehead wrinkles. But she can’t due to the fact the Botox was worked very nicely to stop the frontalis muscle from moving fully. Now we say ‘fully’ because that is precisely the goal of forehead Botox treatment. You want to slow down the frontalis muscle enough to effectively target the horizontal wrinkle formation. But keep in mind that the frontalis forehead muscle is what keeps the eyebrows elevated over the eyes. So if you completely negate the muscle and knock it out completely with Botox, you have nothing to keep the brow elevated – and it will drop down. In fact, this is exactly why you will hear many patients who say they got Botox done at an office and their brow felt ‘very heavy’ after the treatment. Or they will say that they can’t even more their forehead after Botox because it was too frozen. That is not the cosmetic goal we are striving for with Botox treatments. The ideal result with Botox is one where the forehead wrinkles are controlled and reduced to provide a much smoother appearance – while preserving some muscle tone and motion so that it can keep the eyebrow elevated. You want to have some residual movement after Botox because having some visible animation is what allows one to still look natural and normal.

San Diego Botox Providers

In order to achieve these type of cosmetic improvements with the forehead using Botox injection, you need to choose your medical spa very carefully. We recommend visiting an office like ours here in San Diego, where the clinic is under the guidance and tutelage of a board certified facial plastic surgeon who has true, dedicated training in the field of facial rejuvenation. We are not a pop-up Botox office that is being run by a physician who was previously working as an emergency room doctor or an anesthesiologist who decided to get out of traditional medicine by opening a cosmetic medical spa. Our professional background and experience are what make our office one of San Diego’s leading cosmetic medical spas offering Botox and injectable fillers. Contact our office today to schedule your next Botox treatment.


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