A prepared sterile tray: unlabelled glass vials, a sealed syringe still in its packaging, folded gauze and gloves

Concern

Lines that stay when your face is still

Forehead and frown lines are muscle before they are skin. The question that decides your result is not the dose — it is whether the line is still only there when you move.

What is actually happening

Two stages, and they are treated differently.

  • Repeated muscle contraction folds the skin in the same place, thousands of times a year
  • While the line only appears on movement, it is dynamic — relaxing the muscle lets it flatten
  • Once the fold is visible at rest, the dermis itself is creased and muscle relaxation alone will not erase it
  • Thin skin and sun exposure move that transition earlier
  • A heavy brow can make forehead lines worse, because the forehead is holding the brow up

Realistic options

Ordered by how much they change, not by what is easiest to sell. This is among the most common reasons people book a first appointment at our North Vancouver clinic, and it is also the one where the assessment matters more than the dose.

  • No treatment needed

    Nothing, if the line only shows on movement and does not bother you

    A moving face is not a defect. Plenty of people book for a line they only see in a front camera at arm’s length, which is a distance and an angle nobody else views them from.

    If you are treating for photographs, say so — it changes the dose we would suggest, and sometimes it changes the answer to no.

  • Skin & body

    Neuromodulator treatment

    Relaxes the specific muscles that fold the skin. Dose and placement are decided at the assessment and written down before anything is injected — it is a decision, not a menu item.

    Downtime
    None
    Typically lasts
    3–4 months, shortening slightly with regular use for some people
    Read more
  • Skin & body

    A line that is already etched at rest

    Relaxing the muscle stops it deepening, but the existing crease needs the skin itself treated. That is a second, slower job and it is worth knowing before you start rather than after.

    Downtime
    Minimal
    Typically lasts
    Gradual, over a course
    Read more

Dose is not a proxy for quality and more is not better. What is appropriate depends on your muscle bulk and how you use your face, which is why it is set in person.

What people ask

Will I look frozen?

Not if the dose matches your anatomy, and that is the assessment’s job. Tell us if you would rather keep more movement than the average — that is a legitimate goal and it changes the plan, not the price.

How long before I see anything?

Three to five days for the first change, ten to fourteen days for the final result. Judging it at day four and asking for more is the most common way people end up overtreated.

What if I do not like it?

It wears off. That is the honest safety net of this treatment. Come back and tell us what you disliked so the next map is different — that record is why the next one is planned better than this one.

Does it prevent lines from forming?

It reduces the folding that creates them, which is not the same as prevention and should not be sold as it. We will not tell you a treatment stops you ageing.

Is there any downtime, and how soon can I exercise?

There is no recovery period from a neuromodulator. Small raised marks at the injection points settle within about an hour; a bruise, if one appears, takes a few days. Staying upright for four hours, leaving the gym until the next day and not rubbing the area are the standard instructions — they are about keeping the product in the muscle it was placed in, not about healing.

Not sure if yours is still a movement line?

Ask us

Who does this

Assessments and treatments at the Lonsdale Avenue clinic in North Vancouver are carried out by MMC’s own clinicians. Who they are, what they trained in and which treatments each of them does is on the team page.

Other places people start

These are sorted by what is bothering you rather than by treatment name. Each page says what actually helps, what does not, and when the honest answer is that nothing here is needed.

See every starting point