Medical practitioners commonly treat vertical lines above the nose (known as scowl lines or glabellar lines) and horizontal lines on the forehead with advanced dermal fillers, such as Juvederm^® and Restylane^®, as well as BOTOX^®.   

Scowl Lines

Scowl lines (glabellar lines) are an area of concern for many individuals.  These lines extend vertically above the nose, between the eyebrows, looking like a number ‘11’ is etched into the face.  In some individuals, they can form deep folds or furrows.  Glabellar lines can contribute to an angry or scowling appearance.  The lines are caused primarily by exaggerated scowling, squinting or pensive movement of the eyebrows and forehead.

Glabellar lines are treated by most healthcare professionals with BOTOX^®.  As with other BOTOX^® procedures, if the treatments are maintained regularly, many patients will require smaller amounts over time. 

Patients with folds or deep lines may need a combination of BOTOX^® and dermal fillers, such as Restylane^® or Juvederm^®, in this area.  It is important to use a medical practitioner who is highly experienced with dermal filler injections when receiving treatment in the glabella region.  Since BOTOX^® is such an effective method of treatment for glabellar lines, most medical practitioners recommend that patients begin receiving BOTOX^® treatments before the lines turn into deeper folds or furrows.

Forehead Lines

Horizontal wrinkles that form on the forehead are common to many individuals.  These lines are caused by repeated exaggerated lifting of the eyebrows and forehead.  Exposure to sun and the environment can make the lines become more pronounced or etched over time.

Forehead lines are typically treated by most medical practitioners with BOTOX^®.  The goal is to diminish exaggerated movement of the forehead. In most instances, experienced medical practitioners will leave adequate movement of the forehead, so that an individual does not have a frozen look and can make normal expressions.
Medical practitioners use a very fine needle in a range of injection points.  The number of injection points will vary, given the depth and number of lines, and to some extent, given the medical practitioner’s own particular preferences.  After the healthcare professional assesses the face, the actual injection procedure is very quick, usually taking one or two minutes.

If a patient is diligent about returning to the medical practitioner as soon as full movement returns to the region, then over time, the lines will typically relax and lose some or all of the etching.  For many individuals, the number of units of BOTOX^® required to maintain a line-free forehead becomes fewer and fewer over time.
In addition to BOTOX^®, if the forehead lines are deep, then an advanced dermal filler such as Restylane^® or Juvederm^® may be applied to gently lift part of the grooved line.  Together with BOTOX^®, the dermal fillers will last an extended period of time, in many instances.

It is advisable to select a medical practitioner who has performed at least hundreds of dermal filler procedures because techniques are often refined over time. A medical practitioner who is more experienced in these procedures will be far more likely to achieve better, more pleasing and enduring results, which means you are getting more for your money. We have determined a number of medical practitioners nationally who have extensive experience or training with dermal filler medical procedures.  To see a list of experienced healthcare professionals in your area, or to receive a special discount on your procedure, click here.

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Featured Healthcare Professionals:

Other Resources:  Liquid Face Lift Association – American Society of Plastic Surgeons statistics