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Full-Face Botox Part 1: Forehead

Botox Forehead Injections

Many people find Botox to be most impressive and effective when used in the upper face – and particularly for forehead lines. However, reducing the appearance of wrinkles on the forehead, or forehead lines, is not without its own particular challenges.

One of the major issues with the forehead is that the muscle that needs to be treated with Botox (called the frontalis muscle) is essential for actually holding up and supporting the eyebrows. Therefore, although we DO want to weaken the frontalis, we also want to preserve the part of the muscle that holds the eyebrows up. Because of this, there is one very important area where our medical physicians will not inject Botox: the area just above the lateral eyebrow.

So how do we avoid injecting Botox into an area of the frontallis that could potentially cause a drooping brow? We ensure that we keep our frontallis injections quite high and we always try to avoid the classic droop territory, which is the area just above the lateral eyebrows. As a result, wrinkles that are present here may have to be dealt with using dermal fillers rather than paralysis of the muscle.

Wrinkles on the forehead generally respond very well to Botox injections, and forehead lines will soften well. Patients need to understand that there are two things going on here – These can include the IMMEDIATE impact of a Botox treatment, the effects of which can be obvious for all to see (i.e. a smoother forehead and less forehead wrinkles), but can also include a LATE or CHRONIC effect which comes from repeated and regular injections. This is the benefit seen by someone who has 2-3 treatments per year over several years . These people are giving their Frontalis muscle a complete permanent holiday, and it is these patients who are freeing their forehead from endless wrinkling. The forehead can be permanently rested and lines will definitely soften and disappear – a truly preventative treatment.

Take home message: Avoid injections just above the lateral eyebrow, and have regular treatments 2-3 times per year for a long term avoidance of the forehead wrinkles associated with ageing.

In order to reduce the likelihood of the brow drooping, we inject Botox at least 1-2cm above the brow. For people with low-set brows, or those of increasing age, there is a greater chance of brow drooping as the brow raising muscle – the Frontalis – is paralysed with the Botox. That is why it is so important to receive Botox injections from a reputable and experienced Botox clinic such as Melior Clinics.

Our highly experienced team of medical practitioners will carefully examine you to assess your brow position, the location of your forehead wrinkles and the vector of pull of your Frontalis muscle. Over-treating some areas of the forehead with Botox can sometimes lead to brow droop, while under-treating some areas can leave you with areas of smooth, wrinkle-free skin surrounded by wrnkles, which looks unnatural and uneven.

These are just a few of the complications that can occur when Botox is injected directly into the forehead region of the face. Medical experience of facial anatomy is important when administering Botox injections – particularly to the forehead region – as is experience.

The key with injecting Botox into the brow and forehead lies in truly understanding the anatomy of the injected area, and more importantly the variability in the anatomy between patients – whether it’s the brow, the forehead or anywhere else you plan on receiving a Botox injection. This includes having a firm understanding of the origin, insertion, and action of each muscle that will be injected, the thickness of each muscle targeted, how deep beneath the skin the actual muscle resides, and the patient variability therein. Our aesthetically-trained staff possess an in-depth understanding of the actual muscle anatomy of the brow and forehead, and appreciate the incredible variability between patients.