BOTOX FROWN LINES

What is the frown line ?

The frown line is the wrinkle that appears between the eyebrows, initially visible when frowning, and eventually becoming permanent. Because these wrinkles give a stern or tired expression, correction is frequently requested in aesthetic medicine.

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Key Points

How to erase the frown line in Geneva : botulinum toxin 

The frown line, also known as the glabellar line, is a common aesthetic concern. Techniques such as Botox and hyaluronic acid injections are commonly used to treat this wrinkle.

These methods smooth the frown line and give the face a more relaxed and rejuvenated appearance. 

The frown line

When frowning, the muscles responsible for brow movement (frontalis, orbicularis oculi, corrugator, procerus) are activated differently depending on the individual. This results in five types of frown lines. This classification is therapeutically important, as the injection technique will vary slightly.

photo ride du lion type omega

Omega-type
frown line

photo inverted omega lion wrinkle

Inverted omega-type
frown line

photo ride du lion type V

V-type
frown line

photo ride du lion type U

U-type
frown line

photo of lion wrinkle converging arrows

Converging arrows-type
frown line

photo causes ride du lion

What causes the frown line ?

The main causes of the frown line include :

  • Repeated muscle contractions : the frown line is mainly caused by the action of the corrugator muscles, located at the head of the eyebrow. These muscles allow us to frown, as they pull the brow downward.
    These muscles develop rapidly due to frequent facial expressions, explaining why the wrinkle may appear even in very young patients.
    Wrinkles first appear with expressions and eventually become permanent as the skin breaks down.
  • Aging : with age, the skin loses its elasticity and ability to fully relax after muscle contraction.
  • Genetic factors : genetic predisposition may influence how deep and how early this wrinkle appears.
  • Sun exposure : UV damage accelerates skin aging and wrinkle formation.
  • Smoking : smoking reduces blood flow to the skin, accelerating skin aging.

Severity stages of the frown line

For therapeutic purposes, the frown line is classified into four severity stages :

Stage 1 : mild lines

At this early stage, frown lines appear as fine lines only when the corrugator muscles contract during frowning. The skin still has good elasticity, and the lines disappear at rest.

Stage 2 : moderate wrinkles

At this stage, the lines are visible even at rest. They begin to settle more permanently due to decreased collagen and elastin production. The skin starts to lose firmness, and wrinkles become more pronounced.

Stage 3 : deep lines

Frown lines become deep and permanently visible, even when the face is relaxed. There is a significant loss of skin elasticity and volume, making the wrinkles more marked.

Stage 4 : very deep lines

In the advanced stage, frown lines are very deep and well defined, often accompanied by skin folds. The skin has lost most of its elasticity and volume. The wrinkles give the face a stern and constantly concerned expression.

In early stages, botulinum toxin injections can erase the frown line.
In more advanced stages, if the patient wishes complete smoothing, hyaluronic acid injections are performed one month after the Botox injection.
The muscle responsible for the frown line is powerful. Botox treatment at the deep or very deep wrinkle stage is possible, but the result will last only 3 to 4 months. This highlights the importance of treating this type of wrinkle as soon as it appears.

photo natural lion wrinkle treatment

How to erase the frown line without injections ?

Among the natural methods to reduce this wrinkle, facial exercises stand out for their non-invasive approach and benefits for skin health. Specific facial exercises can help soften the frown line and refresh the appearance of the face. Facial gymnastics is a complement to injections : this technique alone cannot prevent or treat the frown line if it is not combined with injections.

Facial gymnastics : a natural solution for frown lines

Facial gymnastics consists of a series of exercises designed to strengthen and tone facial muscles. These exercises can help smooth wrinkles and improve skin firmness. For the frown line, several targeted movements can be integrated into your daily routine.

The most common exercise involves placing three fingers on the head of the eyebrow and stretching outward while frowning.

How do you get rid of frown lines ?

There are many options to prevent and treat the frown line in order to maintain smooth, youthful skin.
The most widely used and effective treatment is Botox injections.
In some cases, hyaluronic acid injections may also be used in combination.

photo of lion wrinkle treatment by botox injection

How do you erase frown lines? Botox injections for frown lines

Botox injections block the contraction of the corrugator muscles. The patient will no longer be able to frown, but this inability does not give a frozen look. It is the inability to raise the eyebrows that creates a stiff appearance.
For certain individuals (especially in artistic professions), it is important to maintain some ability to frown. In such cases, a partial block is possible.
An analysis of both the resting and frowning positions is performed before treatment.

A failed injection in this area may cause :

  • Eyelid drooping (ptosis), caused by diffusion of the product to the levator muscle of the upper eyelid.
  • Brow drooping with inability to raise the eyebrows (creating a stiff look), caused by injection too high into the frontalis muscle.

Often, Botox injections for crow's feet wrinkles are added to fully open the eyes and avoid altering the eyebrow shape.

photo filler lion wrinkle with hyaluronic acid

How to make the frown line disappear ?

Frown line correction with hyaluronic acid injections

The indications forHyaluronic acid injections to fill the frown line are the impossibility of performing a Botox injection (patient refusal, contraindications...) and the presence of a skin break, which will be corrected by a hyaluronic acid injection approximately one month after the Botox injection.
The injection must be performed using a cannula. The practitioner must be experienced, as there is a risk of necrosis and product visibility (small lumps or a visible cord).

If the wrinkle is deep, a true volumizing hyaluronic acid will be used, and if the skin break is very superficial, a Skinbooster will be chosen.

Before / After results of Botox injection for the frown line

The treatment of the frown line removes the harsh and tense appearance caused by the wrinkle and rejuvenates the gaze, which appears more rested.

The result of Botox injections is visible from two days after the injection and becomes final after seven days. It lasts five to six months.
A follow-up appointment for a possible touch-up is scheduled one to three weeks after the injection.
After-effects include slight, temporary swelling (about ten minutes) and headaches lasting no more than five days.

The result of hyaluronic acid injection is immediate and lasts one year.
There are no after-effects, and the patient can resume normal activities immediately after the injection.

What is the cost of an injection for the frown line ?

Type of consultation Generally practiced rates
Hyaluronic acid for
600 CHF per syringe
Botox
WOMAN
one zone : 300 CHF
two zones : 450 CHF
three zones : 600 CHF

MEN
one zone : 350 CHF
two zones : 500 CHF
three zones : 650 CHF
How can frown lines be prevented?

Prevention is the key to reducing the appearance of frown lines. Effective advice.

  • Sunglasses: to avoid squinting in the sun.
  • Application of moisturising creams to maintain skin elasticity.
  • Sun protection.
  • Stop smoking: smoking accelerates skin ageing.
  • Skin care: use skin care products containing antioxidants and anti-ageing active ingredients.

Certain essential and plant oils can help reduce the appearance of frown lines thanks to their moisturising and regenerative properties.

  • Rosehip oil: rich in essential fatty acids and vitamin A, it helps to regenerate the skin and reduce wrinkles.
  • Argan oil: known for its moisturising and antioxidant properties, it helps improve skin elasticity.
  • Frankincense oil: this oil has anti-ageing properties and can help smooth wrinkles.

To treat frown lines, we recommend creams containing the following ingredients:

  • Retinol: stimulates collagen production and accelerates cell renewal.
  • Hyaluronic acid: deeply hydrates the skin and fills in wrinkles.
  • Peptides: help strengthen the skin's structure and stimulate the production of collagen and elastin.
  • Antioxidants: such as vitamins C and E, to protect the skin from damage caused by free radicals.

Gua Sha is a massage technique in which a specific tool is used to gently scrape the skin, traditionally used in traditional Chinese medicine. Its aim is to improve blood circulation and encourage lymphatic drainage.
Regular use of Gua Sha could potentially have beneficial effects on frown lines.
Results vary from person to person, and Gua Sha does not give the same results as medical treatments.

The frown line can begin to appear in the late twenties or early thirties, but it generally becomes more pronounced with age, particularly after the age of forty. Genetic factors, sun exposure and smoking influence the age at which this wrinkle appears.

The results of Botox® injections into the frown lines appear three to five days after the injection, with the maximum effect visible after a week. The effects generally last between three and six months, with maintenance sessions necessary to maintain the results.

Botox® injections are generally well tolerated and only slightly uncomfortable. The sensation is often compared to a mild insect bite. A topical anaesthetic may be applied before the procedure.

Anti-wrinkle creams help to improve the appearance of the skin by increasing hydration and stimulating the production of collagen and elastin. However, they cannot relax the muscles responsible for frown lines. For significant results, the creams must be combined with botox or hyaluronic acid injections.

Facial gymnastics help strengthen facial muscles, improve blood circulation and reduce the appearance of wrinkles. For optimum results, it is advisable to combine these exercises with a good moisturising and skincare routine.

Frown lines are found between the eyebrows on the forehead. These wrinkles are often vertical.

Other areas to be treated

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