{"id":28740,"date":"2025-07-14T20:19:52","date_gmt":"2025-07-14T18:19:52","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?post_type=infographie&#038;p=28740"},"modified":"2026-05-31T08:43:31","modified_gmt":"2026-05-31T06:43:31","slug":"botulinum-toxin-frown-line-before-after","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/en\/infographie\/toxine-botulique-ride-lion-avant-apres\/","title":{"rendered":"Toxine botulique ride du lion avant-apr\u00e8s"},"content":{"rendered":"<h1>BOTULINUM TOXIN FROWN LINE BEFORE-AFTER<\/h1>\n<h2>Smoothing frown lines with botulinum toxin<\/h2>\n<p>A frown line, or glabellar line, is an expression line between the eyebrows. It is caused by repeated contraction of the corrugator and procerus muscles, particularly active during negative emotions such as anger, stress or intense concentration. Very common, it can appear early, from the thirties, and gives the face a harsh, closed or tired expression.<br \/>Among available treatments, botulinum toxin injections are an established reference solution. But what results can you actually expect\u202f? What do before-and-after photographs show\u202f? When does the effect become visible, and is it natural\u202f? This article answers these questions using clinical experience and objective patient feedback.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"220\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp\" alt=\"image of young hydrated skin\" srcset=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp 300w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau-16x12.webp 16w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\t\t\t\t\t<a href=\"https:\/\/drromanovaleria.ch\/en\/contact-doctor-romano-valeria\/\"><br \/>\n\t\t\t\t\t\t\t\t\tBook an appointment<br \/>\n\t\t\t\t\t<\/a><\/p>\n<h2>\n\t\t\t\tContents\t\t\t<\/h2>\n<p>\t\t\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/p>\n<h2>Before treatment : a dynamic wrinkle developing into a permanent crease<\/h2>\n<p class=\"translation-block\">In most patients, a frown line initially appears intermittently, only during certain facial expressions. This is a dynamic wrinkle, visible only during muscle contraction. Over time, however, repeated contractions can deepen the wrinkle until it becomes visible even at rest, turning into a static wrinkle.<br>Photographs taken before injections generally show :<\/p>\n<ul>\n<li>A more or less pronounced vertical crease between the eyebrows, sometimes a double crease.<\/li>\n<li>A tense, contracted area between the eyebrows.<\/li>\n<li>Eyes perceived as harsh or stern, contrary to the patient's actual emotional state.<\/li>\n<\/ul>\n<p>Treatment at this stage can prevent worsening and correct the wrinkle if it is not yet too deep.<\/p>\n<h2>After botulinum toxin injections : smoother wrinkles and more open-looking eyes<\/h2>\n<p class=\"translation-block\">\u201cAfter\u201d injection photos \u2014 generally taken two weeks later \u2014 show a clear yet subtle transformation, primarily based on targeted muscle relaxation. Botulinum toxin works by temporarily blocking nerve transmission in the muscles responsible for the wrinkle, without affecting other facial expressions.\n<br>In the days following the injection, the frown line gradually softens. When the result is optimal, two weeks after injection, one observes :<\/p>\n<ul>\n<li>Disappearance or substantial reduction of the wrinkle, even during muscle contraction.<\/li>\n<li>Visible relaxation of the glabella, with smoother, more relaxed skin.<\/li>\n<li>Improved symmetry of the upper face.<\/li>\n<li>Eyes that appear more open and less closed, without a frozen effect.<\/li>\n<li>A more neutral, calmer facial expression.<\/li>\n<\/ul>\n<p>The before-and-after contrast is often striking, especially in very expressive patients.<\/p>\n<h2>How soon are results visible in photographs\u202f?<\/h2>\n<p class=\"translation-block\">Botulinum toxin does not act immediately : initial improvements appear after an average of 3 to 5 days, with optimal effects between the 10th and 15th day. This is the appropriate time for a comparison photograph or follow-up consultation.<br data-start=\"362\" data-end=\"365\">Before-and-after photographs taken on day+15 generally show clear correction of the wrinkle. The sufficiently gradual development preserves movement and avoids a frozen or artificial appearance. This gentle emergence of the result allows it to integrate naturally with the patient's expressions.<\/p>\n<h2>Before and after : assessing results\u00a0<\/h2>\n<p>To assess botulinum toxin treatment for frown lines properly, before-and-after photographs must be taken under identical conditions : the same lighting and framing, without make-up or deliberate expression.<br data-start=\"339\" data-end=\"342\" \/>Standardised photography is essential for an objective assessment of change. During consultations, it also helps patients see the treatment's real benefit more clearly, sometimes more obviously in an image than in a mirror. A photograph comparing deliberate eyebrow contraction before and after injections provides a particularly clear illustration of muscle inhibition.<\/p>\n<h2>Deep wrinkle treatment : before and after\u00a0<\/h2>\n<p>When a frown line is very deep, particularly in patients over 45 or those who are very expressive, botulinum toxin alone is not always sufficient. The muscle relaxation prevents further worsening, but the skin crease may persist at rest.<br \/>Dans ces cas, un protocole combin\u00e9 est propos\u00e9 : une premi\u00e8re injection de toxine botulique pour inhiber la contraction, suivie, 10 \u00e0 15 jours plus tard, d&rsquo;une injection d\u2019acide hyaluronique tr\u00e8s fluide, pour combler la cassure.<br \/>Before-and-after photographs with this protocol are particularly illustrative : the vertical fold is smoothed away and the glabella looks smoother, while facial expression remains natural. This two-stage treatment often achieves very high satisfaction.<br \/>Beyond the image, however, patients frequently mention another element : the sensation of muscle relaxation in the forehead and glabella. Many describe an \u201cinner calm\u201d, a feeling of tranquillity that is difficult to measure objectively but decisive for their comfort after injections.<br data-start=\"1250\" data-end=\"1253\" \/>This subjective aspect, invisible in photographs, contributes substantially to the high satisfaction shown in clinical studies and follow-up surveys.<\/p>\n<h2>How long results last\u00a0<\/h2>\n<p data-start=\"77\" data-end=\"874\">Photographs taken three months after treatment generally show good persistence of the result, although slight muscle activity may return. From the fourth or fifth month, the dynamic wrinkle tends to reappear during contraction. This gradual, never abrupt return allows maintenance treatment to be planned calmly, usually around the fifth or sixth month.<br data-start=\"509\" data-end=\"512\" \/>Avec le temps et la r\u00e9p\u00e9tition des s\u00e9ances, les photographies \u00ab avant \u00bb t\u00e9moignent d\u2019une am\u00e9lioration progressive : les rides y apparaissent moins marqu\u00e9es, car la contraction musculaire s\u2019affaiblit durablement. La toxine botulique n&rsquo;a pas qu&rsquo;un effet imm\u00e9diat : il contribue \u00e9galement \u00e0 pr\u00e9venir l\u2019aggravation et la r\u00e9apparition d\u2019une ride du lion profonde.<\/p>\n<h2>Before and after : clinical studies\u00a0<\/h2>\n<p>Several studies in aesthetic dermatology and aesthetic medicine journals have objectively assessed glabellar botulinum toxin injection results using validated visual scales, such as the Facial Wrinkle Scale or Glabellar Line Severity Scale (GLSS). They confirm that in more than 80 % of cases, frown line severity scores decrease by at least two grades on the clinical scale from the second week after injections.<br \/>Standardised before-and-after photographs from these trials show results consistent with clinical practice : visible wrinkle improvement, improved dynamics around the eyes and disappearance of involuntary facial tension. These findings objectively support what publicly available photographs convey more intuitively : clear yet natural correction.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/07\/photo-docteur-romano-valeria-150x150.webp\" alt=\"Photo of doctor Valeria Romano in Geneva\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p>Article written by <a href=\"https:\/\/drromanovaleria.ch\/en\/\">Dr Romano Valeria<\/a><\/p>\n<p>SHARE THIS ARTICLE ON<\/p>\n<p>\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tLinkedIn\t\t\t\t\t\t\t\t\t<\/p>\n<ul>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"mailto:dr.romano.valeria@gmail.com\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tdr.romano.valeria@gmail.com<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"tel:+41%2078%20209%2002%2089\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\t+41 78 209 02 89<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<\/ul>","protected":false},"featured_media":0,"template":"elementor_header_footer","class_list":["post-28740","infographie","type-infographie","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - 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