Frown Line? Doctor Answers, Tips
Botox: Q&A
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Frown Line?

Hi I had my frown lines treated 3 weeks ago and I still have a little vertical line left in between my eyebrows, can I have some more botox to try and get rid of that line altogether? Or do I need to wait 3 months until my next tretment?

17 Doctor Answers | Asked by purrygirl
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Re: More Botox and Frown Line

If you are noticing the vertical line when your face is at rest, it is considered to be a static wrinkle. This means that it is etched on the skin. Botox will relax the frown line muscles so that they don’t continue to crease the skin. In other words, the treatment will only address the muscles. It will not take care of any permanent creases that have developed over time. If this vertical line concerns you, I would suggest the use of a dermal filler. Based on your... more
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Botox touch up treatments can be done safely

You cold certainly have your Botox treatment 'touched up' to further weaken the glabellar muscle group. The other consideration for residual vertical lines is the use of a dermal filler such as Restylane or Juvederm to soften this line even further.
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Botox and filler for frown lines

If you still have some frowning movement, you may need more Botox. If there is still a depression, filler may help. Please return to your doctor for assessment.

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+1

Botox doesnt always eliminate "lines"

If you still have some activity in your corrugator muscles, then more botox may help. However, its important to realize that botox will not necessarily completely eliminate a wrinkle. It will usually improve it, but it may not be completely gone. In some cases, adding some filler after the botox has taken full effect can be beneficial.
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Botox + Filler

If you are able to actively make the wrinkles in this area deeper than you may benefit from some additional neurotoxin to the corrugator or procerous muscles. If the frown lines in this area are deep from many years of creasing the skin I often add some hyaluronic acid filler as well to further improve the appearance.
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Botox for frown lines may need fillers as well

If you have a very deep frown line you may either need a little more Botox in a related area such as the upper forehead or you may need a small amount of filler in that area. Please return to your treating cosmetic dermatologist and make sure they are an experienced injector. see video
+1

You may need a little more

Since you state that you have a "little" vertical line left, my guess is that you need just a bit more Botox, and I would advise seeing the physician that did the treatment. If the line still is deep, he or she may want to add a little filler. Regardless, make sure you are going to an experienced provider.
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Botox and Frown Lines

Botox is effective for dynamic wrinkles and the stabilization of static wrinkles. If there is no movement in the area but wrinkles remain, filler or fat may be injected, but this should be performed with a blunt cannula not a sharp needle.
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Frown lines and Botox

Botox and Dysport typically take 7-10 days to have their full effect. If after two weeks, there is still movement, more can be injected. If the line is still present and is not due to movement, a hyaluronic filler can be injected to fill the line. However, there are risks when injecting in this area, so it should be performed by a board-certified dermatologist with cosmetic experience.
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Botox for frown lines

You may benefit from a little more botox if you've waited 2 full weeks, and are still able to move or scrunch up the muscles. If there is no movement, but there is a line, then you're better off adding a filler such as juvederm or restylane.
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Frown line after Botox

If you can still move the muscles and "crunch" that area then more should help. If you have a deep wrinkle that has gotten "worn in", like on an old dress when you decide to finally let the hem down, the botox will not flatten that. For that, have an experienced injector use a filler. I would use Belotero or Restylane. One must be VERY CAREFUL when injecting in this area though.
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Botox and frown lines

Depending on how many units were used to treat that specific area, you likely just need more product. A well-trained and experienced injector will assess the size and strength of your muscles and calculate an effective dose.
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Botox and frown lines

If there is still motion in the muscle, i.e. you can still frown, then more botox can help. If not, then its a question of fillers, creams, peels, and lasers. You should show it to your doctor and decide together the best course of action.
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Frown line still there after Botox

Three weeks is an adequate time to assess the result of Botox injection. If you have no inward movement of the brows when frowning, more Botox will not help. If that is the case you may need a filler on top of the Botox. This is the reason I encourage my patients to treat the frown lines early before they have time to really set in. Catch those 11's early enough, they will never be a problem again.
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Frown Lines & Botox

Sometimes, especially with very deep frown lines, the lines are improved but not totally corrected with Botox. Rather than additional Botox, I would suggest a filler such as Restylane.
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Frown line present after Botox

Sometimes more Botox can help to eliminate a persistent frown line if it is a line that is caused by the muscle movement. If it's a line or fold that is not caused by the muscle movement, or if there is a deeper furrow there, then sometimes a filler can be used for further improvement. If you are a candidate for more Botox, you do not need to wait three months to have the touch up. That could be done now.
+1

Still have vertical line after Botox

Botox works on dynamic lines. Meaning it stops the injected muscle from moving, which stops it from creating the lines when you move that muscle. If you have static lines, meaning lines that are present when you are not moving a specific muscle, then Botox can help "soften" that type of line, but it cannot remove it entirely. So, stand in front of the mirror and look at the spot you are talking about. If you only have the vertical line when you furrow your eyebrows together, then a tiny bit... more
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