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Is Botox a Good Option for Glabella Wrinkles?

asked 6 months ago by ilovebotox
Latest answer by Young R. Cho, MD, PhD
Question viewed 420 times
Tags: candidate, glabella

I just recently got botox to treat my glabella area however i more have a "1" than an "11" because my left muscle is significantly stronger than the right. my frown line is evident only on the left side. My surgeon started off conservative with 20 units. 4 days later, i went back & added 5 addl units. a week later i come back and get 10 all units around the area. My question is.. with that recent dose i got, so should i see results 5-7 days from the most recent time???

20 answers to Is Botox a Good Option for Glabella Wrinkles?

Botox Cosmetic for frown lines

Every injector probably administers Botox Cosmetic a little differently. For moderate to severe frown lines, I typically start with 20 units total and make five separate injections each with 4 units. It usually takes a day for the medication to start working and one week for it to have its final effect. In your case, 35 units really does sound like a lot for treatment of frown lines, however it's hard to say without an exam. Assuming the medication... more

Kelly Gallego, MD
Sioux City Plastic Surgeon

www.drgallego.com

Botox for forehead wrinkles

Botox is an excellent choice for the treatment of glabellar, or verticle forehead lines. In fact, there are the wrinkles the Botox is FDA approved to treat. it take up to 2 weeks to see the full effects of Botox. It sounds like you may have needed more time rather than more Botox. Dina D. Strachan, M.D.

Dina D. Strachan, MD
New York Dermatologist

Botox for the glabella

Botox works by relaxing the muscles that cause frown lines to form. Many times, the deeper wrinkles will not be adequately resolved. Adding a filler will help. Also, continuing Botox (or other wrinkle relaxer) treatments every four to six months works over time to lessen these deeper wrinkles.

Donna Rich, MD
Houston Plastic Surgeon

Seeing the Results of Botox

Botox is one of the best things around for eliminating glabella lines. Rather than "plumping" like collagen and fat, Botox blocks the impulses that nerves send to muscles, essentially paralyzing the muscles and diminishing their ability to tense. It takes one to three days to see the effects, and the treated area will continue to improve for up to two weeks. That's when I schedule my patients to return, to see if a touch-up is needed.

Michelle Copeland, MD, DMD
New York Plastic Surgeon

Botox for glabellar wrinkles

Typically 20-25 units of Botox is sufficient for most glabellar wrinkles. Botox and Dysport can both help to reduce these lines by stopping the muscle movement and imparting a more relaxed look to the entire area. I usually recommend 1-2 treatments with these neurotoxins over 4-6 months before considering other methods to reduce the lines. Restylane and Juvederm can be added to this area later to help fill in residual lines that do not completely fade after... more

Jason R. Lupton, MD
San Diego Dermatologist

Botox for glabella wrinkle

Botox is a great treatment for glabella creases like you mention. The dose you've had should be enough to treat the area fully. If you still note a crease despite this you may benefit from a filler to efface the crease further. Another option is skin resurfacing. The botox works to stop dynamic wrinkles by stopping the muscle movement in the area. To fully address a crease that is present even at rest, other treatments may need to be added. Botox can help to prevent further... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Botox in corrugators

First of all 4 days is not enought time to wait until you see the effects of Botox. It can take up to a week. Second the deep etched lines may not resolve completely, and may take treatments repeated every several months to achieve the desired effect. Furthermore, I sometimes inject a small almount of filler in the area as wel to soften them.

Steven Wallach, MD
Manhattan Plastic Surgeon

Be Cautious about more Botox

With all the injections you have had I would be very cautious about more Botox. Your problem may need a surgical solution and more Botox may give you a droop or other problems.

Richard Galitz, MD
Miami Facial Plastic Surgeon

Botox great for angry 11s--its indication for FDA approval

The FDA indication is for the treatment of glabellar rhytids--the wrinkles between your eyebrows in the glabellar area. Many people have muscle or facial asymmetry. It is important that an experienced, board-certified physician evaluated each muscle group before treatment to relax each muscle group appropriately. Typically, 18-30 units are used to treat glabellar wrinkles and results should last approximately 3 months. Everyone is different, and those with greater... more

Melanie D. Palm, MD
San Diego Dermatologic Surgeon

What is the best treatment for glabellar wrinkles?

The best treatment for those vertical lines between the eyes ("the 11's") is Botox which will relax the muscles that create the lines. However if the lines are deep or persistent after full relaxation with Botox, a dermal filler like Restylane or Juvederm can be used to further smooth out those lines.

Steven E. Rasmussen, MD
Austin Dermatologist

Botox is the preferred treatment for frown lines in the glabella of the forehead

Botox works well by relaxing the muscles which create the wrinkles when the skin scrunches and pleats as the muscle underlyilng the skin moves. It may take time for the lines to diminish but the muscle is seen to be relaxed between a few days and two weeks after the Botox is injected for most patients. Different patients need different units and if assymetry is significant, then more Botox may be placed on one side than another. An experienced physician may suggest... more

Ronald Shelton, MD
Manhattan Dermatologist

Is Botox a Good Option for Glabella Wrinkles?

I have used neurotoxins (Botox, Dysport and Xeomin) Botox for over 20 years and from the 35 unit dose you reported receiving, you should get results in the Glabella. Follow the advice of the MD that did your Botox injections.

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

You are going to the wrong place!

20 units is more than enough to take care of almost any glabellar lines. An experienced injector would know to wait for the BOTOX effect to develop. An experienced injector should be able to very accurately estimate how much BOTOX you need for this based on muscle mass. 20 units is not conservative. It is generally more than enough. I am wondering if this office is actually giving you a unit of BOTOX when you pay for a unit of BOTOX (remember, salt water is... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox is excellent for glabellar wrinkles

You have had what is usually an adequate dose for most patients for the glabella area. I generally treat a patient and wait 2 weeks before a touch up. At 2 weeks after the injection, the medicine has generally reached full effect. If you have particularly deep furrow in the glabellar area, at 2 weeks you may notice that you can no longer move and deepen the wrinkle, but that it is still there. You will see the skin repair itself and the wrinkle will... more

Michael Bowman, MD
Montgomery Facial Plastic Surgeon

BOTOX for Frown Lines?

Botox works very nicely for smoothing frown lines and is FDA approved for this use specifically. Keep in mind, however, that Botox, works on dynamic wrinkles by weakening the underlying facial muscles and relaxing the skin above the area. IT does not work on static wrinkles that may also be seen as a result of aging, sun exposure, smoking, etc. A combination of filler and botox may be more effective in these circumstances.

Stephen Delia, M.D.
Boston Plastic Surgeon

Botox and Glabellar lines

Botox is the preferred choice for glabellar lines. You should see results within 3 days, but full effect can take up to 2 weeks. If the line is still present after sufficient Botox, then a filler may be needed. Additionally, surgically reducing the glabellar muscles is an option.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon

Botox works for glabella lines

It generally takes one to two weeks to see the full effects of Botox. It sounds like you had enough units to freeze the glabella area sufficiently. If your glabella line was very deep to start you may need to get a filler in that area after the area is sufficiently frozen. It may be that you don't need more Botox but some filler if you don't see the results you are looking for. It is always important to go to an experienced injector.

Michele S. Green, MD
New York Dermatologist

Botox and stubborn glabella wrinkles

I normally wait a full week or two before touching up areas. It is not uncommon for people to require more than 20 units for the glabellar area, especially if you have heavy muscles in this area. In addition, it is not uncommon to place more on one side than the other. Remember, however, that Botox, Xeomin, or Dysport work to paralyze the muscle. If your glabellar lines are present whether you frown or not, chances are you are not going to have them completely... more

Young R. Cho, MD, PhD
Houston Plastic Surgeon

Botox takes 10 days to take full effect

You should see the initial results of botox within 3 days and the full result by day 10. The amount of botox you need is completely dependent on how much muscle mass you have in that area and what result you want. A completely frozen look will require more botox; a softer look will require less. The typical dose for the glabella region is 20-30 units. However, the dose is extremely variable. Men typically have more muscle mass and may need more than 30... more

Melissa Chiang, MD
Houston Dermatologist

Repeat Botox

Botulinum injections work by binding to the motor nerve endings and disabling the release of the chemical signal that tells the muscle to contract. Botox and other similar products work because they in effect paralyze individual muscle fibers in the area where they are injected, the glabella being the most common. If lines are present at rest, then it will take several treatments of botox over time to soften the wrinkle. However once a muscle fiber is injected, that exact area must... more