Los Angeles Cosmetic Surgery
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Q & A with Dr. Hoenig:

forehead wrinkles

"I hate the lines across my forehead. What can you do to get rid of those?"

Wrinkles across the forehead are usually a sign that your eyebrows are dropping and you are frequently raising your brows to try to hold your eyelids up. This usually begins sometime in the 30s. Sometimes the forehead has dropped so much that the brows can be pushing down on the upper eyelid skin and impairing your vision. If your case is mild, carefully placed Botox can soften the lines by decreasing the ability of those muscles to contract. But, be careful! If you weaken those muscles too much, you won't be able to raise your eyebrows. Your brows will droop and although you'll have a nice, smooth forehead, your eyebrows will be lower, your upper eyelids will appear fuller, and most importantly, you will not be happy. If you go the Botox route, know that you will need to repeat the treatment every 3 to 4 months to maintain the effect. A more permanent solution would be to have a brow lift. This will surgically raise the forehead and brows so that you do not have the need to raise your eyebrows constantly. For most people, I perform an endoscopic browlift through 5 tiny incisions in the scalp. In some instances, I'll use various different incisions without an endoscope, especially if you do not have hair on your head to cover the scars. If your wrinkles are between the brows and not horizontally across the forehead, this can make you look angry. Botox is the preferred treatment for this area.

Tags: botox browlift endoscopic browlift wrinkles

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