What should you know about horizontal wrinkles between eyes?

The skin between the eyebrows and across the upper nose folds when you frown, squint, concentrate, or react emotionally. Over time, repeated folding can leave lines visible when the face is relaxed. Sun exposure can reduce collagen and make these creases easier to see. Dryness may temporarily emphasize texture, while deeper lines can remain noticeable despite moisturizer. These lines are not the same as crow’s feet, which appear at the outer corners of the eyes. Read more about [Wrinkles](/symptoms/wrinkles/), [Sun-Damaged Skin](/conditions/photoaging/), and [Crow's Feet](/conditions/crows-feet/).

Use broad-spectrum sunscreen on the face every day, add sunglasses to reduce squinting, and moisturize to support the skin barrier. A dermatologist can assess whether movement-related lines, etched lines, or pigment and texture changes are contributing. Botulinum toxin injection can temporarily reduce muscle activity that creates expression lines. Dermal fillers may be considered for selected depressions, but the area around the eyes and nose requires careful assessment. Treatment choice depends on anatomy, skin quality, medicines, and goals. Explore [Botox](/treatments/injectables/botulinum-toxin-injection/) and [Dermal Fillers](/treatments/injectables/dermal-fillers/).

Arrange a medical review if the change is sudden, affects one side with weakness or drooping, follows an injury, or comes with new vision symptoms, severe headache, or facial numbness. Seek urgent help for sudden facial weakness or trouble speaking. For ordinary gradual lines, a planned dermatology visit is suitable if they bother you or if you want to discuss treatment safely.

Ask which factors are contributing, whether your lines are visible at rest, which options fit the area, how long effects may last, and what side effects or aftercare apply to each choice.