Forehead, Gabella Frown Lines & Synergy


The gabella frown line are the vertical lines between your eyebrows, they are also known as the

cranky lines or the ‘elevens’. The forehead lines are the horizontal lines above the eyebrows. Anti-

wrinkle treatments with muscle relaxant or dermal fillers are extremely effective. Patient often

feedback to have over 90% improvement after treatment.


These are two completely different treatment areas and the wrinkles are formed by two different

groups of muscles (namely Frontalis for the forehead and Corrugator plus depressor superciliis, and

the Procerus for the frown lines). However, it is worth discussing these areas together in a single

context as for most people, these areas are likely to have a cross influencing effect in the medium to

long term.


If the forehead lines are treated in isolation of the frown line in the long-term, studies and our

experience have shown that this can cause hyper-activity in patient’s frown lines. This is not to say

that we must treat both areas every time you have treatment, in fact, some patients work in

professions that is beneficial to maintain their frown lines. They believe that it makes them look

more serious and tough. For patients that prefer to keep the frowning appearance, we ensure that

only the forehead is treated, leaving the frown lines to be more prominent over time. However, for

over 95% of our patients, even if the frown lines are not your major concern, if forehead treatment

is received regularly, it is best to treat the frown lines with a minimum dose every 2 nd to 3 rd

treatment to prevent the deepening of the Gabella frowns.


Most patients can have treatment in the frown line alone with no negative aesthetic long term

impact on the forehead. However, if you have an ‘omega’ frown, patient often need to have

treatment on the forehead as well as the frown line in order to have the most effective treatment.

For sever horizontal lines on the forehead, a surgical forehead lift may be required to achieve

optimal result for the patient.


It is important to point out that we are all individuals, although there are some guidelines on

dosage(amount of medication needed), we find that there could be a significant difference from

patient to patient. Dosage, frequency and longevity of treatment can vary. A normal to higher

dosage infrequently (every 3-4 months) can suit many people, others experience a better result from

having a lower dosage more frequently. Some anatomist have also lectured on the long-term

benefits of muscle relaxant treatment, basically, viewing it as a ‘prevention’ as well as a short-term

‘treatment’ for wrinkles. Please book in for a face to face consultation with one of our practitioners

for a personalised assessment.

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