Problem area: forehead and eyebrows
We raise our eyebrows in surprise or indignation, frown in thought or anger. Normal human emotions, the face itself says what a person feels at one time or another, often even if he does not want it.
From here it becomes clear that there is facial expression that we can control - voluntary, and there is one that cannot be controlled - involuntary. The second one is where most of the wrinkles appear.
Active movements of the facial muscles in some people almost never stop; even sleeping, reading or normal routine work can be accompanied by frowning, raising the eyebrows or wrinkling the nose. And from such constant contractions, wrinkles appear on the skin. At first they are dynamic, that is, they pass when facial expressions are calm, but with age they become static, no longer disappearing completely.
And it seems that on the one hand, wrinkles are traces of emotions from various events in our lives, and on the other hand, there are creases that do not add color at all, but on the contrary give the appearance of severity, anger and sadness. Such marks are definitely not what a woman’s face needs in order to look fresh, young and positive.
When a girl comes to me with a problem with facial wrinkles, we always discuss what she expects from my work. In most cases, patients want their face to remain natural, mobile, but without wrinkles. Injections of Botox, Dysport and Xeomin can achieve this effect. You can block facial expressions completely where it is necessary, for example, at the area between the eyebrows, or you can partially block them - this often applies to the forehead.
What are fillers?
Fillers are special gel-like preparations that are injected under the skin and are used to create additional volume on the skin. The filler, injected exactly under the wrinkle, lifts the upper layers of the skin, smoothing out the wrinkle.
Fillers are distinguished by composition and place of application. If we talk about the place of application, we can highlight nasolabial fillers, which help hide the triangle above the upper lip formed by the nasolabial folds.
Under-eye fillers also help the patient get rid of the unsightly network of wrinkles under the eyes, while lip fillers are used to add volume to the lips, making them plump and appetizing.
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Based on their composition, fillers are divided into several groups.
- Synthetic - contain silicone. Such fillers have been used in cosmetology for a long time and have a good reputation. Silicone fillers remain in the skin for a long time and smooth out even deep wrinkles well. Another advantage of such drugs is their relatively low price (especially when compared with other fillers). The disadvantage is that silicone fillers are more likely to provoke an allergic reaction.
- Biocompatible fillers, which are based on collagen, hyaluronic acid or tissues of the person to whom these fillers will be injected. This option has a lower likelihood of developing side effects and allergic reactions, but can cost an order of magnitude more than synthetic ones. In addition, the substances that make up fillers tend to dissolve under the skin, so the effect lasts a little less.
- Combined fillers combine the advantages of the two previous options: they stay under the skin longer, giving the face a youthful appearance, and, at the same time, they are much less likely to cause allergic reactions.
One wrinkle between the eyebrows
The area between the eyebrows is one of the most problematic on the face. If somewhere wrinkles can even decorate, then the space between the eyebrows is the opposite. He gives the impression of an angry, closed, sad, thoughtful person. All this definitely does not encourage the people around you to communicate.
The eyebrow wrinkle appears from the work of the muscles that frown the eyebrow. In Latin they are called corrugators (musculus corrugaror). They form vertical wrinkles, there may be one or two. And one more muscle, the so-called proud muscle, procerus (musculus procerus, lat.). It forms a horizontal crease on the bridge of the nose; it is rarely single, more often it is several parallel lines, smoothly turning into “rabbit” wrinkles (on the nose). When eyebrow wrinkles quickly disappear after frowning, there is nothing to worry about. You just need to observe and preferably try to control your facial expressions.
It often happens that it is impossible to control, it is not for nothing that such facial expressions are called involuntary. In this case, at the first sign that a wrinkle does not want to go away from an already calm face, it is worth doing prophylaxis. This can be self-massage for the first time, but the most effective is botulinum toxin injections (Botox, Dysport, etc.)
Regardless of whether there is one wrinkle between the eyebrows or two, the cosmetologist works with this area according to the same scheme; only the dose of the drug and the procedure technique may differ.
The wrinkles between the eyebrows that patients treat are often not just static (creased), but also extend deeper than the skin level. It is not easy to work with such wrinkles, because it is not possible to guarantee that they will completely disappear after the procedure. In addition to the fact that correction is expected not only with Botox, but combined - Botox + filler, the correction zone also has its own nuances and only very experienced doctors should work with it. In view of all of the above, it becomes clear that it is definitely not worth delaying the moment of contacting a cosmetologist with this problem.
When patients come for prophylaxis for mild wrinkles, the result is almost 100%. Moreover, after Botox injections, a person feels a block in this area, cannot frown, and this feeling remains even when the effect of the drug disappears completely. That is, for 2-3 months, or even more, self-control appears and in the future wrinkles between the eyebrows appear more slowly, and all this time the face looks positive and friendly.
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Before and After - forehead and eyebrows
Cosmetological correction 1
Patients come for botulinum toxin correction with varying degrees of wrinkle severity. For some, wrinkles are just beginning to form, for others they are already very noticeable. Wrinkles that do not disappear even after a long period of rest are called static.
They take many years to form due to very active facial expressions. In this case, you can see a significant crease between the eyebrows and wrinkles on the forehead. In this case, muscle relaxation alone will not be enough, because facial expressions will disappear, but the gap and wrinkle will remain in place.
We performed a combined correction - botulinum toxin + filler based on hyaluronic acid with an interval between procedures of 2 weeks.
The procedure was carried out under local anesthesia with cream and took no more than 30 minutes each. The filling effect will last for at least 1.5 years, and botulinum toxin will need to be repeated every 6 months.
Cosmetologist's work:
- correction
- botulinum toxin + filler
- once every 6 months
- procedure 30 minutes
- Result at least 1.5 years
How to remove wrinkles between eyebrows?
Botulinum toxin injections:
(Botox, Dysport, Xeomin) paralyze the muscle fibers between the eyebrows, preventing them from contracting, and in this relaxed state the skin is smoothed out. The effect of the procedure develops within 1-2 weeks and lasts about 4-6 months. Read more.
Contour plastic:
Correction of glabellar wrinkles using fillers based on hyaluronic acid. Hyaluronic acid replenishes tissue volume in the wrinkle area, and the skin surface is smoothed. More details
Biorevitalization:
a procedure for intradermal injection of unchanged natural hyaluronic acid into the eyebrow area. Hyaluronic acid fills all the space between skin cells. It is able to accumulate water molecules around itself, making the skin rich and elastic. More details
Fractional photothermolysis:
a hardware method for eliminating eyebrow wrinkles using a laser. The most effective wavelengths are 1320 and 1540 nm (non-ablative fractional thermolysis). They penetrate the skin to a depth of 1-1.5 mm. Accordingly, the principle of their action is to influence not only the surface, but also the deep layers of the dermis. The mechanism for the reproduction of collagen and elastin is launched, blood flow and oxygen flow to cells increases, which leads to the smoothing of both small and deep wrinkles between the eyebrows. More details
Before and After - forehead and eyebrows
Cosmetological correction 2
Injections of Botox and Dysport into the forehead area are almost the only way to avoid wrinkles in this area. In addition to self-control, of course. Many people have very rich facial expressions in this zone. Showing your emotions - outrage, surprise or joy - is normal. It’s a shame when telltale age-addling lines begin to form in places where the skin was once perfectly smooth.
In this case, wrinkles were corrected with Botox and we assessed the result after 2 weeks. It can be seen that the eyebrows remained mobile and at the same time wrinkles on the forehead stopped forming. The area between the eyebrows is also quite active, and without blocking it, correction of the forehead is impossible, so the forehead and between the eyebrows were treated with the drug in combination.
The procedure is comfortable even without local anesthesia and takes 2-3 minutes. After the procedure, active facial expressions are required for 30 minutes and a vertical body position for 4 hours. The effect lasts 3-4 months, the procedure is repeated after 6 months on average.
Cosmetologist's work:
- wrinkle correction
- comfortable procedure
- vertical 4 o'clock
- procedure 30 minutes
- Effect 3-4 months
- repeat after 6 months.
Before and After - forehead and eyebrows
Cosmetological correction 3
The facial muscles, despite their small size, can be quite powerful and create not just wrinkles, but also a certain relief on the face.
This usually suits men, but women, on the contrary, are favored by a smooth, sloping forehead and restrained facial expressions. Botulinum toxin preparations allow you to achieve this quite quickly, literally 3-10 days, and you can enjoy the result. Facial expressions where necessary are preserved, but muscle volume and facial wrinkles have receded.
The procedure is comfortable and takes 2-3 minutes. There are recommendations that should be taken into account - vertical position of the body for 4 hours after the procedure and 30 minutes of active facial movements. The result is assessed on 10-14 days. The effect lasts for 3-4 months, the procedure is repeated after 6 months on average.
Cosmetologist's work:
- result after 2 weeks.
- procedure 2-3 min
- vertical 4 o'clock
- facial expression activity
- Effect 3-4 months
- repeat after 6 months.
Expression wrinkles - 4. Wrinkles on the forehead
Creases that take years to form are difficult to remove. It is known that botulinum toxin is not a treatment for wrinkles, but their prevention, and when a static wrinkle already exists, it will not go away immediately after the procedure, but will smooth out gradually, over the course of weeks, and perhaps disappear only after repeated correction.
In this case, the skin turned out to be of excellent quality, tone and level of moisture. As soon as I blocked my facial expressions, the creases quickly smoothed out almost completely.
The Botox injection procedure lasts 30 minutes along with a consultation, the effect occurs from the 3rd to the 10th day. In this case, we assessed it after 2 weeks. I recommend repeating the procedure once every 4-8 months.
Indications and contraindications for the use of fillers
A doctor may recommend using fillers if the patient:
- has loose and sagging skin on the face;
- wants to reduce the depth of the largest and most noticeable folds and wrinkles, for example, nasolabial;
- wants to eliminate unsightly bags under the eyes;
- wants to correct the oval of the face;
- wants to increase volume on lips or cheekbones;
- wants to correct facial asymmetry;
- has scars, stretch marks or post-acne on the skin of the face.
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The use of fillers is not recommended in the following cases:
- serious diseases, autoimmune diseases, cancer;
- infectious or bacterial inflammation on the skin of the face;
- individual intolerance to the drug;
- pregnancy and breastfeeding;
- menstruation;
- acute diseases;
- recent other cosmetic procedures.
