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Botox or Ulthera , Which One is Better for Forehead Line and Smile Line?

Doctor Answers (3)

Ulthera for Lifting - Injectables for Lines

+2

Ultherapy is a process which tightens the dermal tissue by forcing new collagen and collagen remodeling which has the effect of lifting and tightening.

Since most smile lines and frown lines are a consequence of muscle activity and/or age-related collagen and fat loss, the most useful treatment is an injectable: Either Botox or Dysport to inhibit the line-causing muscle activity which is the case with frown lines and crows feet - or with the case of facial lines, an injectable to replace or stimulate collagen.

If your brow has dropped, then Ultherapy might be a good choice. (See your doctor for an assessment. Ulthera's ultrasound treatment is not surgery and can't give the same major uplift that a brow lift produces).

Botox and Dysport both are great for getting rid of, or softening, frown lines and worry lines as well as crows feet.


Los Angeles Dermatologist
4.0 out of 5 stars 20 reviews

Botox and ulthera for forehead, ultherapy for smile folds

+1

Ulthera can be used to tighten and lift the forehead which will smoothen it, but when the forehead muscle contracts, the lines reveal themselves but possibly not as much as before the treatment.  Ultherapy's result may take six months to evolve.  Botox remains the number one treatment for lines of expression of the forehead and crow's feet around the eyes. However, some patients can't have treatment of their forehead because their eyebrows have lowered so much that they push the upper eyelids down making folds, or hooding, and botox of the forehead would worsen this sagging as the forehead muscle won't be able to contract and elevate the eyebrows. Aside from a brow lift, Ulthera is a good consideration. 

Smile folds, which run from the corner of the nose down to the corners of the mouth, are usually not treated by Botox as it can create undesired muscle relaxation of the important smile muscles and the mouth may look "stroke-like" from an asymmetric result. Some doctors do use Botox as an off-label treatment for the smile folds but there is a greater risk of this functional and aesthetic complication and it can take months to resolve itself.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 32 reviews

Botox and Ulthera work in completely different ways

+1

Botox, like Dysport and other, relaxes muscles of expression so it can reduce lines in the forehead by relaxing the muscle that raises the eyebrows. The effects lasts about 3 to 4 months, and may cause the eyebrows to drop. Ulthera is a treatment that uses highly focused ultrasound energy to stimulate collagen remodeling. In the forehead the full result doesn't appear until 3 months, and the effect raises the eyebrows.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 28 reviews

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