Can Lines Go Away Permanently W/o Fillers But Just Botox? (photo)

I am 35 and I just got my first 22 units of botox in my glabellar muscles. However, even when I do not frown, I still have the 2 lines. If I continually use botox as soon as there is mobility in the muscles, could I ever permanently remove these lines w/ using fillers? Thank you

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13 Doctor Answers | Asked by mersihas

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Deep glabellar lines between the eyebrows can improve with continued Botox or Dysport treatment

Deep furrows or lines between the eyebrows are from chronic expressive frowning. If the muscles are bulging when contracting, the furrows at rest are from years of strong muscle contraction. Often, with continued use of Botox or Dysport, the muscle is not allowed to wake up, and the overlying furrows begin to fade. This can take several treaments over a year or more of treatment. Rarely, the furrows don't improve and the judicious conservative use of fillers such as Restylane or... more

Botox and lines

Botox relaxes movement and with time, the lines will improve and will certainly not worsen. You have lost volume and have a deep crease on the left side. Only filler will replace the volume, not Botox. Once you have filler injected and then keep up with your Botox treatments, the filler may last for years. Combining the 2 procedures will give you the best result.

Botox Combined With Fillers Is An Excellent Approach To Treating Expression Lines and Wrinkles

There are two main components to the development of expression lines and wrinkles with the passage of time. The first, as the name implies, is the contribution of the underlying muscles of facial expression. The muscles of the forehead (worry lines), glabella scowl (frown) lines between the eyes and the periorbital crow's feet become somewhat hyperactive with time. At the same time, the quality and quantity of our supportive and elastic fibers (collagen and elastin) decreases, which... more

Can Lines Go Away Permanently W/o Fillers But Just Botox?

Botox and Dysport soften unwanted lines and wrinkles but offer temporary results. IMHO, with repeated injections, the muscles that cause the unwanted lines and wrinkles get weaker and weaker making the lines less noticeable but the results will never be permanent. see video

Lines that don't go away with Botox

Because Botox works on lines by relaxing muscles it is most effective for what we term are dynamic line (lines as a result of muscle contraction). Static lines are those that are present even when the muscles are relaxed. For those patients who have static lines it is sometimes necessary to inject some filler 1-2 weeks after Botox to smooth those lines out.

Can Lines Go Away Permanently W/o Fillers But Just Botox?

In some cases additional filler injection + Botox is needed. You may be one of these cases. Return to your injecting doctor.

Botox plus fillers for the glabellar area

In my experience, superficial lines at rest in the glabellar area will disappear over time if you keep the area tightly controlled with frequent Botox or Dysport injections at appropriate doses. This typically means injecting the area every three to four months to keep the muscles as quiet as possible. I typically reserve the combination of Botox or Dysport with filler injections for deeper lines or for someone who is in a hurry for the lines to disappear for a special event. more

Botox and Filler in the glabella

Unfortunately, Botox and Dysport will not provide volume. As other panel members have mentioned, you may require filler to this area to provide the results you desire. I recommend you follow up with the practitioner who did your treatment and discuss a treatment plan for you.

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

Are Botox and fillers need for Glabella lines?

Botox and Dysport relax muscles and help improve DYNAMIC lines. Most STATIC lines remain after neurotoxin injections. In oder to best "plump" and improve this area, a small amount of filler (Juvederm or Restylane) could be necessary, In my practice, I prefer to inject the glabella area with Botox or Dysport and then see the patient two weeks later to evaluate and then consider filler injection. This is the safest and most effect way to treat this area... more

Can Botox make lines disappear?

When you make facial expressions, the muscles in that area are "working out" and the more they work out, the more toned they get. Unfortunately, muscle tone on the face = wrinkles. Botox relaxes the muscles so they don't work out anymore. However, the "tone" doesn't go away immediately, just as your muscle tone doesn't go away after skipping the gym for one month. If you stop going to the gym for a year, your muscle tone will probably... more