Botox and Restylane work best together for vertical forehead lines

Hi Texas Mom,

You look great in your picture.

Have Botox to treat the vertical "11" lines, and then have either Restylane or Juviderm injected directly into the lines. The filler can be placed either at the same time, or about one week after the Botox.

You will find that even when the Botox wears off, the deep vertical lines should not return. In this area there is a "the sum of the treatments is greater than the individual parts" effect. My experience is that most patients only need filler one time in this area if they get their Botox at least every 6 months.

Good luck and be well.

Dr. P

It looks like in your picture that you would be better suited for Botox. While the lines may seem deep, they look like they would be effectively addressed with Botox and that it would not be necessary to use Restylane.

We only suggest Restylane in this situation if Botox has failed to do the job of smoothing the area.

Try Botox first and if there are still some wrinkles left, then try Restylane. Make sure you choose your practitioner based on his/her experience with these procedures before starting.