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Expected Outcome of Botox to Glabellar Lines?

asked 1 year ago by Corkgirl in Toronto, ON
Latest answer by Otto Joseph Placik, MD
Question viewed 634 times
Tags: expectation, glabellar lines

I still have a tiny bit of movement when I try to frown after first Botox treatment 2 weeks ago. What do most people aim for when treating this area? Complete paralysis or allowing a little movement? Looking natural is good but do want to get rid of the lines and wonder if that will happen if I still have some movement?

14 answers to Expected Outcome of Botox to Glabellar Lines?

Should I be Able to Frown After Botox?

Hi Corkgirl. How much movement after Botox injections is a preference that you should discuss with your practitioner. Ultimately, the main goal of our patients is to be rid of the lines first and then to worry about how much movement they have second. If you primary goal is to get rid of the lines and you have not accomplished that after a 2 week waiting period, then it's possible you may need a bit more product or even a dermal filler like Restylane or... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botulinum Toxin (Botox and Dysport) will ease frown lines but not make them impossible to from with forced exertion

The frown lines can be created by several different groups of muscles. Therefore some residual activity is normal and complete paralysis is not desireable or a releastic goal.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Goal of Botox treatment

The goal of Botox treatment is to eliminate unwanted lines and exaggerated movements. In my experience, I aim to eliminate almost all movement in the frown lines. I also do not think that this contributes to a 'frozen' look, which is more caused by over-zealous forehead treatments.

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

Botox effects are dose dependent

The effects from any Botox treatment, like any drug, is dose dependent. A Botox result can be created anywhere from a mild decrease in movement to complete paralysis. Now that you have had a treatment, you need to decide whether a more complete lack of movement is a better outcome for you. If more paralysis in desired then you will need a few more Botox units injected.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Botox injections and expression

It all depends on what you are trying to achieve. If you want a natural look (not frozen look) then a little movement is good but then you will still some of the lines. If your goal is to have NO lines at all, then I would recommend to be totally "frozen", in that case you need a touch up of Botox. You can also try to have some fillers injected in the lines (like Juvederm Ultra or Restylane) but you need to wait several weeks after the Botox injections to do it. more

Henri P. Gaboriau, MD
Seattle Facial Plastic Surgeon

Botox and Restylane/Juvederm for Glabellar Lines

Hi Corky, A little bit of movement is okay, ideally for the glabellar lines to "go away" it is better to have close to no movement. Additionally, injecting a small amount of hyaluronic acid (Restylane or Juvederm) at the same time has a great synergistic effect, in many patients the glabellar lines do not return. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Paralyzing a face is not difficult

Dear lady, in any botox treatment the goal should be to diminish the movement, so that exaggerated animation is avoided. This will fade out the wrinkles with time, and also avoid a "botoxed" face.

Alexis Verpaele, MD
Belgium Plastic Surgeon

A little movement after Botox

A tiny movement after Botox in the frown is very acceptable, especially if the movement does not accentuate the offending lines.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon

www.facialsurgerydr.com

Some patients like a little movement

The first time you get Botox, it is not surprising to still have some movement. It is far better to be under-dosed than over-treated and look frozen. I always like to check my new patients in 2 weeks to evaluate the response and do a touch-up if needed. It is always easier to add than to subtract when it comes to cosmetic Botox.

Mary Lupo, MD
New Orleans Dermatologist

A little movement is ok after botox injections

If you want the lines to go away as much as possible then you would strive for no movement in those muscles that create those lines. Many people prefer, though, to have some animation and look more natural and put up with a little bit of the lines. 10% retained movement is acceptable to most.

Ronald Shelton, MD
Manhattan Dermatologist

A tiny bit of movement is normal when you frown after a Botox treatment.

As long as your forehead looks natural when you try to frown, slight motion is expected and natural-looking. If you're concerned by your appearance, discuss your outcome with your physician to see if a dose adjustment would be beneficial for you. I hope this helps.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Expected outcome of Botox injection in glabellar region

The ability to bring eyebrows together should be minimal after botox injections. A little movement is acceptable since it makes for a more natural appearance. If the lines between the brows disappear when your face is relaxed, you may need a few more units of botox in that area. If the lines in the glabellar region are present when your face is completely relaxed, they will not go away with a botox injection and may need a filler to improve them.

Emily Altman, MD
Short Hills Dermatologic Surgeon

Botox and filler for glabellar lines

A little animation is nice to have- it allows you to exhibit emotion and movement consistent with your mood. If you're noticing persistant lines in the glabellar area- consider using a dermal filler (Restylane) for these lines.