
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.

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.

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.

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.

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.

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

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

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.

✔ Endoscopic forehead lift
✔ Incisional forehead lift
Endoscopic forehead lift
(a forehead approach using incisions within the scalp)

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.

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)

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.

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.

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.

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.

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.

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




