Forehead wrinkles, what options are there besides botulinum toxin type A?

For deep static wrinkles that do not smooth out with botulinum toxin type A alone, a small amount of dermal filler or JUVGEN, an autologous dermal regeneration treatment, may help soften the furrow. Wrinkle lines that remain even after muscle relaxation (botulinum toxin type A) indicate that the dermis has already folded and thinned. Therefore, supporting the area with HA Filler or using JUVGEN, which regenerates autologous dermis using medical-grade carbon dioxide gas, can be expected to lighten the wrinkle shadow.

However, the forehead has a shallow and complex vascular network, so dermal filler or JUVGEN procedures require a more cautious approach than in other areas. It is important that a Dermatologist who understands the anatomical structure performs the procedure by injecting small amounts into thin layers, and the typical method is to subtly fill along the wrinkle lines rather than adding large volume.

Yes, if loss of elasticity and sagging in the forehead and eyebrow area worsen wrinkles, radiofrequency and HIFU lifting may help improve the condition. When the eyebrows and forehead skin descend, you use your forehead muscles more to open your eyes, creating a vicious cycle that deepens horizontal wrinkles. Lifting addresses this structural cause.

Both methods show gradual improvement as collagen remodels over 2 to 6 months after the procedure, rather than immediately. The effect is generally known to last about 1 year. The appropriate method is chosen based on diagnosis, depending on skin thickness and degree of sagging.

Yes, forehead wrinkles are particularly influenced by facial expression habits. Habits such as frequently opening your eyes wide or making a surprised expression, or tensing your forehead to lift your eyelids when your eyes are tired, can gradually deepen horizontal wrinkles.

In clinical practice, many people who complain of forehead wrinkles also have drooping eyelids. If you have drooping eyelids or reduced vision, you unconsciously overuse your forehead muscles. In such cases, treating only the forehead does not resolve the cause. Checking habits such as frowning when looking at a smartphone or tensing the forehead and glabella due to incorrect eyeglass prescription is also part of management. Improvement can be maintained longer when lifestyle habit correction is combined with treatment.

Yes, they can be combined, and in fact, combining botulinum toxin type A with other treatments is a commonly used strategy for forehead wrinkles. By reducing the muscle movement that creates wrinkles with botulinum toxin type A while improving the skin itself with lifting or booster treatments, a two-directional approach is possible: reducing the formation of new wrinkles while managing existing ones.

For example, if expression lines and sagging are both present, lifting (Thermage® FLX, Ultherapy PRIME®) and botulinum toxin type A may be combined. If static wrinkles and fine lines are prominent, JUVGEN and botulinum toxin type A may be combined. The interval and order between treatments vary depending on the type of treatment and skin condition, so we recommend consulting with a dermatologist to establish a combination plan tailored to you.