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Is Botox Only Good for Certain Face Wrinkles and Lines?

or does botox injection help with all facial lines and furrows?

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wrinkles effective fine lines

Botox is specific to some areas

The answer to your question is that Botox only works well for certain areas of the face. For example, the wrinkles commonly referred to as "laugh lines", which extend downward from the side of the nose to the side of the mouth are not addressed with Botox. Because of the size of the crease in this area and the manner in which it forms, it is treated using dermal fillers such as Restylane, Juvederm or Perlane. The areas of the face where we commonly use Botox are as follows. In... more

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Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Botox is used for crow's feet, frown lines, and frorehead wrinkles

Botox is used to treat "dynamic" wrinkles in the upper face. These include the frown lines, forehead creases, and crow's feet. The frown lines are created as the result of contraction of the corrugatoe and procerus muscles. This wrinkle is noticed most when squinting. The forehead creases are the result of contraction of the frontalis muscles and is noticed most by raising the eyebrows. The crows feet (the area at the outside portion of the eyes)... more

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Jon E. Mendelsohn, MD

Cincinnati Facial Plastic Surgeon

Botox is great for wrinkles on the forehead and around the eyes

Botox and Dysport work on those wrinkles which are the result of overactivity of certain facial muscles. Much like your favorite pair of pants will be wrinkled if you repeatedly fold them in the same place, the skin wrinkles in areas of repeated folding. I use these products primarily in 3 areas: the horizontal forehead lines, the vertical lines between the eyebrows (frown lines) and the crow's feet around the eyes. Both products work by temporarily relaxing these muscles, reducing... more

Umang Mehta, MD

Bay Area Facial Plastic Surgeon

Botox reduces wrinkles form muscles

Botox relaxes muscles. Thus Botox reduces wrinkles, that are produced by muscles. The frown lines or "11" between the eyes are an example. After the muscles in this area have been relaxed the lines is the skin also decrease.

Robert Kasten, MD

Mainz Dermatologic Surgeon

Botox works for most facial wrinkles and lines.

While Botox is most commonly used for glabellar areas (frown lines), forehead lines and crow's feet, it can be used widely for lower face and neck lines in experienced hands. For example, we can use it for bunny lines on the nose, wrinkles around lip (smoker lines), chin, lines under eyes, neck bands and neck lines. In addition, we can use Botox for nonsurgical brow-lift or elevation of mouth corners. However, to get the most natural results, addition of dermal fillers are... more

Sherry Li, MD, PhD

New York Dermatologist

Botox is primarily for upper facial lines and wrinkles

Botox Cosmetic is approved by the FDA for treatment of lines and furrows between the brows. It can be injected in other areas for treating lines but is considered an 'off-label' use. The most common areas treated are the brow furrows, the crow's feet area around the eyes and the forehead. It can also be used to treat bunny lines on the bridge of the nose and lines around the lips. Extreme care must be taken when injecting Botox in the cheeks and lower face to avoid... more

James McMahan, MD

Columbus Plastic Surgeon

ASAPS ASPS

BOTOX® is a relaxer, so it is used to relax muscles which are causing lines

BOTOX® is a relaxer, so it is used to relax muscles which are causing lines; for example, frown lines between the eyebrows, and crow's feet around the eyes. Fillers are used to fill areas of volume loss, for example permanent creases on the face, and also scars. Sometimes, for example between the eyebrows, a person will have permanent creases which are made worse by over-activity of the muscles in that area. In this case the best results may come when BOTO® is used to... more

Kevin C. Smith, MD

Niagara Falls Dermatologic Surgeon

Botox works for wrinkles caused by muscle activity.

Botox is a neuromodilator for wrinkles cause by muscle activity and not to confused with a filler. Therefore, it is best indicated for the frown lines and off-label application for the crows feet, horizontal forehead creases (selective) and rarely for mouth wrinkles, elevation of the corners of the mouth, or treatment of permanent platysmal vertical banding in the neck.

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Peter Schmid, DO

Longmont Facial Plastic Surgeon

Consider how Botox works to determine where to use it.

Botox works by blocking neurotransmitters that cause facial muscles of expression to contract. In other words, Botox (and Dysport, another company's brand name for botulinum toxin) act as muscle paralyzers. If the treated muscle can't contract, it can't make (or worsen) an expression line or furrow. Sometimes the expression lines (like the frown lines between your brows) have been used so much and for so many years that even when the offending muscles are paralyzed, the line... more

Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon

ASAPS ASPS

Botox works best on the upper face.

While many areas of facial wrinkles can be treated with Botox, and now Dysport, the upper face tends to give the best results. The frown lines between the eyebrows are the only site specifically approved for use by the FDA, however, the forehead and perioccular areas are also frequently treated "off label". Since Botox and Dysport stop muscle motion, the wrinkles that the upper facial muscle make are diminished. The lower face is best treated with fillers. Filler can reduce... more

Joseph Mele, MD

Walnut Creek Plastic Surgeon

ASAPS ASPS

Botox is great for the right indication

Botox is generally used for winkles of the forehead, crow's feet, area between the eyes. For these areas it offers the best results compared to other modalities. Use in other areas is either not recommended or not advised.

Randy Proffitt, MD

Mobile Plastic Surgeon

ASAPS ASPS

BOTOX works for forehead wrinkles and crows feet

BOTOX is a very effective way to smooth wrinkles of the forehead, the area between the eyes and crows feet. The lines that are formed perpendicular to the muscles contracting in the area are best treated. A tiny needle is used to inject the BOTOX directly into the areas of concern. The treatment renders little to no pain.

Benjamin Schlechter, MD

Reading Plastic Surgeon

ASAPS ASPS

Only the lines that move!!

Botox is used to reduce wrinkles that are due to muscle motion on the face and neck areas. When the muscles are weakened, the wrinkles that get produced are softened. The effects of Botox last approximately 3 months, but with time the weakness tends to last longer. Any fixed wrinkles in the skin have to be repaired with skin care, injectible filler, and/or laser resurfacing. Hope this helps. Good luck, Manish

Manish H. Shah, MD

Denver Plastic Surgeon

ASAPS ASPS

Making "frown lines" go away with BOTOX

The best use of Botox is to "soften out" the lines of exaggerated facial expression. Think of forehead lines, frown lines, and crows feet lines - lines that are caused because muscles movement - and Botox lessens that unwanted muscle movement which causes those lines. Lines that are caused by sun aging on the cheeks, or the deep folds (the "marionnette lines) around the mouth, are not for Botox and are best treated with laser resurfacing, or injectable fillers. more

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Douglas J. Key, MD

Portland Dermatologic Surgeon

Botox reduces muscle contractions to reduce wrinkles

Botox works by addressing the "dynamic" aspect of your wrinkle lines, the fact that these hyperactive muscles are responsible for the lines to form. Botox will help soften these lines created by our muscles-- such as those around the eyes, forehead, and mouth. It is not ideal for other lines-- such as smile lines of the nasolabial folds-- because using botox in this area will reduce your ability to smile, etc. Also, keep in mind that "static"... more

Margaret Mann, MD

Cleveland Dermatologic Surgeon

Botox works for some lines

Botox works for "dynamic wrinkles". These are lines caused by the pull of muscles under the skin. Technically Botox doesn't treat wrinkles, it relaxes muscles. If a line is caused by the repeated action of a muscle then by relaxing the muscle the line will usually fade.

Jerome Potozkin, MD

Walnut Creek Dermatologic Surgeon

Botox help some wrinkles

To understand which wrinkles Botox works for it is useful to know how it works. Botox is actually botulinum toxin. This toxin works by decreasing or paralyzing muscle activity. So, wrinkles you see when you are moving the muscles of your face are what it treats. These are known as dynamic wrinkles or wrinkles that are caused by motion. Most commonly the forehead and the area between the eyebrows are treated with Botox. Wrinkles that are present when... more

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Sanjiv Kayastha, MD

Albany Plastic Surgeon

ASPS

Botox® good for "dynamic" lines

Botox® is good for dynamic lines, that is lines which are formed by muscle movement. Lines that are there even when you don't move your muscles generally won't be improved with Botox®.

Mario Loomis, MD

Middletown Plastic Surgeon

ASAPS ASPS

Botox is used for wrinkles caused by muscle movement...

Botox is used for wrinkles caused by muscle movement mostly around the eye areas that include the crowsfeet, forehead, and between the eyes called the glabella. It is not used in the folds between nose and the corner of the mouth. Be sure to discuss your questions with a qualified doctor before having the procedure done.

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Andrew Miller, MD

Edison Facial Plastic Surgeon

Is Botox Only Good for Certain Face Wrinkles and Lines?

Botox is a muscle paralyzer. Therefore, it will only work on lines that originate from overacting muscles. It works by paralyzing those overactive muscles. The frown lines and the forehead lines are ideal lines to be treated because they are caused from overactive frown and forehead muscles. Relaxing those muscles softens the lines. The crows feet are often helped by Botox as well, but less predictably then the forehead and frown lines. Other lines... more

Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon

Botox use limited to certain wrinkles

Quick Answer: Botox CANNOT be used to correct all facial wrinkles and lines. Thank you for your question. In our San Francisco area practice we frequently use Botox as an effective way to soften the appearance of many wrinkles on the face. Botox works to correct wrinkles that are a result of muscle activity and not all wrinkles are caused by muscle activity. Most commonly the wrinkles between the eyebrows, on the forehead and the outer portion of the eyes (crow’s feet) are... more

Steven H. Williams, MD

San Francisco Plastic Surgeon

ASPS

Botox is only good for certain wrinkles

Wrinkles on the face are divided into static and dynamic wrinkles. Static wrinkles are present when your face is completely at rest or relaxied. Dynamic wrinkles are present when the muscles of facial expression are engaged, such as those that appear when you smile or frown. Muscles of facial expression contract when they get a signal from a nerve to do so. Botox works by interrupting this signal.. When this signal is interrupted, the muscles do not contract, and the... more

Emily Altman, MD

Short Hills Dermatologic Surgeon

Botox used to treat expression lines on the face

Botox can be a very effective way to treat many of the wrinkles and lines on your face, but it can only work on a certain type of wrinkle/line. "Expression lines" are those wrinkles that are formed by the movement of your facial muscles. Every time you make a expression with your face, certain facial muscles are contracting to create a particular expression. This can lead to crinkling/wrinkling of your facial skin. I often call these "active" lines because when you... more

Haresh Yalamanchili, MD

Houston Facial Plastic Surgeon

Botox for Facial Wrinkles: Where to draw the line

Botox is a very reliable medication when injected into certain areas by an experienced injector. It is approved for central forehead lines or the frown lines created by the corrugator muscles. These can be predictably softened by Botox injections as well forehead lines will disppear. It can be injected for a brow lifting and brow shaping effect as well around the outer eyes for crows feet. Botox can be injected in the lower face with less predictable results. The effects last for three... more

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Andrew P. Trussler, MD

Dallas Plastic Surgeon

ASPS

Botox softens wrinkles anywhere on the face- almost

Botox is a wonderful treatment for wrinkles caused by the muscles of facial expression. Frown lines, crows feet, forehead lines, some lip lines, down turning corner of the mouth, and bunny lines. It is not a great treatment for the deeper folds separating the cheek and mouth. Fillers do better there.