How Often Should I Get Juverderm Treatments for Frown Lines?

Thank you for your question. The frown lines between the brows can be address two different ways:1) Botox or Dysport can be used to soften the deepening of the frown lines when making a frown expression. The treatment may even soften the lines that are present at rest. The effects typically last 3-4 months depending on the dose. I generally use between 15-40 units of Botox (30-120 units of Dysport) in the frown area depending on the strength of the muscle and the degree of frown reduction we are trying to achieve. 2) Restylane or Juvederm can be used to soften the frown lines that are present even when you don't make an expression. This can last for a year or more when used in conjunction with Botox.For someone who has concerns with both the static lines (without expression) and the dynamic lines (with expression), then using both products would work well together. I often find that patients who return after a Botox or Dysport treatment in the frown areas complaining it didn't work, is due to the confusion between the static and dynamic frown lines. They continue to see the static lines even though the dynamic lines have softened considerably.

Gid Day Sidney,

Juviderm for frown lines is very safe.  The effect can be enhanced by returning to you injector about 3 to 4 months after your initial session and getting whatever additional treatment is deemed necessary at that point.  Depending on the area treated, and the individual patient, Juviderm injections generally last anywhere from 9 months to 2 years.  If you are beginning to show signs of volume loss in your face, you may also wish to consider Sculptra volume enhancement which will give you longer lasting and natural results.  As with any aesthetic procedure, make sure that you choose your injecting physician most carefully.  Good luck and be well.

Dr. P

Botox is best for frown lines (the creases in the glabellar region between the eyebrows)  as these are formed by muscular contraction. For those patients whose lines do not improve enough after botox then restylane or juvederm ultra (not ultraplus) can be used. There has been no evidence of long term problems. The juvederm may last a year, give or take. Juvederm and Restylane are more commonly used in the smile creases than the frown lines.