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
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.