Can Botox cause atrophy of the forehead muscles if used too frequently? Probably. Does older skin atrophy on its own? Absolutely. My approach is to tread very lightly in ALL foreheads unless the muscles are very thick and strong. Most of us will always need a little help from our forehead muscles to keep our brows up. So less is definitely more when it comes to Botox in the forehead. Follow @ellengendlermd . . . . #muscleatrophy #atrophy #botoxinjections #botoxbrowlift #botox #botoxface #injectables #injections #antiaging #antiageingskincare #agingbackwards #aginggracefully #agingwell #aginglikefinewine #womenover40 #womenover30 #womenover50 #womenover60 #dermatologist #doctorsofinstagram #skincaretips #skincareroutine #skincareaddict #skincareroutines