Frown Lines

/fraʊn lʌɪns/ wrinkles formed when one's brows are furrowed in an expression indication disapproval, displeasure, or concentration.
Frown Lines

The wrinkles between your eyebrows are actually called Glabella Frown Lines and people with this wrinkle or frown line often look very serious, intense or angry, and people with more wrinkles often look older than they actually are. There are a few ways to get rid of the wrinkles but in order to understand how you can get rid of these wrinkles; you would have to understand how these wrinkles come about.

Causes of Frown Lines

  • Facial Anatomy

    Our facial expressions are controlled by the ability of our muscles to contract and relax and the direction of movement is dependent on how the muscles are placed in our facial structure. Both the procerus and corrugator muscles play a part in causing the contraction movement of the skin when we frown. Place 2 fingers just beside the start of your eyebrows and frown. You should feel the muscle moving either inwards together forming a line called “1 wrinkle”, or 2 lines called “11 wrinkle".

    Facial anatomy what causes frown line - Dark Eye Circles by Dr Gerard Ee

Types of Frown Lines

  • Dynamic Frown Lines

    Look at yourself in the mirror and frown. Do you have any frown lines now?

    When you relax the procerus muscles and the lines disappear, this is what we call a dynamic wrinkle. Simply put, the wrinkle appears only when there is muscle movement and thus the term dynamic wrinkle.

  • Static Frown Lines

    Look at yourself in the mirror and take note of the lines before you frown and while frowning. Do you have any frown lines before and during frowning ?

    If the lines still appear there even though you had relaxed and aren’t frowning, the dynamic wrinkle has become a static wrinkle. Static wrinkle means the existence of the wrinkle even at relaxed state.

    A static wrinkle occurs when the skin is constantly folded in the same direction and over time, when skin quality and tightness is lost through aging and the skin experiences laxity, the static wrinkle becomes a permanent wrinkle and thus a permanent and unwanted facial feature on your face.

Grade your Frown Lines

  • Introduction

    Recently, a grading system for Glabella Frown Lines has been created and acknowledged by international renowned Dermatologists, Plastic Surgeons and Aesthetic Doctors. This grading system called “The Merz Scale” helps doctors to explain to patients the severity of their dynamic or static wrinkles, and the expectations in the improvement in grading after treatment is administered to get rid of the wrinkle.

  • Dynamic Frown Lines

    If you have a dynamic Glabella Frown Line, you can grade it yourself with reference to “The Merz Scale” shown below. Try to pull off a maximum frown and take a photo of it and compare to the scale below.

    grade your frown line no frown line dynamic movement - Dark Eye Circles by Dr Gerard Ee Singapore grade your frown line mild frown line dynamic movement - Dark Eye Circles by Dr Gerard Ee Singapore grade your frown line moderate frown line dynamic movement - Dark Eye Circles by Dr Gerard Ee Singapore grade your frown line severe frown line dynamic movement - Dark Eye Circles by Dr Gerard Ee Singapore grade your frown line verysevere frown line dynamic movement - Dark Eye Circles by Dr Gerard Ee Singapore
  • Static Frown Lines

    If you have a static Glabella Frown Line, you can also grade it yourself to the same reference shown below. Take a photo of yourself not frowning and compare to the scale below.

    grade your frown line no frown line no movement - Dark Eye Circles by Dr Gerard Ee Singapore grade your frown line mild frown line no movement - Dark Eye Circles by Dr Gerard Ee Singapore grade your frown line moderate frown line no movement - Dark Eye Circles by Dr Gerard Ee Singapore grade your frown line severe frown line no movement - Dark Eye Circles by Dr Gerard Ee Singapore grade your frown line very severe frown line no movement - Dark Eye Circles by Dr Gerard Ee Singapore

BOTOX: Medical Treatment for Frown Lines

  • Introduction

    Since muscle contraction and relaxation is the root cause of wrinkle formation as explained above, over the counter creams or lotions promising wrinkle reduction would never work as well as medically approved treatments for wrinkle reduction.

    Before we start telling you more about Botox, do not be worried that you will look “frozen” and lose all your facial expressions. This is only true if your doctor is not experienced and gives you more than what you needed.

  • What is BOTOX?

    Botox is a brand name for Botulinum Toxin Type A and there are various brands of Botulinum Toxin Type A products in the market, namely Botox, Xeomin and Dysport. Botox is widely known as a muscle relaxant, or more accurately, a Botulinum Toxin Type A that paralyse the muscle from moving by stopping the neurotransmission of brain signals to the muscle injected with Botox. How does BOTOX help to eliminate frown lines? Botox can be used to eliminate or improve your frown lines when injected into the relevant muscles, stopping the neurotransmission of brain signals to the relevant muscles that are contracting to form the frown lines.

    botox for frown lines by Dark Eye Circles by Dr Gerard Ee Singapore
  • How does BOTOX help to eliminate frown lines?

    Botox can be used to eliminate or improve your frown lines when injected into the relevant muscles, stopping the neurotransmission of brain signals to the relevant muscles that are contracting to form the frown lines.

  • What to expect from BOTOX?

    Clinical studies have proven Botox to last up to 4 months and the effects are almost immediate: you will notice improvement within 24 to 48 hours after your Botox treatment and you will see significant improvement at 7 days, continuing up to a month.

    Not everyone requires the same amount of Botox treatment for frown lines wrinkles as this truly depends on the how large and strong your procerus muscles are. Stronger muscles definitely require more amount of Botox to knock out the muscle movement!

  • What is the downtime for BOTOX?

    Downtime or recovery time for Botox treatment is minimal and you can have your Botox treatment during lunch time and head back to office, with no one ever knowing you just had a medical aesthetic Botox treatment procedure done.

    However, you should avoid strenuous exercise or rubbing the area treated with Botox for at least a day to prevent unintentional spread of the Botox to other areas.

Dermal Fillers: Medical Treatment for Frown Lines

  • What are Fillers?

    Fillers are made of biodegradable material like Hyaluronic acid. Hyaluronic acid is found naturally in all living things and it breaks down within hours. Hyaluronic acid fillers are cross-linked to ensure that the body doesn’t metabolize the hyaluronic acid within hours, allowing some hyaluronic acid fillers to last from 3 months to a year after injection.

    Fillers can be very helpful in those with early signs of aging, and are injected into either the skin tissue layers or on the bone to achieve reduction of static wrinkles appearance and enhancement of facial features due to its volumizing and sculpting abilities.

  • How do Fillers help with my frown lines?

    Depending on the grade and type of frown lines you have, fillers can be injected very superficially just beneath the top layer of your skin to smoother out the line creases.

  • What to expect from Fillers?

    Having fillers injection will not change your look into a different person. It enhances your current facial features while still looking like yourself and no one can tell that you actually had fillers injection done. Even though fillers are clinically proven to last up to a year, its longevity depends a lot on individuals’ metabolic rate, lifestyle, area injected and volume injected.

  • Side effects of Fillers

    Complications from fillers are uncommon. Potential risks vary depending on the specific filler used and the relative permanence of the filler substance and include:

    1. Acne-like skin eruptions

    2. Asymmetry

    3. Bruising, bleeding from the injection site, swelling

    4. Damage to the skin that results in a wound and possible scarring

    5. Infection at the injection site

    6. Lumps

    7. Palpability of the filler under the surface of the skin

    8. Skin rash with itching

    9. Skin redness

    10. Under- or over-correction of wrinkles

    Interested to learn more about Dermal Fillers and how this procedure can help you? Please call 65 6532 2400 to book an appointment with Dr Ee or leave a comment at the end of the article, or simply drop Dr Ee an email here.

CO2 Laser Resurfacing: Medical Treatment for Frown Lines

  • What is CO2 Laser Resurfacing?

    CO2 Laser Resurfacing is the gold standard for skin resurfacing in order to treat the effects of facial skin aging and this is how it works. The lasers penetrate the top skin layers, stimulating collagen and resurface the top skin layer. Your skin’s natural rejuvenation process helps to reduce the appearance of the frown lines.

  • What to expect from CO2 Laser Resurfacing?

    Each CO2 Laser Resurfacing treatment last between 15 – 45 minutes, and most patients see the best results with 1 – 5 CO2 Laser Resurfacing treatment sessions. Since CO2 Laser Resurfacing treatment works with your body’s natural skin cells, results typically take 1 to 3 weeks to take effect and individual results varies.

  • Side effects with CO2 Laser Resurfacing

    1. Patients may experience redness, swelling, and slight crusting and oozing which usually subsides within 5 to 7 days with regular application of ice and prescribed healing ointments. A light pink appearance to the skin may last an additional 7-14 days, but can be camouflaged with make-up.

    2. Infrequently, skin rawness or exacerbation of a pre-existing cold sore can occur. Thus, please inform the doctor before the laser surgery if a history of cold sores exists.

    3. Prescriptions for medications to take prior to and during the healing phase of the procedure will be provided. These medications will help to decrease the risk of infection.

    4. Long-term risks of discoloration and scarring are rare, but can potentially occur whenever there is disruption of the skin’s surface. Strict adherence to all advised postoperative instructions will reduce the possibility of unwanted side effects and complications.

    Interested to learn more about CO2 Laser Resurfacing Treatment and how this procedure can help you? Please call 65 6532 2400 to book an appointment with Dr Ee or leave a comment at the end of the article, or simply drop Dr Ee an email here.

Ulthera Skin Tightening Treatment for Frown Lines

  • What is Ulthera?

    Ulthera is a new type of non-surgical, non-invasive procedure for the face, neck and chest that uses ultrasound and the body’s own natural healing process to lift, tone, and tighten loose skin.

    The FDA-cleared device used in the procedure utilizes the safe, time-tested energy of ultrasound to stimulate the deep structural support layers of the skin—including those typically addressed in a surgical facelift–without disturbing the surface of the skin.

    Results will unfold over the course of 2-3 months and some patients have reported continued improvement for up to 6 months. While ultrasound does not duplicate the results of surgery, Ulthera has proven to be an inviting alternative for those who are not yet ready for surgery.

    Ulthera Ultherapy for frown lines Dark Eye Circles by Dr Gerard Ee Singapore
  • How does Ulthera Work?

    Unlike lasers, which penetrate the skin from the outside-in, Ultherapy bypasses the surface of the skin, specifically targeting the deep, structural skin tissues where collagen lives. Using ultrasound technology, Ultherapy actually works from the inside-out to lift and tighten skin non-invasively on the face, neck and chest.

    Your skin's response to this energy is to recondition tired skin by stimulating the growth of fresh, new collagen. The result is a tightening and gradual lifting—or shifting—of the skin back into a more youthful position and form-fitting shape.

  • What to expect from Ulthera?

    The FDA-cleared Ultherapy procedure has been established to be safe and effective in clinical studies and tens of thousands of patient treatments worldwide. In addition, every Ultherapy practitioner undergoes extensive hands-on training, so you can schedule your Ultherapy procedure with complete confidence.

    An Ultherapy procedure typically takes between 30 and 60 minutes, but will depend on the treatment plan determined by your practitioner. There are no special after-care requirements and you can resume your normal activities immediately.

  • What do I need to prepare before Ulthera procedure?

    No preparation whatsoever is required before your Ultherapy procedure, although your practitioner may recommend that comfort measures such as over-the-counter or prescribed medication be taken prior to treatment.

  • What happens during Ulthera procedure?

    After cleansing the skin and identifying the specific areas to be treated, an ultrasound gel is applied and the smooth handpiece is placed upon your skin. The focused ultrasound energy bypasses the surface of your skin and is delivered to pre-planned depths within the tissue below to stimulate collagen growth.

    Comfort levels vary from patient to patient and can depend on the area treated as well. Your practitioner will discuss options for making the experience as pleasant as possible. The sensation you experience is associated with the focused ultrasound energy as it is deposited below the surface of the skin. It is noticeable just while the energy is being delivered and patients typically leave comfortable and excited about the benefits to come.

  • What happens after Ulthera procedure?

    You are able to return to your normal activities right away, and there are no special measures you need to take. Your skin may appear flushed immediately after the ultrasound treatment, but any redness should disappear within a few hours. It is not uncommon to experience slight swelling for a few days, or tingling/tenderness to the touch for a few weeks following the procedure, but these are mild and temporary in nature. There is the possibility for other less common post-procedural effects, such as temporary small areas of bruising or numbness, and other rare effects which your physician will review with you.

    Click here if you are interested to view treatment results.

    Interested to learn more about Ultherapy and how this procedure can help you? Please call 65 6532 2400 to book an appointment with Dr Ee or leave a comment at the end of the article, or simply drop Dr Ee an email here.

Frown Lines Treatment Protocols

  • Dynamic Frown Lines

    Since muscle contraction and relaxation is the root cause of wrinkle formation as explained above, over the counter creams or lotions promising wrinkle reduction would never work as well as medically approved treatments for wrinkle reduction.

    If you have dynamic frown lines, Botox can be injected into the procerus and/or corrugator muscles, to eliminate or improve your frown lines by around 2 grades while maintaining the effect for at least 3 months.

    Botox treatment for frown lines Dark Eye Circles by Dr Gerard Ee Singapore Are your dynamic frown lines causing you your self confidence and you would to get rid of them? Please call 65 6532 2400 to book an appointment with Dr Ee or leave a comment at the end of the article, or simply drop Dr Ee an email here.
  • Static Frown Lines

    Treatment for static frown lines requires more than just Botox injection, since the wrinkles are there even when you aren’t smiling. To smoothen out the grooves caused by the static lines, dermal fillers can be injected very superficially into the lines itself. CO2 laser resurfacing and or Ulthera can then be used to achieve skin tightening effect. The combined treatments of Botox, fillers and/or CO2 or Ulthera would ensure that the static frown lines are adequately treated and also achieving a 2 grade improvement in your static frown lines.

If you don’t like your frown lines/wrinkles and would like to get rid of it, please call 65 6532 2400 to make an appointment with Dr Ee and he can best advise you what the best option for you is. Alternatively, you can leave a comment at the end of this article or click here to send an email enquiry to Dr Ee.
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One Comment

Karla Rivas

I’m interested in service. I want to get rid of a wrinkle in my for head. But I’m super scared of surgery and needles. Do you guys do anything without any of those things.

Reply

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