Permanent Frown Lines Solution?

The longer forehead lines remain the more memory the skin develops for those lines. It's like a piece of paper that gets folded by a book falling on it-if you get the book off right away there is only a minor fold but if the book stays there for years the fold will be severe and difficult to erase. Likely the reason you have these lines is that you continuously elevate your brows. This is usually done unconsciously. The brain realizes that you can see better with your brows elevated so... more

Dear GG The frown lines can be stubborn!! Botox will help weaken the muscles creating these lines but may not get rid of them. Use of Restylane with Botox is very effective and is generally only needed once as long as you continue to use Botox to keep the muscles relaxed..... so the first treatment may be more expensive but you will have a great result over the long term. With Warm Regards, Trevor M Born MD

Hi! In our practice in Manhattan, about 10% of Botox patients also have the vertical lines between the eyebrows filled with Restylane. Try Botox alone first to see how much improvement you get. If you need Restylane, that typically has to be done twice a year.

My suggestion would be to have Botox injectioned first. You may be surprised at how effective this is for eliminating forehead wrinkles. Then at your two week return appointment, you and your physician can discuss adding one of the hyaluronic acid products. Oftentimes, this is not necessary. However, Restylane does come in a .5 cc dose which would cut your cost.

Botox will relax the muscles that, when contracted, cause the frown lines. Many people have, in addition to the lines that form during muscle contraction, wrinkles etched into the skin from years of animating. Fillers like Restylane add volume and help correct these wrinkles. So, Botox and Restylane work very well together.