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Post Botox 11s Lines Still Slightly Appearing, How To Treat This?
asked 6 months ago by ilovebotox
Latest answer by Lisa L. Sowder, MD
Question viewed 222 times
Tags: lines, 11s, not working, options
My main issues to which I resorted to getting Botox was my glabella "11" lines. in my particular case, its really "1" since one muscle is predominantly stronger than the other. it took 35 units to finally get the area frozen. i am happy with the results however, i still see a "line" in the area. its not a deep wrinkle at all... it just looks like a shadow of where the line was is still there a bit. granted, when i grown, that mark is still there.any ideas how i can lighten that mark???
16 answers to Post Botox 11s Lines Still Slightly Appearing, How To Treat This?
+1
Botox for glabellar frown lines
It sounds like the muscle has been knocked out with the dose you received. It will take many weeks or even months for the crease to smooth out and it is important to keep up with the Botox to keep those muscles knocked out or they will once again work on the overlying skin to reform the wrinkles. It has been my experience that subsequent injections last longer and take less Botox. I have some patients who come in only once a year now for maintenance. Botox is like a...
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Botox treatment of the glabellar forehead "11" frown line
If your Botox was only done in the last few days, you may get more muscle relaxation during two or more weeks after the treatment. Therefore, you may see further improvement. Some people have very deep lines because they have scrunched the skin together so many times over so many years that the lines stay etched in the skin for a while after the muscles do get relaxed from the Botox. It may take several sessions of maintaining the Botox treatment so that the muscles never...
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Wait until a few more cycles of Botox to worry about this!
This is not uncommon. Some people get smooth on their first botox injection. Others need to have their muscles get a little more "flabby" on their second or third round of injections (every four months regularly.) Stick with this and don't wait six months to go back, or you will be starting over. If after one year of botox there is still a little bit of a line then consider getting a filler in that area as well. Be a patient patient!
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Residual line after Botox
It sounds like your Botox worked beautifully but you still have a bit of a fixed line.A little bit of filler (Restylane or Juvederm) should diminish this line for you. Many patients also have to use Botox and a filler in this area to get the correction you want. These do come in 1/2 cc syringes so that would help keep your costs down.
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Residual Line after Botox Injection
If the residual line you describe is present at rest (without forehead movement) Botox will have no effect on that crease. The easiest way to treat that line is the injection of a filler such as Radiesse , Restylane, or Juvederm. If there are lines of animation, you can use more Botox.
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How To Treat Lines That Appear Even After Botox
Botox is an injectable neurotoxin that improves lines (wrinkles) that are dynamic, meaning secondary to muscular movement. Fillers improve lines (wrinkles) that are static, meaning visible at rest. In the glabellar area (area between the eyebrows), it is always best to address the frown lines (11 lines, dynamic lines) first with Botox. If there is still a trace of a line seen when frowning, you can try adding a little more botox; however, if the line is seen only at...
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Post Botox 11s Lines Still Slightly Appearing, How To Treat This?
Either add a little more or use a filler like Restylane. Or both. Return to your chosen injector, I hope it was a doctor.
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Frown lines that persist after Botox
The problem of a persistent line after adequate Botox is usually a result of dermal atropthy from years of frowning.. Botox is effective for what we term dynamic lines i.e. lines when the muscles below are contracting. Botox is left effective for static lines i.e. when the muscles are relaxed. For those cases its helpful to inject a filler such as Restylane or Juvederm.
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When to consider a filler in addition to Botox
Since the vertical lines between the eyebrows are caused mostly by hyperactivity of the underlying muscle, treatment with a relaxer like Botox or Dysport is the first step. However, if they have been there a long time then the lines become "etched" into the skin. So if you still see a line there after the Botox has taken effect, the next step is a dermal filler such as Juvederm, Restylane, or Radiesse.
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You injector needs to be super careful injecting the 11 area with filler.
Unfortunately the glabellar area where the 11 lines form is highly vascular. Filler treatments in this area can cause local circulatory problems with necrosis of the skin. Treatment in this area must be very superficial to stay out of the subdermal vascular plexus to avoid problems associated with putting filler into the circulation.
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Combination Therapy with Botox and Juvederm / Filler
If you still see a line/wrinkle even when the area is completely frozen with Botox Cosmetic, it means that you have dermal atrophy that may be improved with a filler such as Juvederm. Botox Cosmetic works primarily on dynamic wrinkles - those wrinkles that appear with movement of the underlying muscle. Static wrinkles are those that are there at rest and are caused by years of stress on the skin from movement causing dermal atrophy. Over several treatments of Botox...
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Neuromodulators (Botox,Dysport, Xeomin) for the 11 lines, frown lines
Treatment of the frown lines may take a significant amount of neuromodulator units usually around 20-30units in women and 30-40 in males. If it is your first time around it and you have deep lines it may take 3 to 4 treatments seperated 3-4 months apart for each treatment to see full correction. At times the need for a filler is required when the lines are very deep.
Good luck !
+1
Botox May Not Eradicate Glabellar Frown Lines
Botox alone may not totally eradicate glabellar frown lines, especially if they are quite deep. Botox only paralyzes the muscle which create the lines. If the lines are long-standing and/or deep, you may need to have them treated with a filler such as Restyl;ane in addition to the Botox.
John Whitt, MD
Louisville Plastic Surgeon
Louisville Plastic Surgeon
+1
Serial botox treatments for persistent 11 lines
After you have furrowed your brows many, many times, an 11 crease can persist, even when your face is at rest. People generally notice that the crease diminishes with time and repeated injections. If it persists, an experienced injector can fill it with hyaluronic acid.
Melissa Chiang, MD
Houston Dermatologist
Houston Dermatologist
+1
Botox for 11 lines
Sometimes it's not enough to "freeze" your forehead with botox or dysport to get rid of all your lines. Some lines are fixed, usually because you've been frowning so much that the line is "permanent." Depending on how deep the line is, treatment choice may include fillers, laser or peel.
Gary Goldenberg, MD
New York Dermatologist
New York Dermatologist
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Botox works really well for the glabella "11" lines
The wrinkle in the glabella is like a crease in a sheet of paper. It can take some time for that crease to flatten out. If there is still a depression after Botox you can get a filler like Restylane in that area. Don't worry. Just keep up with the Botox and eventually it will be smooth. This is the reason that when patients wait too long to get Botox in that area, it is harder to treat.
Michele S. Green, MD
New York Dermatologist
New York Dermatologist
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