ProMD Health - Frequently Asked Questions(FAQ)

24.11.2025

Say Goodbye to Frown Lines: Effective Treatments and Remedies

Understanding Frown Lines and Your Options to Eliminate Them

To eliminate frown lines, you can use a combination of prevention strategies and targeted treatments. Here’s a summary of what works:

Prevention & At-Home Care:

  • Apply sunscreen daily
  • Keep skin hydrated with moisturizers
  • Use retinoids and vitamin C serums
  • Wear sunglasses to reduce squinting
  • Get adequate sleep and manage stress

Professional Treatments:

  • Neuromodulators (Botox, Dysport, Xeomin) – Relax muscles, results last 3-4 months
  • Dermal Fillers – Add volume to deep lines, results last 6-12+ months
  • Microneedling & Chemical Peels – Stimulate collagen for better skin texture

Frown lines, or “the elevens,” are vertical wrinkles between the eyebrows. They begin as dynamic lines, visible only when you frown. Over time, they can become static—visible even when your face is relaxed.

Effective solutions exist, which is why over 8.8 million people globally received botulinum toxin treatments in 2023, making it the top non-invasive cosmetic procedure. Whether your lines are new or established, there are ways to achieve smoother skin.

As Scott Melamed, President and CEO of ProMD Health, I’ve dedicated my career to helping people achieve their aesthetic goals. My background in biotechnology from Johns Hopkins and years of clinical experience provide deep insight into what truly works for aging skin.

infographic showing how repeated facial muscle contractions, decreased collagen production with age, and UV damage from sun exposure all contribute to the formation of permanent frown lines between the eyebrows - eliminate frown lines infographic pillar-3-steps

What Causes Frown Lines and How Do They Form?

Frown lines form from the repeated contraction of two muscles between your eyebrows: the corrugator and procerus. When you concentrate or squint, these muscles pull the skin inward, creating vertical lines.

muscles causing frown lines - eliminate frown lines

Initially, these are dynamic wrinkles that disappear when your face relaxes. Over time, they can become static wrinkles, remaining visible even at rest. This shift happens as your body’s production of collagen and elastin—proteins that give skin its firmness—declines. Starting in our 30s, we lose about 1% of our collagen each year. This natural aging process is detailed in research on skin anti-aging strategies.

Lifestyle choices also play a major role. Sun exposure is the biggest culprit, causing up to 90% of visible skin aging by breaking down collagen. Smoking accelerates aging by restricting blood flow and damaging skin structure. Even chronic stress contributes, as unconscious frowning deepens lines over time. Finally, genetics can predispose you to developing frown lines earlier.

The Difference Between Frown Lines and Other Wrinkles

Understanding different wrinkle types is key to finding the right treatment to eliminate frown lines.

  • Frown lines (glabellar lines or “the elevens”) are the vertical creases between the eyebrows caused by the corrugator and procerus muscles. They can make you look worried or tired.
  • Forehead lines are horizontal lines caused by raising your eyebrows (frontalis muscle).
  • Crow’s feet radiate from the outer corners of the eyes from squinting and smiling.
  • Smile lines (nasolabial folds) run from the nose to the corners of the mouth and are affected by smiling and mid-face volume loss.

Prevention and At-Home Care for Frown Lines

While we can’t stop time, daily habits can significantly impact how our skin ages, helping to prevent frown lines or keep them from deepening.

person applying sunscreen - eliminate frown lines

Sun protection is the most critical step. UV radiation breaks down the collagen and elastin that keep skin firm. Apply a broad-spectrum SPF 30 or higher every morning. Wearing sunglasses also helps by protecting the delicate eye area and preventing squinting.

Your skincare routine is also key. A consistent routine helps eliminate frown lines by plumping the skin.

  • Moisturize morning and night. Look for products with hyaluronic acid, which holds many times its weight in water for intense hydration.
  • Exfoliate a few times a week to remove dead skin cells and encourage cell turnover for a smoother appearance.
  • Use key ingredients like retinoids (retinol) to stimulate collagen and elastin production. Vitamin C, a powerful antioxidant, protects skin from free radical damage and brightens your complexion. You can learn more about effective skin anti-aging strategies from clinical research.

Lifestyle Habits to Help Reduce Frown Lines

Small lifestyle changes can make a big difference for your skin.

  • Get adequate sleep (7-9 hours) to allow your skin to repair and regenerate.
  • Consider your sleeping position. Sleeping on your back can prevent sleep creases. Satin pillowcases can also reduce friction.
  • Manage stress through meditation, yoga, or other relaxation techniques to reduce unconscious frowning.
  • Eat a healthy diet rich in antioxidants and vitamins, and stay hydrated by drinking plenty of water.
  • Avoid smoking. It is terrible for your skin, breaking down collagen and accelerating aging. The effects of smoking on skin are well-documented.

The Role of Facial Exercises and Home Remedies

The effectiveness of facial exercises is debated; some believe they strengthen muscles, while others argue they could worsen dynamic wrinkles. Approach them with caution.

As for home remedies like egg whites or natural oils, they may offer temporary hydration but will not dramatically eliminate frown lines. Think of them as pleasant additions to your routine, not powerful solutions. For noticeable, lasting results, professional treatments are far more effective.

Professional Treatments to Eliminate Frown Lines

When at-home care isn’t enough to address frown lines, especially static lines that are visible at rest, it may be time to explore professional treatments. This step is about restoring confidence and ensuring your appearance matches how you feel.

medical spa treatment room - eliminate frown lines

Consulting a qualified provider is the crucial first step. An experienced professional will assess your skin and create a custom treatment plan. The importance of a qualified provider cannot be overstated—they should be licensed, experienced, and use only FDA-approved products. At ProMD Health, we combine advanced technology with personalized care, serving communities across Annapolis, Arlington, Ashburn, Bel Air, Bethesda, Columbia, Easton, Fort Lauderdale, Hutto, Lafayette, Lewes, Timonium, Tysons Corner, Washington, Wellington, and Westminster.

How Neuromodulators Help Eliminate Frown Lines

Neuromodulators like Botox, Dysport, and Xeomin are the gold standard for dynamic frown lines. In 2023, over 8.8 million people globally received these FDA-approved treatments.

How it works: Tiny amounts of purified botulinum toxin are injected into the corrugator and procerus muscles between the eyebrows. This temporarily blocks nerve signals that cause the muscles to contract. As the muscles relax, the overlying skin smooths out.

The treatment process is quick, taking only 10-15 minutes with minimal discomfort. Results begin to appear within 24-48 hours, with the full effect visible in about two weeks. Your face will look naturally relaxed, not frozen. The duration of effects is typically 3-4 months, so regular maintenance is recommended. Interestingly, some research suggests that by preventing frowning, these treatments may also have a positive impact on mood.

Using Dermal Fillers for Deeper Frown Lines

For deep, static frown lines, dermal fillers offer a powerful solution. While neuromodulators relax muscles, fillers address volume loss.

How fillers work: Most fillers are made of hyaluronic acid, a substance that naturally hydrates our skin. When injected into a deep line, the filler gel lifts the crease from beneath, smoothing the surface. For many, combination therapy—using a neuromodulator to relax the muscle and a filler to restore volume—provides the most comprehensive results.

Results are immediate and typically last 6 to 12 months or longer. To learn more, visit our dermal fillers service page.

Other Advanced Treatment Options

Beyond injectables, other treatments improve skin quality by stimulating collagen and improving skin texture.

Microneedling uses fine needles to create controlled micro-injuries, triggering the skin’s natural healing response and boosting collagen and elastin production. A series of treatments leads to firmer, smoother skin with softer fine lines.

Chemical peels use a special solution to exfoliate the damaged outer layers of skin. This process encourages new cell growth and collagen production, improving fine lines, skin tone, and texture.

Both treatments are often performed in a series and offer gradual, overall skin rejuvenation that complements injectable results.

Frequently Asked Questions about Frown Line Treatments

We know you have questions about how to eliminate frown lines. Here are clear, straightforward answers.

How long do the results of frown line treatments last?

The longevity of your results depends on the treatment:

  • Neuromodulators like Botox, Dysport, and Xeomin typically last 3 to 4 months. With regular treatments, some patients find results last longer.
  • Dermal fillers generally last 6 to 12 months, sometimes up to 18 months, depending on the product and your metabolism.
  • Microneedling and chemical peels offer gradual, long-lasting improvements by stimulating your own collagen. Optimal results require a series of sessions and are maintained with a good skincare routine.

Follow-up treatments are key to maintaining a consistently refreshed look.

Are there any permanent solutions for frown lines?

The non-surgical treatments we offer are temporary by design, allowing for flexibility as your face changes over time.

A surgical option called a brow lift exists for very deep lines, offering more permanent results. However, surgery involves higher costs, greater risks, and significant recovery time. For most patients, our non-surgical approaches deliver excellent, natural-looking results without the downtime.

What are the risks of treatments like botulinum toxin or fillers?

When performed by qualified practitioners like our team at ProMD Health, these treatments are very safe.

Common side effects are mild and temporary, including minor bruising, swelling, or a slight headache, which usually resolve in a few days.

Rare complications can include allergic reactions, infection, or temporary eyelid drooping (ptosis). This is why choosing certified, experienced injectors is so important. Our practitioners have extensive training in facial anatomy and proper injection techniques to minimize risks.

During your consultation, we will review your medical history and discuss all potential risks and benefits. We’ll also provide aftercare instructions to ensure your safety and satisfaction. You can learn more about choosing the best sunscreen for your skin and understanding the risks and benefits of wrinkle treatments.

Your Path to Smoother Skin

We’ve covered the causes of frown lines and the clear path to smoother skin. The key takeaway is that you have the power to eliminate frown lines and reclaim a refreshed, confident look.

Prevention is absolutely key. Daily sunscreen, a smart skincare routine with retinoids and antioxidants, and healthy lifestyle habits create a powerful defense against premature aging.

At-home care supports and extends professional results. When frown lines have already settled in, professional treatments truly shine. Neuromodulators relax the muscles causing lines, while dermal fillers restore lost volume. Other treatments like microneedling and chemical peels improve skin texture from within. Often, a combination approach yields the best outcome.

What makes professional treatments offer significant improvement is the expertise behind them. At ProMD Health, our goal is to help you look like a refreshed, relaxed version of yourself. With locations across Maryland, Virginia, Florida, Texas, Colorado, Delaware, and Washington D.C., we use advanced technology and personalized care to improve your natural beauty.

Your frown lines don’t have to define you. Effective solutions exist, and the only question is when you’re ready to take the next step. Our team is here to listen to your goals and create a custom treatment plan.

Ready to begin? Schedule a consultation for dermal fillers or explore any of our aesthetic services. Let’s work together to reveal the confident you.

24.11.2025
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