Guide · Essen

'I look stern.'

'Are you angry?' – anyone who hears that often while relaxed usually has active glabella muscles. That is the most rewarding indication in aesthetic medicine.

InformativePhysician responsibleEssen-Rüttenscheid
I look stern or annoyed
In short

Frown line, drawn-together brows, line across the nose bridge: why some faces look annoyed at rest and how botulinum toxin relaxes the expression without…

Concern

What is behind it.

What is behind it: the muscles between the brows (corrugator, procerus) pull the brows together and down. In some people they are active even at rest – the line stays, the expression looks tense, critical or annoyed. Over the years the line engraves itself as a static wrinkle. Often low brows and a horizontal line across the nose bridge come with it.

What helps: botulinum toxin into the glabella relaxes exactly these muscles. The brows lift slightly, the line smooths over two weeks, the expression becomes neutral to friendly – with expression preserved. If the line is deeply engraved, a little hyaluronic acid can cushion the remaining line after a few months.

What it cannot do: a line that is already very deep does not disappear the first time; regular treatment flattens it over a year. And: anyone who also uses the forehead strongly needs the forehead treated too, otherwise the tension shifts.

Honestly: many report that not only the look but the feeling changes – because the reflexive frowning disappears. There are studies on mood; it is not a therapy.

For whom

Is this for me?

A treatment can make sense if …

  • you are asked whether you are annoyed although you are not
  • the line between the brows is visible at rest
  • you frown when concentrating or at the screen
  • you wish for a more relaxed, open expression

Rather not suitable if …

  • you have myasthenia gravis or a similar neuromuscular disease
  • you are pregnant or breastfeeding
  • you expect a completely smooth, motionless forehead
  • the 'sternness' comes from drooping mouth corners (then a different treatment)

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The essentials

The essentials.

active glabella musclesCause
botulinum toxin, 1 zoneTreatment
after 2 weeks, 3–5 monthsEffect
from €190Price
Important note

Important note.

This text is general information. It replaces neither a medical examination nor the consultation required before any treatment under German law (§ 630e BGB). Whether and which treatment is suitable for you can only be said after examination and consultation. No treatment results are promised.

FAQ

Frequently asked questions.

Can people see I had Botox?

Not with the right dose. All they see is that you look more relaxed. The brows stay mobile.

Can the line disappear completely?

Dynamically yes; a deeply engraved line flattens over several treatments and can be cushioned with hyaluronic acid.

Sources

Sources and further reading.

External links open in a new window; their operators are responsible for their content. Medical responsibility for this page: Katayoun Mostaghimi, specialist in general medicine. Last updated: 2026-10-05.

Questions?

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