Do new wrinkles require dermal fillers or just Botox?

Wrinkles are caused by bending and folding of the skin in response to the underlying muscles contracting. With repeated folding over years the collagen in the dermis atrophies (thins) and a static wrinkle is formed - leaving wrinkles even when the muscle is not contracted. By starting Botox early, you... more

The forehead wrinkles you describe on your forehead should respond very well to Botox alone.  Deeper wrinkles that give that "etched into the skin" appearance tend to need filler, +/- Botox, depending.

Fillers do not work as well as Botox for forehead lines. I also recommend good skin care along with the use of Botox. I would recommend you get your Botox done with a certified (facial) plastic surgeon or dermatologist.

When you have totally relaxed the muscles, if the wrinkles are absent then Botox is all you need. After years of practicing making the wrinkles, the skin folds preferentially like an accordion. In these people, even when the muscles are relaxed, there are still lines on the face. These people also need a... more

Transverse (Horizontal) forehead wrinkles are treated with Botox injection with excellent results.  Botox is a superior product for erasing transverse lines on the forehead.  The clinical efficacy of Botox is far superior to fillers in this area My recommendation would be to undergo Botox first and... more

In my opinion, Botox might be the treatment of choice for the forehead. At your young age it should give you a very nice result. Fillers often create a beaded appearance in these creases, especially if the muscle moves a lot without Botox treatment. Sometimes the vertical lines between the eyebrows are... more

We all get wrinkles for various reasons.  The ones that tend to dramatically worsen over time are usually caused by muscle movements and these are amenable to Botox.  Botox softens the muscle contractions and shifts the stress from muscle movement to other areas preventing the constant wrinkling in... more

Based on your age and description of the culprit wrinkles,  Botox should provide you with very satisfying results.  It is very important that the injections are at least one centimeter above your brow line so that you maintain natural brow movement and expression while improving the forehead wrinkles... more

One quick trick to try is identify if you can delicate smooth out the wrinkles completely between your fingers.  If gentle pressure is all it takes Botox will provide complete correction.  Those individuals with deeper lines that cannot be gently cooerced into receding typically benefit from both... more

Thanks for the question. It sounds like your wrinkles are caused by muscle contraction.  These wrinkles are perfect for Botox.  Botox injections begin to work after 2-3 days.  You'll notice an immediate improvement at that point.  Even deeper wrinkles will soften over time. Find a board... more