The lines you make when you look surprised

Raise your eyebrows in a mirror and the horizontal lines that appear across your forehead are the work of one broad muscle, the frontalis. Its whole job is lifting the brows, which it does every time you listen hard, show surprise or try to see a little better. Over the years those folds leave a mark, and forehead lines are among the most common reasons people book a neurotoxin appointment at Montville MedSpa & Pain Center.

Why the forehead needs a careful hand

Because the frontalis is the muscle that raises your brows, treating it is a balancing act between softer lines and brows that still do their job. The answer is strategic dosing: enough Botox or Dysport, both FDA-approved botulinum toxin type A, to soften the creases, placed so the brows can still lift and your face still reads as yours. Because the muscle is quieter rather than switched off, you keep your expressions.

The forehead is also rarely treated in isolation. The frown lines between the brows come from the corrugator and procerus muscles, which pull the brows down and in, while the frontalis pulls them up, and crow’s feet fan out from the ring of muscle around each eye. So your injector watches the whole upper face move before deciding where each injection goes.

What the first two weeks look like

  • The appointment itself: about 10 to 20 minutes of small injections with a fine-gauge needle, each one felt as a quick pinch.
  • That day: no downtime, but leave your forehead unrubbed for 24 hours. A little redness or a small bruise can appear and usually settles within hours to a few days.
  • The first couple of days: some people feel a headache or a heaviness in the treated area, which normally fades within 24 to 48 hours.
  • Days 3 to 5: the lines begin to soften.
  • Days 10 to 14: the result has fully settled, and this is the fair point to judge it.

Who places it

Injections are given by Dr. Donna D’Alessio, MD, the founder of the practice, or by nurse practitioners Amy Natalicchio and Tanya Santoro, who work to the standard she sets. Dr. D’Alessio is board certified in Physical Medicine & Rehabilitation, a specialty concerned with how muscles and nerves work together, and she reviews and oversees every neurotoxin treatment given here.

Pompton Lakes patients ask

Can a slight brow droop happen? Rarely, if product drifts from where it was placed. Precise placement based on your anatomy is how that risk is kept low.

Will it remove a line that is there even when my face is still? A crease that stays put at rest often comes from lost volume rather than movement, and dermal filler may suit it better. Plenty of plans combine the two.

How long is the drive? About nine miles by the Paterson-Hamburg and Newark-Pompton Turnpikes, the Boulevard through Pompton Plains and Jacksonville Road — close to 15 minutes without traffic.

How often would I come back? Results usually last three to four months, and leaving at least three months between touch-ups is the usual advice.

Read the full Botox and Dysport page, or see before & after results.

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Explore real transformations from our happy patients at Montville MedSpa. From smoother, rejuvenated skin and pain-free living, our gallery showcases the powerful results of our expert care.

Before and after: botox, filler, radiesse & skinvive
Botox, Filler, Radiesse & SkinVive
Before and after: botox & filler – full face
Botox & Filler – Full Face
Before and after: botox & filler
Botox & Filler
Before and after: dysport & skinvive
Dysport & SkinVive
Before and after: tox booster – vi peel with botox
Tox Booster – VI Peel with Botox
Before and after: botox
Botox
Before and after: botox
Botox
Before and after: botox
Botox
Before and after: botox
Botox
Before and after: botox
Botox
Before and after: botox
Botox
Before and after: dysport
Dysport

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