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Songpa Plastic Surgery Forehead Wrinkle Botox: The Real Reason It Didn’t Work for Me

Liting Plastic Surgery Clinic Gangnam Main Branch · 리팅성형외과 이성준 대표원장 · May 29, 2025

Hello, I’m Lee Seong-joon, Director at Leeting Plastic Surgery Seoul. ​ While looking in the mirror, you may suddenly notice deep wrinkles across your forehead and think, ​ “Do I n...

AI translation notice

This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Liting Plastic Surgery Clinic Gangnam Main Branch

Original post date: May 29, 2025

Translated at: April 24, 2026 at 1:20 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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Hello,

I’m Lee Seong-joon, Director at Leeting Plastic Surgery Seoul.

While looking in the mirror, you may suddenly notice

deep wrinkles across your forehead and think,

“Do I need Botox?”

I’m sure many of you have wondered that.

But before that,

there is something important to point out.

Rather than immediately thinking of Botox

just because wrinkles have appeared,

it is important to first look at

why those wrinkles formed.

In particular, when the skin above the eyes sags after middle age,

people often naturally use the forehead muscles more

to open their eyes,

which can lead to wrinkles.

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We often describe this as

“opening the eyes with the forehead.”

When this habit repeats,

forehead wrinkles become deeper,

and your face in the mirror

may start to feel unfamiliar.

Botox alone may not be enough.

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If the wrinkles are caused by facial expressions,

Botox may help prevent them

or reduce them.

But not all wrinkles

have the same cause.

Forehead wrinkles are not always simply due to

expression habits;

they often appear together with structural causes such as

sagging skin above the eyes

or overuse of the muscles.

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Botox is a procedure that reduces muscle movement

by blocking the release of the neurotransmitter

acetylcholine.

This is the mechanism that makes

expression wrinkles less likely to form.

But what if you must keep using your forehead muscles

to open your eyes?

If the forehead muscles are paralyzed,

your eyes may look smaller,

or your double-eyelid line may seem less defined.

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This is not a problem with Botox at Songpa Plastic Surgery itself.

It is the result of a procedure performed without fully considering

your facial structure and function.

Also, if you have received Botox repeatedly

but feel that the wrinkles have actually become deeper,

there may be a problem that Botox cannot solve.

In such cases, it may be worth

reexamining the approach.

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The following cases may require a structural approach:

✔ If the skin above the eyes has come down

and the field of vision feels cramped

✔ If the double-eyelid line is

no longer visible as before

✔ If it feels difficult to open the eyes

unless you use your forehead

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In this condition,

rather than deciding on Botox

based only on wrinkles,

it is necessary to consider

eyelid sagging, habits of using the forehead muscles,

and the overall anatomical structure

together.

A method that lifts the forehead area upward: forehead lift surgery

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In these situations,

forehead lift surgery may be an alternative.

Forehead lift surgery lifts the skin upward

while adjusting the position of the eyebrows,

and may help reduce the feeling of heaviness

above the eyes.

The main methods are as follows.

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✔ Endoscopic forehead lift

✔ Incisional forehead lift

Endoscopic forehead lift

(a forehead approach using incisions within the scalp)

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Endoscopic forehead lift

makes 2 to 5 small incisions,

about 1 to 2 cm each,

inside the scalp within the hairline,

and lifts the skin and muscles upward

using an endoscope.

Because the surgical marks are located inside the hair,

they are not easily noticeable,

which is an advantage.

It may be considered by people who want

a quick return to daily life,

or by those who want a change

without it being obvious.

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However, this method may make the forehead look wider,

so if you already have a wide forehead,

it is advisable to check whether it is suitable

through a consultation.

Incisional forehead lift

(direct approach through a hairline incision)

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The incisional method involves making an incision

along the hairline,

then lifting the forehead skin upward

and removing the excess skin.

It may help improve sagging above the eyes,

and for people whose foreheads look wide,

a well-adjusted incision position

may also create a visually balanced impression.

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The incision site may leave a scar,

and while it may fade over time,

this varies from person to person.

With the development of suturing techniques,

The timing of returning to daily life after surgery

can also be flexibly adjusted

depending on the individual’s condition.

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In addition, forehead lift surgery is not simply a matter of pulling the skin upward;

it is a procedure that adjusts the structure

by accessing the frontalis muscle,

retaining ligaments,

and, if necessary, the SMAS layer.

Both methods have their own advantages and disadvantages,

so

it is best to find the method that fits your facial structure

through consultation.

If your forehead looks wide, you may want to consider forehead reduction surgery.

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Forehead reduction surgery

is a procedure that pulls the scalp forward

to shorten the length of the forehead.

If performed together with a forehead lift,

it may help create more harmonious overall facial proportions.

For example,

📍 For those concerned about a wide forehead
📍 For those who want forehead wrinkle improvement and hairline correction at the same time
📍 For those concerned that the space between the eyes and eyebrows is too narrow, creating a cramped impression

If you have these concerns,

forehead reduction surgery and forehead lift surgery

may be considered together.

In the end, an accurate diagnosis and consultation come first.

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The most important thing is that

every face is different.

It is important to find the method that suits you

by comprehensively considering various factors

such as forehead width, skin thickness and elasticity,

the distance between the eyes and eyebrows,

and the direction of the wrinkles.

It may be important to check whether the forehead wrinkles

are simply a skin change

or whether they stem from structural factors.

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If, one day, your face in the mirror

looks a little more tired than before,

it may not just be your imagination.

If your eyes feel heavy,

and you keep putting tension into your forehead,

it may be a good idea to have the current changes checked

at Songpa Plastic Surgery.

You can start by talking about it in the consultation room.

Any method only matters if it suits your face.

I hope you become more naturally youthful

tomorrow than today,

and today than yesterday.

This has been Lee Seong-joon,

Director of Seoul Leeting Plastic Surgery.

This article is

content intended to provide general information

about forehead lift surgery and

forehead wrinkle Botox.

Whether surgery is actually performed should be determined

according to the individual’s health condition and purpose,

and should be decided through consultation with a medical professional.

If you would like more details,

please check the YouTube link below for more information.

https://youtu.be/PFV7dYA4e9Y?si=-WIlY2kIbQGL-Nbf

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