Forehead Wrinkle Treatments: Combining Botox and Cosmetic Fillers for Natural Results


Combining both botox and fillers is the most comprehensive way to treat moderate to severe forehead wrinkle lines. Botox works to block the wrinkles from movement (dynamic wrinkles) and fillers work to fill in the wrinkles seen at rest (static wrinkles.)

Every time you show your true face to the world and change your facial expression the skin on your forehead wrinkles due to the movement of the frontalis muscle. The movement of this muscle causes dynamic wrinkles (movement wrinkles). Dynamic wrinkles (movement wrinkles) are visible every time you make a face and the frontalis muscle moves. However over time static wrinkles (resting lines) develop due to the damage to the skin from movement. These wrinkles develop over time due to the loss of collagen from the repetitive movement of the frontalis muscle. Just as static and dynamic wrinkles have different causes, they have different treatments, Botox and cosmetic fillers. Understanding how and when the two treatments are used will allow you to show your true face to the world without worrying about the consequences to your forehead.

Treating Dynamic Forehead Wrinkles With Botox

When you are younger, before static wrinkles form, treating mild to moderate dynamic forehead wrinkles (movement wrinkles) with neuromodulators, may be enough. Neuromodulators, including Botox, Juveau, and Xeomin, are muscle relaxers and prevent the frontalis muscle from bending as frequently and as severely. When you make a facial expression after treatment with a neuromodulator, the frontalis muscle will not move as much and fewer wrinkles will appear. Treating dynamic wrinkles with Botox early may help prevent the formation of static wrinkles later on. Neuromodulators are not an effective treatment for static wrinkles.

Treating Static Forehead Wrinkles With A Combination of Botox & Cosmetic Fillers

The most effective treatment for static forehead wrinkles (wrinkles at rest) is cosmetic fillers. Cosmetic filler injectables re-support the collagen lost by repetitive, long term movement of the frontalis. Cosmetic fillers, including Restylane, Belotero, Voluma, Juvederm, and Versa, fill in the lines where the skin is most damaged, smoothing out static wrinkles. Combining cosmetic fillers and neuromodulators will treat both static and dynamic wrinkles at the same time.



How Often Should I Get My Forehead Wrinkles Treated & How Long Do Treatments Last?

It is important to remember that the frequency of treatment varies from person to person based on individual needs and desired results. For most people whom Dr. Bracci treats at Verve studios in New York City or Paramus, New Jersey, Botox is administered 3-4 times a year to treat dynamic wrinkles. The effect of a single treatment can last approximately three months.

The combination of cosmetic fillers and Botox to treat dynamic and static forehead wrinkles is usually done once a year. The filler component of treatment may last anywhere from six months to several years, depending on the severity of the forehead wrinkles and how consistently the Botox treatments are applied. The effect of filler treatments will persist longer if Botox is in place to prevent the movement of the frontalis muscle from moving the skin so much.

No matter what Botox or dermal filler injectable treatment you choose, it should be administered by an experienced provider. An experienced provider will ensure the personalization of treatment and the best possible natural-looking results. Learn more about treating your forehead wrinkles at Verve with advanced injector Dr. Stephen Bracci, right here on our website.

Note: use of fillers in the forehead to treat wrinkles is considered off label.


If you are interested in Botox, you may be interested in the following quick-read articles and videos:

Reasons Why Celebrities Look Fake

Why Botox Sometimes Doesn’t Work

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