Botox by itself may not be the answer for you

Sirish Maddali, MD answers: Why doesn't Botox work on my crows lines?

I have had five atempts at botox for the crows lines around my eyes, my brow and a very distinct lateral line above my nose (forehead area) but it does not seem to work. My crows feet were slightly lessened, by forehead wrinkles still wrinkled to a lesser amount but still noticable and the vertical line is still very prominent. I have been to two different doctors but the results are still very poor.

Why is this?


Sirish Maddali, MD
13 months ago

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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