KUDO Periorbital & Forehead Wrinkle Treatment | Dermal Regeneration + Combination Lifting
Fine lines around the eyes and across the forehead are often among the first signs of aging to appear on the face. As these lines begin to develop, they can create an impression of fatigue or make one appear older, leading many patients to seek improvement early on. Botox is often the first treatment that comes to mind. However, when fine lines around the eyes and forehead have already become pronounced, Botox alone may not provide sufficient improvement, making it important to identify the underlying causes of the wrinkles.
Why do fine lines around the eyes and forehead form? Many people assume that wrinkles develop as skin elasticity declines. While skin aging is certainly an important factor, the way the eyes are opened and structural changes in the upper face can also play a role. With age, the tissues supporting the eyelids gradually weaken, and the strength used to open the eyes may decrease. To compensate, the forehead muscles are repeatedly engaged, and over time, this continued movement can deepen forehead lines. The skin around the eyes is also thin and highly expressive, making fine lines more likely to become established.
Are existing wrinkles sufficiently improved with Botox alone? Botox helps reduce muscle movement and can prevent wrinkles from becoming deeper. However, once fine lines have formed, changes within the skin itself and aging of the dermal environment are often already present, meaning Botox alone may not always be enough. In patients who rely on their forehead muscles to open their eyes, excessive forehead Botox may make the eyes feel heavier or cause discomfort. For this reason, it is important to look beyond the depth of the wrinkles and understand why they formed.

KUDO’s integrated periorbital and forehead treatment includes dermal rejuvenation treatment to support recovery of the weakened dermal environment and help improve skin elasticity and fine lines. Radiofrequency and ultrasound treatments precisely address the tissues around the eyes and the upper face, supporting eye-opening function and encouraging natural-looking firmness. When laxity is more pronounced, combined thread lifting can provide structural support for a more immediate and stable improvement. Depending on each patient’s condition, a single treatment may be appropriate; when needed, treatments may be combined to achieve a more natural result.
Natural change begins with understanding the cause. Fine lines around the eyes and forehead may not be a skin concern alone. Because skin aging, eye-opening strength, and the structure of the upper face can all contribute, a single treatment may not always achieve the desired result. KUDO considers both facial structure and function through an integrated treatment approach, helping preserve one’s natural expression while creating a more refreshed and vibrant appearance. If you are concerned about fine lines around the eyes, forehead wrinkles, or eyes that feel heavy, we invite you to consult with a KUDO board-certified dermatologist to identify the underlying cause.