Dr. John Burroughs is often consulted to rejuvenate forehead concerns because of the brow proximity and interrelationship with the eyes. Patients want a natural look and to retain their overall eye shape and size. Forehead lines really bother patients, and in times past they were frustrating to address because of limited options. Nowadays, we fortunately have multiple approaches. In suitable patients with good eyebrow positions forehead wrinkle blockers can soften and relax the lines. Wrinkle blockers tend to last 4-6 months in the forehead. Now we also have good dermal hyaluronic acid fillers that can be directly injected into the lines. Dr. Burroughs prefers Belotero and Restylane Silk as the best for this area. These two products are specially designed for dermal injection and are even great for the forehead and lateral crows feet areas. The forehead lines can also be treated with fractionated resurfacing, which Dr. Burroughs prefers Fractora as it uses radiofrequency energy and can be used on all skin types with specially designed pin tips. Forehead (brow) lifting surgery can also be done to relax the lines if there is descent of the brows.
This patient had wrinkle blocker injections with Xeomin and had Restylane silk dermal filler injections. She was very pleased with her before and after results. She also felt the Xeomin relaxed her forehead and gave her a more gentle, approachable appearance to others versus her before picture on the left.