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Aesthetic Medicine

Botox for frown lines: no more tired and stressed-out looks

published on 15.09.2025 by Dr. Djian
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Summary
  • LION'S WRINKLE: MORE THAN JUST A WRINKLE, A TRUE FACIAL SIGNAL
  • BOTOX OR HYALURONIC ACID: WHAT'S THE DIFFERENCE?
  • FROWN LINES AND FROWN LINES: WHY MEN AND WOMEN ARE NOT EQUAL
  • WHAT DOES A BOTOX SESSION FOR FROWN LINES REALLY LOOK LIKE?
  • RESULTS AND MAINTENANCE: HOW LONG DOES IT REALLY WORK?
  • WHAT IS THE REAL PRICE OF BOTOX FOR FROWN LINES IN PARIS?
  • BOTOX LION WRINKLE: WHAT ARE THE RISKS?
  • READY TO TAKE ACTION?
In short
  • The lion wrinkle, located between the eyebrows, is the’one of the first to mark the top of the face, sometimes giving a hard or tired look.
  • It results from a dual mechanism repeated contractions of the corrugator and procerus muscles + loss of elasticity linked to skin ageing.
  • There are two main options for correcting it Botulinum toxin (preventive, relaxes muscles) and hyaluronic acid (corrective, fills deep marks).
  • Treatment for men and women differs Male skin is thicker and muscles more powerful, which modifies dose and strategy.
  • Results in a matter of days, These last 5 to 6 months, and need to be renewed. qualified professional.

The lion's wrinkle, located between the eyebrows, is a dreaded facial crease. Resulting from repeated muscular contractions and aging of the skin, it accentuates a severe, tired and sometimes aggressive appearance, hence its name. In aesthetic medicine, two solutions dominate: botulinum toxin injection and hyaluronic acid injection. These treatments correct and erase this marked crease, resulting in a more soothed upper face.

 

LION'S WRINKLE: MORE THAN JUST A WRINKLE, A TRUE FACIAL SIGNAL

 

This expressive wrinkle forms at the level of the glabella, i.e. the area between the eyebrows. This crease radically alters the appearance of the face. It gives the impression of strictness, constant concentration or chronic fatigue.

This phenomenon can be explained by the’repeated action of certain muscles :

  • the corrugator, which brings the eyebrows together,
  • the procerus, which lowers the inner part of the forehead.

 

As the skin ages, the skin loses its elasticity and its collagen and can no longer fully relax after each muscle contraction.

Beyond aesthetics, this wrinkle influences the way others perceive you. Many say they look “angry” when they feel calm. It's precisely this appearance that aesthetic treatments aim to transform.

Out-of-text element: simplified anatomical diagram of the glabella.

 

WHY DO FROWN LINES APPEAR SO QUICKLY?

 

The inter-brow wrinkle can appear sometimes as early as their thirties. Several factors speed up installation:

  • Repeated contractions Every day, frowning brings the eyebrows together and deepens the skin crease.
  • Skin aging the collagen and elastin The skin loses its ability to stabilize.
  • Genetic predisposition Some people develop marked wrinkles at a younger age than others.
  • Sun exposure the sun weakens support fibers and accelerates skin aging.
  • Smoking tobacco causes a lack of oxygenation, to promote sagging skin.

 

This mix of factors explains why the same treatment can produce different results for different individuals.

 

THE LION'S WRINKLE PROFILE: FROM “11” TO OMEGA

 

All the lion wrinkles are not alike. There are several types and shapes :

  • Type I A single vertical wrinkle, due to a dominant corrugator muscle.
  • Type II or “11” two very pronounced parallel folds.
  • Type V two oblique lines forming a V towards the nose.
  • Omega type A central curve, marked by the procerus.
  • Mixed types (PI, W) combinations of vertical and oblique folds.

 

Each profile implies a different strategy: more product on one side, adjustment according to the muscle responsible, or a more extensive procedure if several areas are involved.

 

BOTOX OR HYALURONIC ACID: WHAT'S THE DIFFERENCE?

 

Two main options dominate aesthetic medicine: botulinum toxin and hyaluronic acid. Each has its own specific action.

 

WHEN TO OPT FOR BOTOX FOR A NATURAL RESULT?

 

This choice is indicated when you are frowning and the forehead expression lines appear. Visit Botox injection points of the corrugator muscle are used to relax visit muscles and delete the’serious look.  It relaxes the area without freezing the features, offering a more relaxed look. The advantage lies in subtlety: the facial expression remains lively, but the intensity of the wrinkles is softened. This treatment, and in particular Baby Botox in micro-doses, is indicated as soon as wrinkles appear when moving, but remain discreet when resting.

 

WHEN HYALURONIC ACID BECOMES YOUR BEST WEAPON

 

When the groove is deep and permanent, even at rest, a different logic applies. The filling with hyaluronic acid restores volume, This adds suppleness and tone, softening the shadow created by the crease. Subtlety means precise dosing, Excess makes the correction too visible. Properly used, this contribution creates a gentle transition between reliefs and preserves the overall balance.

 

THE WINNING STRATEGY: COMBINE THE TWO

 

Combining the 2 products has two benefits. The release of repeated muscle contraction reduces the formation of future wrinkles, while the filling restores what is already marked. This combination brings coherence and uniformity: the face looks more rested, with no marked contrast between treated areas.

This is an appropriate option when a single axis is no longer sufficient. Combining the 2 techniques gives a rejuvenated appearance and a less severe look, especially in the case of old wrinkles.

If you would like to find out more about the difference between the uses and effects of Botox vs Hyaluronic Acid, read our dedicated article.

 

FROWN LINES AND FROWN LINES: WHY MEN AND WOMEN ARE NOT EQUAL

 

For men, the corrugator muscles, responsible for frowning, are more powerful, requiring larger quantities of product. Furthermore, the skin is often thicker in men, often resulting in deeper wrinkles.
Women, meanwhile, are more interested in a less severe look, while some men prefer to maintain a more pronounced, masculine expression.

 

WHAT DOES A BOTOX SESSION FOR FROWN LINES REALLY LOOK LIKE?

 

The in-office procedure takes about 10 minutes. After a detailed prior consultation where you can ask all your questions, and after receiving a detailed quote, Dr Djian locates the areas to be treated. The very fine needle makes the procedure painless, without the need for anesthesia.

You are looking for soften your frown lines and find a relaxed face ?
Make an appointment now with Dr. Djian, a renowned aesthetic physician. He will welcome you to his practice near Avenue Victor Hugo in the 16th arrondissement, for a personalized initial consultation.

 

GOLDEN RULES BEFORE AND AFTER INJECTIONS

 

Before injection, it is formally recommended to’avoid anticoagulants.

After that, it's best to do not massage on the forehead and eyebrows at the injection points. It is also recommended to limit exposure to sunlight and heat sources (sauna) and wait a few days before resuming all intense sport.

Good news: there are no no social eviction, So you can get back to work straight away, without anyone noticing a thing.

 

HOW DOES THE INJECTION PROTOCOL WORK?

 

Dr. Djian identifies each injection point to treat the inter-brow wrinkle. To do this, you will be asked to pucker and relax your forehead muscles several times.

The botulinum toxin or botox (trade name) is then injected intramuscularly at several targeted points in the glabella and above the eyebrow. The amount of product used is assessed according to the patient's muscular intensity. The treatment acts locally, to relax the muscle without blocking the whole front.

The procedure is not at all painful, but may be preceded by an anaesthetic cream for particularly sensitive patients.

 

HOW LONG DOES IT TAKE TO SEE VISIBLE RESULTS?

 

The first effects manifest themselves in 3 to 5 days. After two weeks, the lion wrinkle is noticeably smoother. Dr. Djian can perform a follow-up session touch-up after 1 week if necessary.

The average duration is 5 to 6 months, depending on your level of muscular reaction.

 

RESULTS AND MAINTENANCE: HOW LONG DOES IT REALLY WORK?

 

THE EVOLUTION OF THE LOOK AFTER THE FIRST SESSION

 

The upper face looks more rested. The look is transformed and softens. The rejuvenating effect is quickly perceptible. On a psychological level, many feel an inner relief: the image reflected in the mirror is more in line with the vitality they feel, improving self-esteem and fostering a renewed sense of confidence.

 

WHY YOU NEED TO RENEW INJECTIONS REGULARLY

 

The botulinum toxin is a reversible solution. The result fades after a few months, requiring repeated treatment to maintain the benefits.

 

WHAT HAPPENS IF WE STOP EVERYTHING?

 

Rest assured, stopping does not cause sudden aggravation, Contrary to popular belief. Muscles gradually return to their normal function, and wrinkles reappear in the same way as before treatment. The skin simply returns to its initial state, without any rebound effect or accelerated deterioration.

The only difference lies in the contrast: after experiencing a smoother forehead, the return to markings may seem more visually pronounced, but it's not a real aggravation.

 

WHAT IS THE REAL PRICE OF BOTOX FOR FROWN LINES IN PARIS?

 

Chez le Docteur Djian , the price of a botox injection is 400 euros incl. VAT. This price can vary according to the quantity to be injected. This includes initial consultation, intervention and follow-up. 

Not reimbursed, This is a cosmetic procedure, not a medical one.

For a effective treatment and secure, ask for a personalized quote and ask all your questions to Docteur Djian's practice in Paris.

 

BOTOX LION WRINKLE: WHAT ARE THE RISKS?

 

FREQUENT MINOR SIDE EFFECTS

 

It is not uncommon to observe slight redness, some small bruises or a feeling of discomfort immediately after injection. These signs disappear spontaneously within a few days, with no need for special care. They are linked to the skin's normal reaction and leave no lasting traces. For most patients, these inconveniences remain discreet and do not prevent the immediate resumption of daily activities.

 

RARE BUT REAL COMPLICATIONS

 

As with any medical procedure, a few things can go wrong. In some cases, an eyelid may droop slightly (ptosis) or a temporary asymmetry appear. These results are reversible and fade with time. Even more rarely, the body may develop a botulinum toxin resistancee, reducing its efficiency.

That's why it's so important to turn to a qualified practitioner. precision of gesture, perfect knowledge of the muscle training, The ability to adjust the quantity of product injected is the best guarantee of minimizing these risks. Careful monitoring also enables us to anticipate and rapidly correct any undesirable effects, reinforcing the safety and peace of mind of those who choose this treatment.

 

READY TO TAKE ACTION?

 

The frown line betrays age, concentration and sometimes fatigue. Thanks to injections of botulinum toxin and/or hyaluronic acid, it can be effectively corrected. For safe wrinkle treatment and a soothed look, the choice of a specialist doctor like Docteur Djian remains essential.

Entrust your lion's wrinkle treatment at Docteur Djian's practice in Paris for a safe rejuvenation and controlled. Book an appointment on Doctolib or directly with the secretariat on 01 88 33 61 61.

 

Your Questions

FREQUENTLY ASKED QUESTIONS ABOUT BOTOX FOR FROWN LINES

AT WHAT AGE CAN YOU START BOTULINUM TOXIN INJECTIONS? ,

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As soon as wrinkles appear during forehead movements. Baby Botox, administered in micro-doses of botulinum toxin, is a preventive approach to limiting the early onset of glabellar wrinkles.

DOES IT HURT?

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Thevery fine needle makes the painless procedure. The sensation is comparable to a gentle pinch. Most patients find the treatment fast and well tolerated.

WHAT IF I DON'T LIKE THE RESULT?

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A touch-up can be performed after 15 days. As botulinum toxin is a reversible solution, the initial appearance returns after a few months, even without further intervention.

DOES BOTOX REALLY FREEZE THE FACE?

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No, if the procedure is well mastered. The practitioner injects a appropriate product quantity. The face retains its natural expressions, but without the stern look associated with the lion's wrinkle.

HOW TO PREVENT FROWN LINES?

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A good moisturizing with anti-wrinkle creams, wear sunglasses to avoid squinting, and reduce the amount of sunlight in your eyes. smoking and attention to repeated expressions are essential to reduce the appearance of wrinkles. But wrinkles are inevitable with age. That's why botox injections combined with hyaluronic acid remain the most effective treatment. anti-aging for maintain the quality of skin and treat wrinkles on the upper face.

IS BOTOX SAFE?

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Yes, when it's performed by a qualified practitioner. Botulinum toxin has been used for decades in medicine and cosmetic surgery. Serious complications are extremely rare.

WHAT ELSE CAN BE TREATED WITH BOTOX?

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Botulinum toxin mainly treats forehead wrinkles and expression lines on the nose. It is also used to raise an eyebrow to enlarge the eyes.

But Botox also has other recognized applications. It is used for relieve bruxism, by reducing the excessive jaw tension. It can also reduce perspiration (hyperhidrosis) in the armpits, hands or feet. In some cases, it is prescribed to soothe chronic headaches or certain disabling muscle contractions. These indications show that its field of action goes far beyond the purely aesthetic.

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Dr. Jérémy Djian
Dr. Jérémy Djian

Dr Jérémy Djian is a plastic surgeon based at 5 square Thiers, near the Victor Hugo roundabout, in the 16th arrondissement of Paris.

He trained in Paris and remains attached to the hospital in the prestigious department of Pr Laurent Lantieri.

 

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