Aspen, Colorado – Filling forehead wrinkles demands a healthy respect for the frontalis, said Kenneth Beer, M.D., at The Cosmetic Bootcamp.
“I’m very comfortable filling glabellar lines,” he said, “but I use very small amounts of product with very low pressure. I still have a healthy respect for the frontalis. Women – and some men – can’t stand having that lower forehead crease, just above the eyebrow, that persists after toxin use.” He injects this area with a low-concentrate hyaluronic acid (HA), or combines dilute HA across the face with minimally reconstituted or non-reconstituted HA in the frontalis. Here, he uses a superficial stick with a very fine-gauge needle.
For a more comprehensive approach to the forehead, Dr. Beer suggested considering 3-dimensional forehead reflation (Carruthers J, Carruthers A. Dermatol Surg. 2015;41 Suppl 1:S321-4.) This approach differs drastically from merely filling lines because it requires placing fairly substantial amounts of HA on underlying bone while avoiding the vascular complex. “This is a challenging technique that can produce beautiful results,” he said.
Dr. Beer is a CBC cofounder, an associate clinical professor of dermatology at the University of Miami Miller School of Medicine, a consulting associate with Duke University and a clinical associate in dermatology, University of Pennsylvania Perelman School of Medicine.
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