Botox or Laser on deep, vertical forehead creases?

It’s hard to imagine your condition without seeing a photo. Normally, if the forehead creases are related to motion of the underlying muscle, then laser won’t help much as the lines come back as you continue to move the muscle despite the smoother skin surface from laser. Botox would help in this... more

I'd love to see a picture, but when someone has very deep and etched lines, Botox, then fractional CO2 2 weeks later, then filler like Restylane or Juvederm about 3 months later can be the trifecta of non-surgical shaping , smoothing and rejuvenating. Of course, I'd need to see your skin type and get a good... more

I would suggest Botox either at the same time or preferably followed 2 weeks later by hyaluronic acid filler (Restylane or Juvederm).  The Botox is for the "dynamic" component of the wrinkles (with movement) and the filler is for the "static" component (wrinkles at rest). Good luck.

Botox would likely be the better choice (especially if the creases are between the eyebrows).  You may also be a great candidate for a brow lift, which will take care of the problem long term. The vertical wrinkles are due to muscle pull (dynamic wrinkles), while laser is better at treating static... more

These vertical creases can be somewhat more complex and difficult to treat than transverse or horizontal creases.  Many times we will start with Botox and then determine whether Juvederm or Restylane injections might be required as well.  Use of a Carbon Dioxide Laser may be helpful but only if the... more