Response:

Forehead wrinkle injections are a non-surgical aesthetic procedure that uses botulinum toxin type A (botox) to temporarily relax the forehead muscles, thereby reducing dynamic wrinkles that form with facial expressions.

When performed correctly by a qualified professional, botox injections for wrinkles do not cause facial stiffness. Botox works by controllably reducing the activity of wrinkle-causing muscles, rather than paralyzing facial muscles. A stiff, expressionless face typically results from injections in the wrong location, an excessively high dosage, or improper distribution of the medication, especially when injected densely in the central forehead or across many areas simultaneously during a first treatment.

To minimize this risk, it is essential to choose a board-certified dermatologist-aesthetician who can create a personalized injection plan based on your facial muscle structure. Regular follow-up appointments are also important for dose adjustments as needed. When injected with proper technique, botox effectively smooths the skin and reduces wrinkles while maintaining flexible and natural facial expressions.

A doctor prepares to perform botox injections for forehead wrinkles on a woman. Photo: *Tam Anh General Hospital*.

Forehead wrinkle injections are often recommended when wrinkles become prominent with eyebrow raises or expressions, or when static wrinkles persist even with a relaxed face. This method is also suitable for younger individuals at risk of early aging who wish to prevent deep wrinkles, those averse to surgery, or anyone needing a quick appearance enhancement before important events. Early treatment, while wrinkles are still mild, can help control muscle activity more effectively and limit the formation of deep wrinkles over time.

Botox injections are safe and require no downtime, with noticeable results appearing within three to five days. The treatment helps flatten the forehead area, reduce frown lines, and can provide a slight lift to the eyebrows. During the first 24 hours after injection, you should avoid massaging the forehead area, lying face down, or engaging in strenuous activity to prevent the medication from spreading to unintended muscle groups. It is also advisable to limit alcohol, coffee, and medications that may affect blood clotting. Drinking enough water and increasing intake of green vegetables and vitamin C can support better skin recovery. A follow-up visit after one to two weeks allows the doctor to assess muscle relaxation, treatment effectiveness, and adjust the dose if necessary.

Beyond botox, several other methods are available for treating forehead wrinkles, depending on the degree of aging and skin condition. Non-invasive options like rejuvenating laser treatments, radiofrequency (RF), or high-intensity focused ultrasound (HIFU) stimulate collagen production, improving skin firmness and diminishing mild to moderate wrinkles. For cases involving sagging skin or deeper wrinkles, biological thread lifts may be recommended to support tissue and restructure the forehead area. Skin regeneration therapies such as PRP or mesotherapy also help enhance skin quality, increase moisture and elasticity, and contribute to fading wrinkles. You should consult a specialist to customize a treatment plan that ensures effectiveness and safety.

Dr. Be Thu Thuy

Department of Aesthetics

Tam Anh General Hospital Hanoi