It is important to understand (as Dr. Gross said) the difference between wrinkles at rest and while moving. If you still have wrinkles that bother you AFTER Botox, you are not alone. Many patients need combination therapy. The actual combination depends on many factors and a discussion with your treating doctor. I prefer to use fillers like Juvederm in the crease to make it less visible. In some patients, I use Fraxel laser to help with the creases. However, I do think that the deeper the crease, the harder it is to eradicate with any procedure. You should certainly consider other modalities like fillers and laser in addition to Botox for your wrinkles.


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