Brow Lines

Forehead lines are caused by the flat Frontalis muscle of the forehead, which lifts the eyebrows allowing us to frown as part of facial expression. The separate smaller muscles between the eyebrows provide nuance to the frown. With time the temporary expression becomes less so, as the skin with age becomes less pliable and lax. The muscle works harder and is required to act simply to hold the eyebrows up at rest and wrinkles become folds. Undoubtedly, constant worry and anger develop the muscle and deepen folds.  

The bony brow ridge positions the eyebrow, but with time remoulds, becoming less prominent and, with lengthening of the forehead skin, the interesting female peaked eyebrow flattens and descends. This also lengthens the upper eyelids, which develops its own redundant fold flopping onto the eyelashes.

The process is determined by our family genetics, but worsened, as always, by sunshine, smoking, age and stress. These are things we can to some extent modify, but judicious use of botulinum toxin (Botox), fillers, peels and lasers keep the problem at bay.

Botulinum Toxin (Botox or other brands) can create problems and an experienced sympathetic practitioner is essential. All these muscles have agonists, that is other muscles acting in the opposite direction. One can create havoc by knocking out one muscle, allowing unrestrained action in the opposite direction. We are familiar with newsreaders with one eyebrow higher than the other or, worse still, the outer end of the eyebrow peaked in a demonic quizzical manner. Too much toxin leaves an unnatural static forehead without any expression.

Restoration of lost volume of the bony brow ridge lifts the eyebrow and upper eyelid. This can be filler or, better still, transferred fat. It is likely that a smaller reduction of surplus eyelid skin (Blepharoplasty) will be necessary. Hollow temples are usually filled at the same time as the brow is augmented.

The surgical forehead lift, so common in the past, is now almost redundant, as less surgical procedures are now much better options. However, surgical forehead lifts are minimally invasive.

As our skin ages, there is a natural depletion in elasticity and collagen in the skin, and it also becomes drier and thinner. This makes it harder for the skin to spring back; hence resulting in permanent grooves and wrinkles.

Other factors contributing to the development of frown lines include:

+ smoking

+ genetics

+ exposure to excess sunlight

+ stress

+ repeated facial expressions

Genetics can affect the type of skin and its resilience to lines and wrinkles. Thus, if your family has a history of brow lines, you may also be prone to frown lines.

The Ultraviolet (UV) rays from the sun break down collagen and elastin in the skin. This often leads to the development of frown lines.

Stress causes facial tension which results in repeated facial expressions. Smoking also causes repeated motion which can lead to the development of frown lines around the mouth. Tobacco smoke causes narrowing of blood vessels, reducing the supply of oxygenated blood to the tissues. This causes the development of brow lines.

Brow lines produce a sad look on many people which deteriorates the facial appearance. Some people consider treating frown lines to improve their appearance and enhance their self-esteem.

Some of the procedures available for treating frown lines include Sculptra, Juvederm, Botox, and many others.

There are many treatments available to tackle brow lines and wrinkles, helping to restore volume and smoothness.

Related Treatments:

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Of course, we use the very latest technology. But our real skill is in knowing how and when to use it to suit each individual patient.

MR BRYAN MAYOU, FOUNDER

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