Forehead Lines & Frown Lines (the '11s')
Skin Appearance, Aesthetic Concern, Face

Forehead Lines & Frown Lines (the '11s')

What Are Forehead Lines and Frown Lines? Forehead lines are the horizontal creases that run across the forehead, formed every time the frontalis muscle lifts your eyebrows. Frown lines, also called glabellar lines or the '11s', are the vertical creases between the eyebrows made by the muscles that pull the brows together when you concentrate or frown.

Content Author & Reviewer

PRP London Clinic Medical Team

GMC-Registered Medical Professionals

Our team of GMC-registered medical professionals collaboratively review all medical content to ensure clinical accuracy and provide evidence-based information for patient education.

Photo of Dr Mohamed Nafei

Dr Mohamed Nafei

GMC-Registered Aesthetic Doctor

GMC: 7520509
Photo of Dr Reem Nouri

Dr Reem Nouri

GMC-Registered Aesthetic Doctor

GMC: 6149512
Photo of Dr Bruno Amendola

Dr Bruno Amendola

GMC-Registered Aesthetic Doctor

GMC: 4346629
Photo of Dr Mohammad Akbar

Dr Mohammad Akbar

Founder & Medical Director

GMC: 5206673

Last reviewed: July 28, 2026

What Are Forehead Lines and Frown Lines?

Forehead lines are the horizontal creases that run across the forehead, formed every time the frontalis muscle lifts your eyebrows. Frown lines, also called glabellar lines or the '11s', are the vertical creases between the eyebrows made by the muscles that pull the brows together when you concentrate or frown. Both start as dynamic lines that show only during expression and can gradually become static lines that are visible at rest.

Why These Lines Form So Early

The forehead is one of the hardest-working areas of the face: the frontalis is the only muscle that lifts the brows, so it fires constantly, and the glabellar muscles engage with concentration, screen use and bright light. Repeated folding of the skin in exactly the same place, combined with sun exposure and the natural decline of collagen from the late twenties, gradually etches the creases in.

A Doctor-Led Approach to Forehead Lines

Every plan at PRP London Clinic starts with an assessment of how your lines behave at rest and in motion, plus the quality of the skin itself. Depending on what we find, a plan may combine skincare, collagen-stimulating and skin-quality treatments and, where appropriate, injectable and device options your doctor will discuss with you at consultation.

Who Experiences This Condition?

Common in

  • Adults from their late twenties onwards, earlier in very expressive faces
  • People with outdoor lifestyles or high sun exposure
  • Smokers and ex-smokers
  • People who squint at screens or have an out-of-date glasses prescription
  • Those with a family tendency to strong brow movement

Factors Affecting Severity

  • Cumulative UV exposure without SPF
  • How strongly and how often the brow muscles fire
  • Skin thickness and genetics
  • Skincare habits, particularly retinoid and SPF use
  • Smoking, sleep and general skin health

What Are Glabellar Lines and the '11s'?

Glabellar lines, frown lines and the '11s' are three names for the same thing: the vertical creases between the eyebrows. The name comes from the two parallel lines most people develop, though some form a single central crease or three lines. They are made by the corrugator and procerus muscles, which pull the brows together and down.

Despite the name, frown lines are usually a sign of concentration rather than mood: many people with pronounced 11s simply focus hard at a screen all day or squint in bright light. Because these muscles are strong and fire constantly, glabellar lines are often the first expression lines to become static. The other common upper-face companion is crow's feet around the eyes, which share the same drivers.

How to Get Rid of Forehead Wrinkles

The honest ladder for forehead wrinkles runs from free habits to doctor-led care:

  • Be realistic about skincare: Creams cannot remove established forehead lines, but a consistent retinoid plus daily SPF genuinely softens fine lines over three to six months and stops them deepening.
  • Fix the squint: An up-to-date eye prescription and managed screen glare remove one of the most common hidden drivers of frown lines.
  • Improve the canvas: Skin-quality treatments such as skin boosters and polynucleotides plump and rehydrate the skin so creases sit less deeply.
  • Rebuild collagen in etched lines: Sylfirm X RF microneedling targets static lines that remain at rest.
  • Address the movement: For lines driven mainly by muscle activity, injectable and device options exist that your doctor can discuss at a consultation.

Book a consultation for lines and wrinkles and our doctors will assess which rungs of the ladder your forehead actually needs.

Forehead Wrinkles Treatment Options

Professional options fall into three groups, and honest advice starts with which group fits your lines:

  • Skin-quality and regenerative treatments: Skin boosters, polynucleotides and the PRP facial suit early creasing and dehydrated or thinning skin.
  • Collagen-stimulating devices: Sylfirm X, microneedling and Tixel suit lines that are starting to etch in at rest.
  • Prescription options for expression lines: Where movement is the main driver, prescription-only injectable treatments may be appropriate. Because they are prescription-only, your doctor assesses and discusses them with you at a consultation rather than online.

Most forehead plans combine a device or skin-quality treatment with skincare rather than relying on a single option. Book a consultation for lines and wrinkles to find out which group fits your lines.

How to Prevent Forehead Lines

Prevention is cheaper and more effective than any treatment, and it compounds over time:

  • SPF every single day: UV is the biggest controllable cause of forehead wrinkles, and the forehead catches more sun than any other part of the face.
  • Sunglasses and a hat: They cut both UV exposure and the squinting that fires the frown muscles.
  • Regular eye tests: Straining to focus is a hidden driver of the 11s.
  • A night-time retinoid: The best-evidenced home step for keeping skin turnover and collagen production up.
  • Do not smoke, and sleep properly: Both show on the forehead sooner than almost anywhere else.

The forehead you have at 50 is largely decided by the habits of your 30s.

Treatment Process

The right plan depends on whether your lines are movement-driven, etched into the skin, or both:

1. Skincare foundations: Daily SPF and a night-time retinoid slow the etching process and soften fine lines over months.

2. Skin-quality treatments: Skin boosters and polynucleotides improve hydration and elasticity so creases sit less deeply in the skin.

3. Collagen stimulation: Sylfirm X RF microneedling and medical microneedling rebuild structural support where static lines have etched in.

4. Options for movement-driven lines: Where expression is the main driver, your doctor may discuss prescription anti-wrinkle options for the upper face at your consultation. Suitability is always confirmed by a doctor first.

Diagnosis & Assessment

We assess your forehead and frown lines at rest and during expression to establish whether they are dynamic, static or mixed, and we examine skin quality, sun damage and brow position. This matters because a line that only appears on movement, a line etched in at rest, and a heavy brow each need a different plan, and treating the wrong one wastes money.

Prevention & Management

Lifestyle Tips

  • Wear broad-spectrum SPF 50 on the forehead every day, it is the most sun-exposed part of the face
  • Keep your eye prescription up to date and manage screen glare to reduce squinting and frowning
  • Wear sunglasses and a hat in strong sunlight
  • Do not smoke, and prioritise sleep, both show quickly on the forehead

Home Care

  • Use a retinoid at night to speed cell turnover and support collagen
  • Apply a vitamin C antioxidant serum each morning under your SPF
  • Keep the skin barrier hydrated with a ceramide or hyaluronic acid moisturiser
  • Be consistent rather than aggressive, harsh scrubbing does not help lines

Symptoms & Causes

Common Symptoms

  • Horizontal lines across the forehead, first during expression and later at rest
  • Vertical '11' lines between the eyebrows when frowning or concentrating
  • A tired, stern or worried look that does not match how you feel
  • Makeup settling into forehead creases by the end of the day
  • Lines deepening noticeably after sun exposure
  • A heavy feeling across the brow by the end of the day

Potential Causes

  • Repeated movement of the frontalis muscle, which lifts the brows thousands of times a day
  • Contraction of the glabellar muscles when frowning, concentrating or squinting at screens
  • UV exposure breaking down collagen and elastin in the skin
  • Natural collagen decline with age, which lets creases settle in at rest
  • Smoking, which accelerates wrinkle formation across the forehead
  • Squinting due to uncorrected vision or bright light, which overworks the brow muscles

Treatment Options at PRP London

Anti-Wrinkle Treatment (Upper Face)

Prescription treatment for expression-driven forehead and frown lines. Options and suitability are always confirmed at a doctor-led consultation.

Learn more

Skin Boosters (Profhilo)

Deep hydration that improves elasticity across the forehead so creases sit less deeply in the skin.

Learn more

Polynucleotides

Regenerative injectable that improves skin quality and supports collagen in thinning, creased skin.

Learn more

Sylfirm X RF Microneedling

Radiofrequency microneedling that stimulates collagen where static lines have started to etch in.

Learn more

PRP Facial

Uses your own platelet-rich plasma with microneedling to improve skin quality and soften fine lines.

Learn more

Frequently Asked Questions

Verified Clinical Reputation

Verified

"Cannot recommend this clinic enough, excellent location and an absolutely brilliant doctor. Everything was explained so clearly to me and the consultation was very thorough. The advice and aftercare has also been brilliant. I will be back for my future appointments, Thankyou!"

Ruby K

19 Jan 2026

Verified

"I had Sylfirm X treatment and I’m really happy with the results. After just one session, I noticed a clear improvement in my face. The clinic is clean, professional, and very welcoming, and Dr. Nafei is kind and skilled."

Norin Hanifi

19 Jan 2026

Verified

"I was quite nervous about getting something done but the team made me feel completely at ease. From the moment I walked in, the atmosphere was so calming and professional, they explained every step of the process and answered all my questions. I’m already seeing great results and have already booked my next appointment!"

Dominique Heslop

13 Jan 2026

Verified

"I recently had a PRF treatment done and the results are incredible. The entire team from start to finish was second to none. As an anxious client they took their time to explain thoroughly the procedure and aftercare."

lloyda221

06 Jan 2026

Verified

"I had an excellent PRF treatment and really happy with the results. I found the doctor highly professional and knowledgable. I was explained the PRF treatment and process throughly. The expertise was amazing and really happy with the results. I would highly recommend this clinic."

Mane Authority

06 Jan 2026

Verified

"It was easy to book. All necessary information shared before and after the treatment. Very affordable."

Victor Contreras Guerra

4 months ago

Verified

"I haven't come here yet but wow the clinic is so lucky to have Mo as part of their team. His advice and genuine care is unmatched. I hope PRP London Clinic is looking after him well. If I come it'll be because of his excellent advice"

A A

5 months ago

Verified

"I visited the clinic today. I would like to thank you for your professionalism and best care you have provided me. I was but nervous but it was great. See you soon"

harris jan

3 months ago

Independent Patient Feedback

Verify on Google Reviews →

Clinical Note: To protect patient confidentiality while maintaining educational clarity, some anatomical illustrations on this site utilise medically-verified, AI-generated models. Every anatomical demonstration is reviewed for clinical accuracy by our GMC-registered medical board.