What Causes Wrinkles on Forehead? And How Can You Make Them Go Away? Our Doctors Explain in The Video Below

“Don’t Make that Face – It’ll get Stuck That Way!”
-moms everywhere

Unfortunately, our mothers were right about this one. The expressions we repeatedly make become deep-set lines and wrinkles as we age. Whether you furrow your brow while lost deep in thought, or you frown at your children as a silent signal to behave while in public, or lift your brows to communicate excitement when your girlfriend tells you a juicy story, the vertical lines between your brows and horizontal wrinkles across your forehead create a lasting look of anger and stress. The good news is this is a relatively easy problem to fix.

What causes forehead wrinkles and frown lines (those deep lines between your brows)? Simply put, all lines, creases, and wrinkles on your forehead and around your brows are caused by repetitive motion, repetitive squishing (we’re talking to you, side sleepers!), or traumatic scarring. We have other pages that cover side sleeping and scar revisions, so on this page, we’ll be focusing on the most common cause of forehead lines – repetitive motion.

The Best Treatments for Forehead Wrinkles & Frown Lines<.span>

Treatment Cost Invasiveness Downtime How It Works
Botox & Other ‘Tox Injections $200 – 600+ per treatment, results last 3-5 months tiny needles up to 15 minutes of injection site swelling and redness Proteins decrease the intensity of facial expressions temporarily, allowing skin to “bounce back” and wrinkles to soften or disappear
Filler for Deep Lines $650 – $850 per syringe, most need only 1 per year cannulas (blunt-tipped needles) up to 30 minutes of injection site swelling and redness HA filler is injected underneath the individual line to lift the skin up and smooth out the wrinkle

There are only 2 technologies that we feel create satisfactory results for these concerns – and they are wrinkle-relaxing agents like Botox, and fillers. Lasers, RF Microneedling, Ulthera, and other skin tightening and resurfacing treatments can make the skin more resilient to future damage (i.e. able to stand up to repetitive motions without wrinkles becoming at rest for a bit longer than it would have been able to withstand), but these technology-based treatments won’t erase wrinkles in the same way Botox & Fillers can – with 1 exception that we’ve seen, which is very aggressive CO2 laser treatments (and even with that, the only way the results will last long-term, is if you maintain it with Botox).


“Amazing doctor with golden hands. Can’t say enough great things! My Botox is always perfect! Everyone in the office is always very pleasant and accommodating.”
— larrisaf via RealSelf.com

Botox, Dysport, Xeomin, Jeuveau, & More Reduce the Appearance of Wrinkles & Prevent Further Damage

BOTOX® COSMETIC relaxes overactive muscles, to protect skin from the damage that causes frown lines to become deep-set wrinkles. In the hands of our skilled injectors, Botox is a gentle relaxing of these muscles, to soften – not freeze- expressions. Natural movement is part of a natural-looking result.

Good Botox Moves Naturally
Good Botox in the Forehead Doesn’t “Freeze” the Muscles, But Relaxes Them for a Natural-Looking Result. This is the Difference an Experienced Physician Injector Can Make in Your Results!

Botox is just one brand of botulinum toxin, others include Dysport, Xeomin, & Jeaveau. All work equally well for this area, and we stock all of them and our doctors are experienced with all of them. We price them so that our patients would pay the same amount to get the same dosage strength between these products, because we want you and your doctor to choose the one that’s right for you, without price skewing that decision.

Learn More About Botox for the Forehead on Our Frown Lines & Forehead Injections Page.

Watch below as Dr. Chasin explains how and why he is injecting Botox for frown lines on a patient.

When Botox Isn’t Enough – Use Fillers to Get Rid of Forehead Wrinkles

An ounce of prevention is worth its weight in gold when it comes to frown lines. But what if your lines and wrinkles are still visible even when you’re not frowning?
You’ve probably heard of Botox for 11’s or frown lines. But did you know Botox isn’t the answer for deep-set lines?

There’s a difference between lines that appear when you frown (dynamic wrinkles), and those that are there all the time (static wrinkles). When you frown or squint deeply and create lines, you are compressing the skin’s underlying support structures. Over time, those structures are damaged permanently, leading to lines that are there all the time. At first, the lines are soft and faint, but as you continue to damage the collagen and fibers that support that skin, the lines become deeper set and eventually lines turn to wrinkles and then into folds.

Once the wrinkles between your brows or across your forehead turn into deep creases, Botox will not be enough to erase them – and a hyaluronic acid filler will need to be injected beneath them in order to completely smooth them away.

Learn More About Hyaluronic Acid Filler for the Forehead on Our Frown Lines & Forehead Injections Page.

Can You Prevent Forehead Wrinkles?

While the effects of aging occur to all of us, there are some ways to prevent wrinkles if you start early and stay consistent. Our aesthetic experts know that starting to use Botox in your late 20s and no later than 30 can help prevent the appearance of wrinkles that occur due to frequent muscle movement, including lines and wrinkles throughout the upper face.

We know that over 80% of visible aging is caused by sun damage alone. So the single best thing you can do to prevent wrinkles of any kind is to be diligent about sunscreen or sun protection with shade or UPF clothing.

Other than wear sunscreen, these are behaviors you can adopt to help prevent and improve these wrinkles and other signs of aging:

  • Invest in high-quality skincare – there’s a big difference in the impact of a 0.1% retinol from Olay vs. a 1% Retin-A prescription, both in cell turnover and skin quality. The same goes for other results-focused skincare products. You don’t need to invest in a ton of different products either, just 4 quality skincare products can make a huge difference in your appearance.
  • Treat early with Botox and be consistent – you can get away with longer between treatments when you’re younger, but as you age, if you want to prevent frown lines and forehead wrinkles from needing filler as well as Botox, you need to be retreating every 4-5 months, max.
  • Try to retrain your muscles to not make as intense or frequent facial expressions. Frowning and raising your brows are things you can improve upon with dedicated effort. Both frowning and squinting are often signs you need to wear darker, larger sunglasses (or you need a Rx change on your glasses). Consider how you can make this a part of your “new normal” – Botox can help you along this path, if you are intentional about using it to help retrain those muscles.

What Role Does Collagen and Elastin Play in the Forehead?

When talking about treating forehead wrinkles and frown lines, using anti-aging treatments that are focused on stimulating collagen and elastin – like microneedling and laser skin rejuvenation – will not address the root cause of the wrinkles. The muscles that cause these wrinkles are very strong, especially in men, and they will continue making wrinkles no matter how much your skin cells are stimulated.

This is why using Wrinkle-Relaxing ‘Tox and Hyaluronic Acid Fillers, which work at the root cause of the wrinkles, are the preferred choices for enhancing the appearance of the forehead. Some studies have even suggested that the act of injecting filler can stimulate collagen to a small degree, so you can benefit from both skin rejuvenation and wrinkle reduction with an injectable treatment.

Sure, technology-based treatments, like lasers or microneedling, and resurfacing treatments like chemical peels can help improve overall skin quality, but don’t expect it to erase the fine lines and wrinkles of the forehead. Fillers works much better for smoothing out individual wrinkles that are deeply set in.

A Word About Safety & Potential Side Effects with Injections in the Forehead

This is not an area you want a novice or non-physician to be injecting. Botox is of course everywhere these days – but there are patients for whom the amount of Botox required to completely erase these lines would be a dose that would drop their brows completely, creating an ugly drooping effect that they would have to wait 3-5 months for it to wear off.

Filler side effects can be much more dangerous and long-term. There are many incredibly important blood vessels that run through these areas- and the biggest risk with any filler injection is that you create an “embolism” of sorts with filler in the blood vessel and blocking blood flow – either right where it’s injected, or somewhere else, potentially hidden from view, down the line. This can be successfully dissolved by a trained and experienced physician – but injectors who do not know the facial anatomy as well, or who don’t have the dissolving expertise that our doctors do, could end up with a very bad result from this sort of thing.

Why Choose Reflections?

Each of our physicians has at least 5 years of injecting experience, and together our team of 4 has over 50 years of experience with injectable treatments for the forehead. This is one of the most commonly performed procedures in our offices, and we are so prolific in our injectables that we are in the top 250 practices in the nation in terms of the number of treatments (and have been for a decade now), even when compared with groups that have dozens of injectors on their team. This is why our doctors are sought-after as trainers for other injectors as well.

In all this time, we’ve maintained a pristine safety record among our highly satisfied patients for forehead wrinkle procedures and other injectables. There is always a potential for bruising with any injection – though it is fairly uncommon with botox or fillers when they are injected with a cannula – but should you have a bruise, we do offer free vbeam laser sessions, which break up the bruise and help it clear in a matter of 1-3 days, as opposed to weeks if left untreated.

We know you want to save as much money as you can on Botox and Fillers, which is why owe not only offer loyalty rewards, but you can stack them with Alle and Aspire Rewards Programs to earn even more free treatments and discounts!

Read Our Related Blogs:

How Your Sleeping Position Can Cause Wrinkles— And What to Do About It

How Many Syringes of Filler Do I Need?

Will Botox & Filler Work After 60?

Forehead Lines FAQs

Medical Director at Reflections Center

Dr. Mitchell Chasin founded Reflections Center for skin & body as a place where physicians specializing in cosmetic medicine could focus on helping empower patients to feel their most beautiful. Dr. Chasin believes strongly that the best cosmetic physicians are those who are dedicated to mastering their craft through continuing education and collaboration with the industry’s top doctors.