Techniques of using botulinum toxin for forehead wrinkles: A narrative review

Authors

  • Nabeela Shahzadi Gujranwala Medical College Teaching Hospital, Gujranwala Author
  • Saumara Atif Gujranwala Medical College Teaching Hospital, Gujranwala Author
  • Ammara Arshad Gujranwala Medical College Teaching Hospital, Gujranwala Author

Keywords:

Botulinum toxin, Dynamic wrinkles, Static wrinkles, Outcome, Complications

Abstract

The use of botulinum toxin extracted from bacteria Clostridium Botulinum for obliteration of forehead wrinkles has proven to be exceptionally efficient. Injection techniques are based on muscle groups targeted with minimal adverse effects when executed by a professional. Outcome is determined by a grading scale and differs based on the type of wrinkles. It is judged on day 1-4 post injection and peak effects are noticed around 1-4 weeks. It was seen that wrinkle reduction was dependent on dilution criteria and dose of the toxin. Bruising and hematoma formation are common local complications. Adverse effects are seen with concomitant use of other medications like Aminoglycosides, muscle relaxants and Anticholinergic drugs.

Author Biographies

  • Nabeela Shahzadi, Gujranwala Medical College Teaching Hospital, Gujranwala

    Associate Professor of Dermatology

    Department of Dermatology

  • Saumara Atif, Gujranwala Medical College Teaching Hospital, Gujranwala

    Department of Dermatology

  • Ammara Arshad, Gujranwala Medical College Teaching Hospital, Gujranwala

    Department of Dermatology

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Published

2025-05-10

How to Cite

1.
Shahzadi N, Atif S, Arshad A. Techniques of using botulinum toxin for forehead wrinkles: A narrative review. Pak J Med Surg Aesthet [Internet]. 2025 May 10 [cited 2025 Jun. 1];1(1):26-35. Available from: https://www.pjmsa.com/index.php/pjmsa/article/view/21