Frown lines / forehead wrinkles / glabellar lines

The frown line, also known as the glabellar crease, is a vertical crease between the eyebrows that is often caused by repeated frowning.

It can significantly influence the overall appearance of the face. It often gives the face a serious or scowling expression, even if you are relaxed or neutral. This can make people appear older or more stressed than they actually are. A prominent frown line can give the impression of being angry or unhappy, which can negatively affect interpersonal communication and how others perceive you.

However, the effects go beyond aesthetics; it can also have a negative impact on self-confidence and well-being, especially if you are aware of the wrinkle and find it annoying. The question therefore arises for many of those affected: can forehead wrinkles or frown lines be removed? Yes. We would therefore like to give you an overview of the options and the procedure.

What are the causes?

The frown line is mainly caused by:

Repetitive muscle movements: Frequent contraction of the eyebrows leads to overuse of the underlying muscles.
Ageing: Over time, the skin loses its elasticity and resilience, which leads to the formation of wrinkles.
Genetics: Some people are naturally more prone to wrinkles.

Development of a frown line

By drawing the eyebrows together, the skin is repeatedly folded at this point. This continuous movement leads to the wrinkle becoming permanently imprinted over time. Factors such as sun exposure and smoking can accelerate this process.

What methods are there to smooth the forehead? How do I get rid of the frown line?

The appropriate method for treating forehead wrinkles depends on their depth, your age, the desired results and your willingness to take invasive or non-invasive measures. Below you will find an overview of the most effective options:

Treatment with Botox

Botox is most commonly used to treat frown lines. It is a neurotoxic protein that temporarily blocks muscle activity:

Botox is injected directly into the affected muscles.
The effect sets in after 3 - 10 days and usually lasts for three to six months.
After the injection, the muscle relaxes, visibly smoothing the wrinkle.

Treatment with hyaluronic acid or filler

Hyaluronic acid and other fillers are also used to treat frown lines:

Fillers are injected under the skin to create volume and smooth out wrinkles.
The effect lasts for several months, depending on the material used.
Hyaluronic acid is particularly popular because it occurs naturally in the body and is well tolerated.

Surgical forehead lift

A surgical forehead lift, also known as a brow lift, is a surgical procedure to smooth forehead wrinkles and frown lines. The skin and underlying tissue are tightened to achieve a more youthful appearance. A forehead lift is often performed in combination with other facial rejuvenation procedures.

Minimally invasive alternatives to a forehead lift

Ultherapy: Ultherapy can generally be used to improve skin quality and tighten the area around the forehead and between the eyebrows. By selectively heating the deeper layers of the skin, the treatment can also lead to a slight smoothing and tightening of the frown lines.

Learn more about Ultherapy®

RF mesoneedling (radiofrequency microneedling) can be used as a complementary treatment for frown lines. The method combines fine microneedles with radiofrequency energy to promote collagen production and skin tightening in the lower layers of the skin. This reduces small wrinkles and improves the overall skin structure.

More about RF mesoneedling

Microneedling is a minimally invasive cosmetic treatment in which the skin is punctured with fine needles to create targeted micro-injuries. These micro-injuries stimulate the skin's natural healing process and promote the production of collagen and elastin - two important proteins for firm and elastic skin. Microneedling can also be used to refine the skin's appearance and further reduce wrinkles.

More about microneedling

These methods are effective alternatives to surgical procedures and can improve the appearance of frown lines and other forehead wrinkles. They can be useful as complementary measures to achieve the desired change.

Which method is best for me?

The optimal treatment method for frown lines or forehead wrinkles depends on various factors, in particular the type and extent of the wrinkle (dynamic due to muscle activity or static due to skin ageing) as well as your individual wishes and expectations.

Why is a consultation necessary before treatment of frown lines / forehead wrinkles?

The treatment of frown lines and forehead wrinkles is a process that needs to be customised. A thorough consultation before treatment is essential to achieve the best results and minimise potential risks.

Individual analysis

Every person has different skin types, wrinkle types and wrinkle characteristics. An expert consultation makes it possible to carry out a detailed analysis of the skin and the specific wrinkles. This allows the most effective treatment method to be determined, be it Botox, hyaluronic acid, a surgical forehead lift or a minimally invasive alternative/supplement.

Clarification of expectations

The consultation provides space to clarify individual expectations and wishes. Some patients prefer a quick solution with minimal intervention, while others are looking for a more comprehensive, permanent solution. An open discussion helps to set realistic expectations and discuss the appropriate methods and results.

Information about risks and side effects

Every treatment has its own risks and possible side effects. A thorough consultation explains these and helps to make informed decisions. This is particularly important in order to avoid unwanted complications and ensure the safety of the treatment.

Adaptation of the treatment plan

The consultation makes it possible to customise the treatment plan. This can include a combination of different methods to achieve optimal results. For example, a surgical forehead lift can be supplemented with minimally invasive methods such as RF mesoneedling or Ultherapy to further improve the skin structure.

Long-term care and aftercare

After the treatment, long-term care and aftercare are important to maintain the results achieved. A consultation offers recommendations for the right skin care and follow-up treatments to keep the skin healthy and firm.

Conclusion

A thorough consultation before the treatment of frown lines and forehead wrinkles is essential to choose the best method, clarify expectations, minimise risks and ensure long-term results. It ensures that the treatment is customised and that the desired changes are achieved safely and effectively.

What should you look out for when choosing a doctor?

When choosing a specialist, make sure that you use the term Specialist in Plastic and Aesthetic Surgery. Other designations such as beauty doctor, cosmetic surgeon, etc. are unprotected and not a sign of qualification (more on "What should you consider when choosing a specialist?„.

Make sure that you receive a comprehensive preliminary examination and information about the course of treatment, possible risks and the healing process.

Why should you come to us?

Extensive experience, maximum hygiene and infection protection, continuous further training and the utmost care are the basis of our practice. This is also reflected in the large number of positive patient reviews and our seals & awards.

Take advantage of our almost 20 years of experience for your desired change. Dr Michaela Montanari has been a member of the board of the German Society for Aesthetic Plastic Surgery (DGÄPC) since 2021.

Do you have questions or want to find out how you can smooth your forehead?

Dr Michaela Montanari and Dr Anna Maria Bugariu will be happy to answer all your questions about the treatment of your frown lines and forehead wrinkles. Arrange your personal consultation.