Can botox help with horizontal forehead wrinkles?

Am I right to assume that botox would be a great way to help get rid of my horizontal forehead wrinkles? I am approaching my 50th birthday and have had forehead wrinkles for as long as I can remember. They probably started in my early 30s. Should I be thinking about botox, or something else altogether (like Sculptra)? I don’t want anything that requires surgery.


F, 52, Pennsylvania

Botox is an excellent choice for reducing or eliminating horizontal forehead wrinkles. The effects typically last 4-6 months. If the wrinkles are very deep, they may benefit from filler placement and Botox. 

Importantly, you should seek an experienced plastic surgeon to inject you in this region as the anatomy of the frontalis muscle must be appreciated to obtain excellent results.

For longstanding horizontal forehead writing, I usually use a mix of Dysport (or Botox) to treat the muscle contractions that cause them and a filler such as Refine or Belotero to plump out the creases.  Sometimes, we can't use Dysport or Botox because of their propensity to cause a heavy brow.

Ken Oleszek, MD

La Fontaine Aesthetics

Denver, Colorado 

Virtually all treatments for forehead lines starts with Botox -- it is ideal for this problem.  On occasion, if the lines are extremely deep, you may benefit from a skin filler administered at the same time as the Botox.

Elliot W. Jacobs, MD, FACS

New York City