Last updated November 2021
What are forehead wrinkles?
Forehead wrinkles are the lines that form across the forehead as a result of facial movements and expressions. They are typically associated with someone who frequently expresses concern or worry. Forehead lines can also occur in tandem with volume loss & loss of skin elasticity as a result of the skin aging process, causing them to become more prominent.
Forehead wrinkles are a common concern for both men and women. The underlying mechanism causing wrinkling is the contraction of the frontalis muscle. This muscle is responsible for lifting the brows and making certain facial expressions.
The frontalis muscle is activated to help lift the brow and upper eyelid to improve the field of vision, that is, it ‘opens the eyes’. Therefore, it is particularly active in those who have an excess of skin on their upper eyelids that causes partial occlusion of the visual field. When upper eyelid skin causes a significant reduction in the visual field, it is possible that the frontalis muscle can become constantly activated (contracted) in order to lift the brows/eyelids to keep the eyes more open. The more active the frontalis muscle, the more significant the presence of horizontal lines in the forehead.
Quick Facts about treatment for forehead wrinkles
- Fine lines and wrinkles from the contraction of the forehead muscle can be addressed with anti-wrinkle injections. Care needs to be taken not to cause drooping of the brow or upper eyelid.
- Volume replacement of the forehead with dermal filler helps to balance the face as well as smooth forehead concavities and wrinkling.
- Sun-damaged skin can be treated with medical-grade skincare and lasers.
- Skin laxity is best treated with surgical methods.
How are forehead wrinkles treated?
Treatment for fine lines and wrinkles on the forehead is often a compromise between moderating the activity or contraction of the forehead muscles using anti-wrinkle injections (which reduce the contraction of the muscle), and preserving the elevating power of the muscle. Anti-wrinkle injections help to relax the muscle so that it doesn’t pull the skin so much. They are temporary in nature, lasting from 2 to 4 months on average.
Treatment involves several fine injections into the frontalis muscle. You should start to see results after 4-7 days, depending on the type of anti-wrinkle injection used. The dose that is used needs to reduce forehead movement enough to reduce the severity of forehead wrinkling, with consideration to keeping some of the function of the muscle in elevating the brows. In those who have heavy upper eyelids and constantly use the frontalis muscle to lift their eyebrows up, even small doses of cosmetic injections could cause a sense of heaviness in the brows and upper eyelids. Practitioner assessment of the pre-treatment state of the brows and upper eyelids is therefore important in determining the dose to be used.
In addition to the dosage, the location of the injection points in the forehead is an important consideration in achieving ideal aesthetic outcomes. Often patients will request a brow lift in addition to the reduction of forehead lines. This can be achieved by treating the central parts of the forehead only, and leaving the areas above the tail of the eyebrows. However, this can cause an unnatural arch in the brows, as well as leaving wrinkles that are located just above the tail of the eyebrows (a clear sign of cosmetic injections). A more appropriate method of treating the forehead is to inject the forehead more uniformly. Taller foreheads may require more injection points to attain a more even result.
There are also other methods available to lift up the eyebrows, like skin tightening devices such as the Pelleve, or an eyebrow lift. Surgical brow lifts are a form of plastic surgery that can help to improve the position of the brow, and improve the skin firmness and quality of the forehead.
It is important to understand that anti-wrinkle injections only reduce dynamic forehead lines. That is, they only reduce the lines that occur with movement. If lines appear whilst the forehead is at rest and not moving, anti-wrinkle injections will not improve these lines.
Common side effects after receiving anti wrinkle injections include bruising, swelling, redness, pain and nausea, but these should subside after a few days. Serious complications are very rare and usually only occur when a large amount of anti-wrinkle injection is used.
This patient came to the Victorian Cosmetic Institute with concerns about the way her frown lines made her appear. She is a happy and joyful person and wanted her face to reflect her kind nature. The result is a youthful and natural appearance with no surgery. The static lines have been smoothed using dermal filler and her frown lines have been reduced using anti-wrinkle injections.
How to get rid of sun damage on the forehead
The forehead is one of the first places on the face to be exposed to the sun, and is often prone to skin changes such as freckling, sun spots, and solar damage or skin cancers. Those with fairer skin are at higher risk of solar damage, and need to be particular about their sun protection.
Medical grade skin care is the first step in improving the appearance of the forehead skin, and this may include the daily application of sunscreen as well as a topical retinoid. The sunscreen should ideally be SPF50+, such as the Propaira 50+ Sunscreen Lotion. If you have sensitive skin, the Cosmedix Refine Plus is a gentle retinoid that will work with the sunscreen to protect your skin. To learn more about how you can treat sun damaged skin.
Lasers are the next step, and can improve problems such as brown spots or pigmentation more effectively than skin care alone. Lasers such as the Fraxel laser or Ruby laser are very effective in the removal of brown spots. For static wrinkles, or wrinkles that are etched into the skin, often skin resurfacing using a carbon dioxide laser such as the Lumenis Ultrapulse laser can be performed, however, significant downtime is required.
Can I get rid of my forehead wrinkles?
Forehead wrinkles are a natural part of ageing, but there are a few things you can do to try and prevent or reduce fine lines on the forehead. Lifestyle changes that you can make to avoid premature wrinkles include:
- Protect your skin from harmful sun exposure using sunscreen, hats and long sleeve clothing.
- Manage your stress levels by getting enough sleep every night, eating a healthy diet and getting regular exercise.
- Stay hydrated by drinking plenty of water every day.
- Stop smoking – the chemicals in tobacco smoke have been proven to reduce collagen production and lead to premature ageing.
- Use topical cosmetics that are gentle and soothing for your skin and help to reduce wrinkles.
If you want to take the next step and get a cosmetic procedure to reduce your wrinkles, anti-wrinkle injections are a non-invasive procedure that will help to minimise the movement of the forehead muscle and smooth out your wrinkles.
How do I restore my forehead volume?
The forehead tends to lose volume with ageing due to loss of fat, bone resorption and thinning of the muscles and skin. This causes concavities to form in the forehead and the bony outline of the skull to become more evident. Furthermore, the loss of volume can increase the depth of forehead wrinkles.
Replacement of lost volume is best achieved by using dermal fillers or fat transfer. These can be strategically placed to improve volume of the forehead, and to recreate a more youthful appearance. Revolumisation provides resistance to skin creasing, and brow support.
How long does forehead filler last?
Dermal fillers will last between 6-18 months, and you should try to wait as long as possible in-between procedures.
Am I a good candidate for forehead injections?
It is a good idea to get the opinion of an experienced practitioner before having this procedure, and you will have an initial consultation in which a doctor will tell you whether or not this treatment is right for you. Typically, if you are an adult in good health with moderate facial wrinkles you will be considered a good candidate.
How much does forehead filler cost?
The cost of your treatment will depend on your individual needs, but for anti-wrinkles injections in the forehead it will most likely be between $200-$400. The price will be discussed in your initial consultation, which will cost between $90-125. For a more accurate estimate of the cost, check our treatment pricing page.
Are injections in the forehead painful?
You may experience mild to moderate pain during and after the procedure for a couple of days, but any pain after that is unusual.
Where can I get forehead filler in Melbourne?
Our doctors at the Victorian Cosmetic Institute have many years of specialist experience in the use of anti-wrinkle injections, dermal fillers and lasers for the treatment of your concerns. We allow you ample time to communicate your aesthetic goals to us and use our expertise to help you achieve your desired outcome. At VCI, we take pride in making sure our customers are happy with their results.
To book an appointment please call 1300 863 824 or click on the ‘Book Online’ button above.