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Botox to weaken the corrugator muscles will give you the most benefit with regard to reducing your "11s." If you still have a residual wrinkle this is likely imprinted on the skin and can be improved with Restylane or Juvederm. This can be difficult to treat without causing a bumpy contour or revealing the filler product so consult with an experienced injector before pursuing filler in the area between the brows.Stephen Weber MD, FACS
Thank you for your question. It's possible that Botox, Jeuveau, or Dysport would give you the result you seek instead of Juvederm. Application of filler in that area can be risky but some improvements can be expected if done by an expert injector at a very superficial level. Application of filler in that area can be risky but some improvements can be expected if done by an expert injector. We wish you the best!
Thank you for your question. Botox would better treat this area. Please see an expert injector.
Juvederm works nicely to camouflage deep wrinkles between the brows that aren't resolved from Botox alone. This treatment carries a very low risk. The most common risks are bruising and swelling to the treated area. Intermittent icing post treatment and avoiding aspirin, NSAIDS, and Vitamin E supplements a week prior to injection may help.
Thank you for your question about juvederm side effects.First and foremost, fillers in the brow/forehead area must be done by a very experienced injector. There are risks associated with injecting fillers in any area, but the forehead has a large risk of vascular compromise. As with any HA filler injections, you can expect some short term side effects after Juvederm injections. The most common are bruising at the site of the injection and mild swelling over the areas treated. Hyaluronic Acid Fillers, including Restylane Defyne are "hydrophilic" and attract and hold on to water, causing swelling. This is typically mild and only lasts for a few days. Your provider should also counsel you on post injection care. This includes, but is not limited to, avoiding exercise for 24 hours, avoidance of aspirin/ibuprofen/fish oils to avoid bruising, avoiding heat or sun exposure for 24 hours, avoid waxing or laser treatments to the area for 24 hours, and avoiding massage of the injection site. To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.
Hi, great question. If you are looking to improve the area between your brows, I would suggest trying botox first or using it in addition to fillers. These lines in between the brows develop because of the strong muscles in this area, fillers can help the wrinkles but they will quickly reform with regular facial expressions. If you maintain with botox through the year every 3-4 month you can help to reverse wrinkles and prevent them from forming.- Dr. P
You may experience temporary swelling, mild discomfort/tenderness of the injected area/s, redness, lumps, mild bruising, and possible itching. Most side effects are mild or moderate in nature, and are short lasting.#JuvedermSideEffects #JuvedermTemporaryEffects
Thanks for this question.The 11s ( medial brow ) are best treated with Botox. This is easily preformed with very minimal complications especially if you don't have any eyelid or eyebrow issues.Juvederm can be injected, by an experienced person in small amounts in the 11s. This is a highly expert indication, as there are reports of loosing some skin in that area and thus getting a scar.I really recommend trying the Botox first.
The first line of defense for wrinkles between the brows istypically Botox, this stops the muscles that cause the wrinkle fromcontracting.If your wrinkles are deeperand present even when your muscles are at rest, then Juvederm would be the bestanswer (we call these static wrinkles). The Juvederm fills in the indention tosmooth the area out. Juvederm really is a very safe product. Most of the issuesassociated with Juvederm revolve around injection site issues, and many areshort lived. Most patients experience swelling and some degree of redness anddiscomfort at the injection site.Bleeding and bruising can also occur, but are much less likely if you avoidblood thinning medicines for 2 weeks prior to the injection (Aspirin, Motrin,Aleve, Ibuprofen). Typically injected areas are a little firm at first, butthis usually softens over time. Itching or discomfort at the site also occur inrare instances. Major complications or allergic reactions to Juvederm are alsoextremely rare. These kinds of side effects can happen with any injectablefillers and are not more common with Juvederm than with any other filler.
Fillers in the glabella can have rare but serious complications such as tissue loss and embolization. It is very important to be aware of these potential complications. Make sure your fillers is being done by a Board Certified Plastic Surgeon or Dermatologist with a proven record. Many physician extenders are now doing fillers and oftentimes the procedure is being done outside of a physician office.
It’s not unusual for patients with deeply etched verticalglabeller frown lines to require dermal fillers in addition to Botox. When this scenario arises, Juvederm canprovide excellent clinical results. Although rare, side effects occasionally occur following this type oftreatment.Themost common complications seen following this procedure include bruising andswelling.These typically resolve withthe passage of time. Rarely patientshave unsatisfactory aesthetic results which require additional filler or insome cases reversal with hyaluronidase. In rare cases, skin loss from pressure necrosis or intravascularinjection may occur.Ifyou’re concerned about the results from Juvederm treatments, it’s important todiscuss this issue with your plastic surgeon. Your surgeon should be able to address your concerns.