Deep wrinkles appear across the forehead of a person.

Did you know that wrinkles often first appear where our skin moves most? Most dermatologists have observed that the forehead, eyes, and mouth are typically the first to display these early signs of aging. The appearance of these wrinkles can leave many feeling self-conscious about their appearance.

Dysport, scientifically known as abobotulinumtoxinA, is a popular injectable treatment designed to address these concerns. It works by temporarily relaxing the muscles that contribute to wrinkle formation, smoothing out the forehead, and creating a more youthful look.

In this article, we will explore the role of Dysport in facial contouring by examining its mechanism of action and outlining the expected outcomes for those considering this treatment.

Key Takeaways

  • Dysport is a botulinum toxin type A injection that smooths forehead wrinkles by stopping muscle movements. It works fast, with results seen in 2-3 days.
  • Understanding the anatomy of the forehead is crucial for successful Dysport injections and overall facial rejuvenation.
  • Doctors use careful dosing and techniques to ensure people look natural, not frozen. They pay attention to each person’s face to keep expressions alive.
  • Medical experts can enhance facial aesthetics using Dysport by addressing common aesthetic concerns related to the forehead.

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Understanding the Anatomy of the Forehead

An aesthetic specialist assesses the forehead of a patient who wants to receive Dysport injections.

The forehead is a complex anatomical area that plays a significant role in facial expression and aesthetics. It extends from the hairline to the eyebrows and is bordered laterally by the temples. The skin of the forehead is tightly adhered to the underlying musculature, which includes several vital muscles:

  • Frontalis Muscle: This is the primary muscle of the forehead, responsible for raising the eyebrows and creating horizontal forehead wrinkles.
  • Corrugator Supercilii: Located near the eyebrows, this muscle draws the eyebrows downward and medially, contributing to the ‘frown lines’ between the eyebrows.
  • Procerus: This muscle pulls the skin between the eyebrows down, creating vertical lines above the nose.
  • Orbicularis Oculi: Although primarily around the eyes, this muscle also affects the lower forehead during expressions like squinting.

Aesthetic concerns regarding the forehead are diverse and can significantly impact an individual’s appearance and self-esteem. Common issues include forehead wrinkles, forehead proportions, asymmetry, and hyperhidrosis.

Introduction to Dysport for Facial Rejuvenation

A young woman receives Dysport injection in the forehead to treat dynamic wrinkles.

Dysport is an injectable medication containing abobotulinumtoxinA, a purified protein derived from the bacterium Clostridium botulinum. When injected, it is designed to temporarily reduce muscle activity by blocking nerve activity in the muscles. This targeted muscle relaxation gives Dysport its therapeutic benefits, making it a popular choice for various medical and aesthetic applications.

In aesthetic medicine, healthcare professionals use Dysport to smooth out wrinkles and fine lines, particularly those that form between the eyebrows (glabellar lines). Dysport reduces the visibility of these lines by relaxing the muscles responsible for frowning, contributing to a more youthful and refreshed appearance. Aside from treating glabellar lines, Dysport can address the following concerns:

  • Forehead lines
  • Crow’s feet
  • Hyperhidrosis
  • Drooping eyebrows
  • Neck bands

Its ability to deliver natural-looking results without surgery makes it a favored option for those seeking subtle cosmetic enhancements. Dysport can also provide quick, noticeable improvements within 24 hours after the initial injection. Its effects can last up to five months, offering patients a mix of effectiveness and convenience.

Addressing Dynamic Wrinkles and Lines on the Forehead with Dysport

A middle-aged woman checks her forehead for wrinkles.

Forehead wrinkles are some of the most noticeable signs of facial aging. These wrinkles can be broadly categorized into two types: static and dynamic. Static wrinkles are present even when the face is at rest, while dynamic wrinkles appear only with facial expressions.

Dynamic wrinkles on the forehead form due to repeated muscle contractions. The main culprit is the frontalis muscle, a large sheet-like muscle that runs across the forehead. When we raise our eyebrows in surprise, concentration, or squinting, the frontalis muscle contracts, creasing the overlying skin. Over time, these frequent contractions can lead to the formation of permanent lines.

When injected into the targeted muscles, Dysport blocks the release of acetylcholine, a neurotransmitter that signals muscles to contract. This blockage prevents the muscles from contracting, leading to their relaxation. As a result, the overlying skin remains smoother and unwrinkled, reducing the appearance of dynamic wrinkles and fine lines. 

Comparing Dysport with Other Treatments for Forehead Rejuvenation

Dysport, Botox (onabotulinumtoxinA), and Jeuveau (prabotulinumtoxinA) are all injectable neuromodulators for facial rejuvenation. While they share the same core function of relaxing muscles to reduce wrinkles, there are subtle differences when choosing the best option for forehead rejuvenation. During the initial consultation, doctors can address concerns about Botox vs. Dysport or Dysport vs. Jeuveau to their patients, giving detailed comparisons between the three treatments.

Below is a breakdown of the key differences between Dysport, Botox, and Jeuveau:

  • FDA Approval: Botox was the first neurotoxin to get FDA approval for cosmetic use in the United States back in 2002. Dysport received its approval in 2009, while Jeuveau was approved in 2019. 
  • Dilution and Spread: Dysport requires a different dilution ratio than Botox and Jeuveau. It tends to spread slightly more, making it suitable for treating larger areas like the forehead. Meanwhile, Botox and Jeuveau are known for their precise and localized effects due to their higher molecular weight.
  • Efficacy Duration: All three neurotoxin injections typically last three to four months.
  • Application for Forehead Rejuvenation: Jeuveau is primarily indicated for glabellar lines. Botox can treat crow’s feet and forehead lines in addition to the ones between a person’s eyebrows. Dysport’s spreadability makes it suitable for broader forehead treatment, as it effectively reduces dynamic wrinkles.
  • Cosmetic Result: Botox offers precise wrinkle reduction and is well-established among practitioners and patients. As for Dysport, it provides natural-looking results, especially when treating larger areas. Jeuveau has similarities to Botox, but it’s relatively new in the market.

Injection Techniques and Dosing Considerations

Dysport injections in the forehead, while seemingly straightforward, require precise technique and careful consideration of dosage to achieve optimal results with a natural appearance. Here’s a closer look at these crucial aspects:

  • Consultation and Assessment: A thorough consultation with a qualified healthcare professional is essential. They will assess the patient’s facial anatomy, muscle activity, and aesthetic goals. Patients can also ask questions about the treatment, compare Dysport vs. Jeuveau, and learn about combination therapies for optimal results.
  • Precise Targeting: Identify the correct anatomical landmarks and muscle groups responsible for wrinkle formation.
  • Appropriate Dilution: Follow the manufacturer’s dilution guidelines to maintain Dysport’s potency and efficacy.
  • Injection Depth: Inject at the proper depth to reach the targeted muscles without affecting other tissues.
  • Avoid Overcorrection: Start with a conservative approach to avoid an unnatural appearance or limited facial expressions.
  • Avoiding Blood Vessels and Nerves: The injector carefully avoids blood vessels and nerves during injection to minimize bruising and potential side effects.
  • Post-Treatment Care: Advise patients on aftercare to minimize the risk of side effects and optimize results.

Dosage Recommendations and Considerations for Achieving Natural-Looking Results

The dosage of Dysport for forehead rejuvenation should be tailored to the individual’s needs, considering factors such as muscle mass, wrinkle severity, and desired outcome. General guidelines include the following:

  • Forehead Lines: Typically, 30 to 60 units of Dysport are used, distributed across five strategic points in the forehead area.
  • Glabellar Lines: The dose may vary but often ranges from 48 to 72 units, depending on the depth and severity of the lines.
  • Tailored Approach: Adjust the dosage based on the patient’s response to previous treatments and their aesthetic goals.

Expected Outcomes and Preserving Facial Expressiveness

Dysport injections in the forehead offer a non-surgical approach to reducing wrinkles and achieving a smoother, more youthful appearance. The primary outcome is a visible reduction in horizontal forehead wrinkles, particularly when frowning or raising eyebrows. With temporarily paralyzed muscles, the overlying skin appears smoother and more relaxed, even at rest.

Most healthcare professionals appreciate the natural outcomes Dysport provides with its treatments, allowing patients to express emotions without frozen or unnatural facial expressions.

Strategies for Preserving Natural Facial Movements and Expressions Post-Treatment

To maintain facial expressiveness while benefiting from Dysport treatments, consider the following strategies:

  • Customized Dosage: Tailor the Dysport dosage to each patient’s unique needs. Start conservatively to avoid overcorrection, and adjust based on individual responses.
  • Precise Injection Technique: Skilled practitioners use precise injection techniques to target specific muscles while avoiding adjacent areas. This ensures natural movement while minimizing wrinkles.
  • Regular Follow-Up: Schedule follow-up appointments to assess results and fine-tune the treatment. Adjustments can be made to achieve the desired balance between wrinkle reduction and facial expressiveness.
  • Educate Patients: Providers must enlighten patients about realistic expectations. Dysport provides subtle enhancements, so patients should understand that eliminating wrinkles may not be the goal.


Dysport injections significantly address aesthetic concerns related to the forehead and achieve overall facial rejuvenation. By understanding the anatomical considerations, injection techniques, and expected outcomes, medical experts can effectively utilize Dysport to enhance facial aesthetics while preserving their patient’s natural expressions.


1. What are dynamic wrinkles?

Dynamic wrinkles are facial lines or creases formed by the repetitive movement of facial muscles.

2. How can Dysport help with these wrinkles?

Dysport helps with dynamic wrinkles by temporarily relaxing the facial muscles, smoothing out the skin, and reducing the appearance of wrinkles.

3. How quickly does Dysport take to work?

Dysport typically shows visible results within 24 to 48 hours after injection.

4. Do Dysport injections hurt?

Dysport injections are typically well-tolerated and cause minimal discomfort due to the use of fine needles and the quick procedure.


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Molvar K. The First Things to Do When You Start Seeing Wrinkles. Published July 10, 2018.

Hillebrand GG. Facial wrinkling: the marquee clinical sign of aging skin. In: Springer eBooks. ; 2016:1-10. doi:10.1007/978-3-642-27814-3_86-2