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I'm 29 and Might Need Botox, How Can I Tell if the 11's Are From Fat or Wrinkles?

asked 5 months ago by C.S.
Latest answer by Joe Gryskiewicz, MD
Question viewed 226 times
Tags: age 25-34, 11s, candidate, overweight

I'm 29 years old and have deep vertical lines between eyebrows. I went to a dermatologist not long ago, and pointed it out. She said some overweight people accumulate fat above the eyebrows, and that maybe if I lost weight the lines would diminish. She doesn't offer fillers, so maybe that's why she said that. But my lines are deep "11s". They are embarrassing, and I'm still nursing my son once a day so Botox seems scary. Would Juvederm help? I hear it's safe as it's naturally in our skin.

12 answers to I'm 29 and Might Need Botox, How Can I Tell if the 11's Are From Fat or Wrinkles?

Botox for Frown Lines

With the caveat that everyone's anatomy is different, it sounds as if you would benefit from Botox or Dysport to the glabella (the collection of muscles between your eyes.) "11's" form from the contraction of these muscles, not from fat. If the line is still present even when this muscle is at rest, you can also place some filler there. I recommend consulting with a reputable injector in your area after you are done nursing your son, as... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox and breast feeding

Hello, You have asked a very interesting question. A photograph would help in providing meaning discussion about the most appropriate treatment options for you. The “angry 11’s” are most commonly caused by overactive muscles in the brow and are best treated using Botox as a muscle relaxant. That being said, Botox should never be used in a patient that is pregnant or nursing. People with deep creases or furrows are best treated... more

Christopher Kolstad, MD
San Diego Facial Plastic Surgeon

Botox for frown lines.

A picture would be helpful in assessing your situation but in most cases frown lines between the eyebrows (the 11 lines) are a result of contraction of the underlying muscle and not from fat. Perhaps what the dermatologist wanted to convey was if your lines are so deep and present even when you are not actively frowning then Botox alone might not be sufficient to smooth out these lines. Since this particular doctor does not provide these services perhaps you would benefit from another... more

Ted Brezel, MD
Long Island Dermatologist

Don't be victimized by your dermatologist or cosmetic surgeon.

The deep vertical lines are much more safely treated with BOTOX or Dysport than with fillers. Neither treatment should be considered while you are still breast feeding. Once your baby is fully weaned, then you can have these services. While both types of treatment we think are very safe, there are not studies that look at the question of what is in breast milk following one of these treatments. It is not foreseeable that such studies will ever be conducted. So... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox

The muscles, called the corrugators, around the 11's are huge. If you contract them, you will see how wide they spread across your forehead. Once you have stopped breast feeding, have them injected with an adequate amount of xeomin or botox, then see how well the 11's smooth out. They will probably soften nicely. If not, a repeat dose and ultimately a small bit of filler may be necessary. All the best, "Dr Joe"

Joe Gryskiewicz, MD
Minneapolis Plastic Surgeon

Botox® alone in most cases works very well.

The 11s between your eyes are almost always due to muscle movement causing a crease in the skin. Botox® alone in most cases works very well to soften the 11s. At times, I use a hyaluronic acid filler like Juvederm® or Restylane® to correct the deeper lines initially. Then, Botox® can be used every 4-6 months to prevent new creases.

Missy Clifton, MD
Bentonville Dermatologist

www.premierderm.net

I'm 29 and Might Need Botox, How Can I Tell if the 11's Are From Fat or Wrinkles?

Glabellar wrinkles are never from fat as there's no appreciable fatty tissue layer there. Botox, Dysport or Xeomin will all decrease these unwanted lines and wrinkles.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

See an experienced dermatologist for Botox of the glabella between the eyebrows of teh forehead

An examination with your muscles at rest and with contraction can demonstrate to the doctor if Botox should help your lines. Some people might benefit from fillers too, but Botox is the best treatment usually for the area between the eyebrows (the glabellar "11"). There are risks with fillers in this area so if you are a candidate for Botox that is what should be tried first and if fillers are being considered, please make sure you have a thorough discussion to learn of the risks. more

Ronald Shelton, MD
Manhattan Dermatologist

Options for treating 11's frown lines

Frown lines (11s) are caused from overactive muscle function in the brow and not from excess fat. There are three major methods for treating these frown lines. The first and least expensive is with Botox. It's safe , very predictable, inexpensive and reversible. The downside to Botox is that it only lasts from 3 to 4 months. The second method is to use some type of filler such as Juvederm, Radiesse, Restylane, or fat. I have seen excellent... more

Robert M. Jensen, MD
Medford Plastic Surgeon

Botox or Filler for Frown Lines

Your 11's, can be caused by contraction of the muscles between your eyebrows (glabellar muscles) or from shrinkage of tissues. Botox or Dysport can be used at first to see if the wrinkles improve. If the wrinkles do not improve, then a filler can be used. I would wait until you are done nursing before undergoing any treatment.

Adam J. Cohen, MD
Skokie Oculoplastic Surgeon

11 lines

11 lines between the eyeborws develop from overactivity of the corrugators which may lead to what I call "etched line" which may decrease the subcutaneous fat component between the muscles and skin and thus accentuate the lines. Usualy botox helps. If they are tsill noticeable, then sometimes I palce a small amount of filler product in the area as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

11's are from frowning, not weight gain

While having a picture to look at would be helpful, in general 11's between your eyebrows come from frowning. Botox acts to prevent you from frowning which prevents the 11's from forming, or prevents existing 11's from becoming deeper and more defined. While there is no scientific evidence to suggest Botox is harmful while nursing, there have been no studies performed to prove that it is safe, either. Thus I would recommend waiting until after you stopped nursing,... more