Botulinum Toxin for Forehead
Today botulinum toxin is considered a gold standard cosmetic procedure for the frontal lines, and although different brands have been introduced to the market, understanding the individual mimics and real muscle extension lead to a differentiated natural outcome. For good and beautiful features, the patient must be evaluated dynamically and other issues must be considered such as the brow level, the facial and rhytids asymmetry as well as muscle hypertrophy and extension. Based on these individuality, the doctor might be comfortable to rapidly classify the lines and predict the distribution of the sites to determine the amount of botulinum toxin to be injected to each one. The physician’s aim is a natural look and a long-term treatment, not only to minimize the rhytids, but to prevent the deep forehead lines. Different clinical presentations require an individual analysis and planning.
KeywordsBotulinum Toxin Forehead Frontal Forehead Lines Rhytids
- Braz AV, Sakuma TH. Patterns of contraction of the frontalis muscle: a pilot study. Surg Cosmet Dermatol. 2010;2(3):191–4.Google Scholar
- Dubina M, Tung R, Bolotin D, Mahoney AM, Tayebi B, Sato M, Mulinari-Brenner F, Jones T, West DP, Poon E, Nodzenski M, Alam M. Treatment of forehead/glabellar rhytides complex with combination botulinum toxin A and hyaluronic acid versus botulinum toxin A injection alone: a split face, rater-blinded, randomized control trial. J Cosmetic Dermatol. 2013;12(4):261–6.CrossRefGoogle Scholar
- Finn JC, Ellen-Cox S. Practical anatomy of botulinum toxin. In: Carruthers A, Carruthers J, editors. Botulinum toxin. Rio de Janeiro: Elsevier; 2005. p. 19–30.Google Scholar
- Tamura BM. Padronização dos pontos musculares da região frontal e glabelar. In: Doris Hexsel, Ada Trindade de Almeida. (Org.). Uso cosmético da toxina botulínica, vol. 1. 1st ed. Porto Alegre: AGE Editora; 2002. p. 145–8.Google Scholar