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How To Get Rid Of Forehead Wrinkles According To A Top Dermatologist

Jun 01, 2023Jun 01, 2023

Forehead wrinkles? NYC board-certified dermatologist Dr. Dan Belkin weighs in on how he targets ... [+] those 'dynamic" lines.

Forehead wrinkles. Those pesky expressive lines that form with repetitive movement of what’s known as the frontalis muscle. Not to mention other contributing factors like stress, thinning skin, loss of elasticity, sun exposure, booze and good old fashioned genetics. So, what can you do to smooth forehead wrinkles? We talked to Dr. Daniel Belkin, a board-certified dermatologist at New York Dermatology Group.

You’ve probably heard of the "11" lines and “frown” lines. “Forehead lines are what we call “dynamic” wrinkles and are produced by muscle movement,” Belkin explains. As we age, our muscle strength stays similar while skin loses both firmness and elasticity. “Over time, the muscle movements overwhelm the skin's ability to bounce back smoothly,” says Belkin. His suggestion? A FDA-approved, anti-wrinkle neuromodulator like Botox or Xeomin.

"I think of their true purpose as this re-balancing," Dr. Dan Belkin says of injectibles like Merz ... [+] Pharmaceuticals Xeomin which are also known to help keep forehead wrinkles at bay.

A product like Xeomin “weakens the muscles to re-balance them with the elasticity of the skin,” explains Belkin. And while neuromodulators can be used for countless desired looks, Belkin taps their “ true purpose” as a re-balancing modality. “I tell my patients that having treated and stopped is better than never having treated at all,” he says. Typically, standard injectables like Xeomin last three to four months, while Daxxify, the newest neuromodulator to hit the U.S. market can last up to six months.

Belkin likens it to this analogy: “if you were a twin and you treated your wrinkles and your twin did not; and one year later everything had worn off, you would still look better than your twin.” Why? “Because you spent those several months not worsening those lines and potentially retraining the muscles.” Simply put: consider neuromodulators when you see lines popping up. (Varying by location, you can expect to pay anywhere from $300-$500 for forehead injections).

Skipping the injectables? “I like products that have convincing evidence showing thicker skin with more collagen and elastic fibers after each use,” he says. Belkin suggests Alastin Rejeventating Skin Nectar ($210) and SkinMedica TNS Serum ($295), a popular growth factor blend known to fade deep wrinkles and restore plumpness in just two weeks.

You’ll also need suncreen. “UV exposure causes accelerated breakdown of collagen bundles and elastic fibers, greatly worsening wrinkles and laxity,” Belkin says. Other actives to help increase and protect the skin's firmness and elasticity include tried-and-true retinols, vitamin C, and glycolic acid.

Alastin's Regenerating Skin Nectar strengthens the skin barrier.

While neuromodulators reign supreme for forehead wrinkles, Belkin’s aresnal for stimulating collagen and improving skin's firmness also extends to a bevy of other treatments including: nonablative resurfacing laser (Fraxel), picosecond laser toning (Picosure), radiofrequency microneedling (Endymed Intensif), CO2 resurfacing (CORE) and monopolar radiofrequency (TempSure). As for forehead lines, each of these modalties works “vastly better when combined with neuromodulators,” Belkin says. In other words: the best game is a layering game.

No matter what, don't forget the sunscreen.

For taut and healthy skin in general, Belkin suggests easy lifestyle swaps including less booze, a low glycemic index diet and regular exercise. You might also consider lycopene and NAD+ (nicotinamide adenine dinucleotide) supplements, which like Elysium Health’s Basis ($60) are known to help combat aging at the cellular level, protect DNA from stressors and support collagen and ceramide synthesis for healthy skin.

But once again, the ever-vigilant Belkin is quick to stress: “SPF is paramount as UV vastly accelerates skin aging not to mention pore size, hyperpigmentation, and skin cancers.”