Tissue fillers for the forehead and bridge of nose?

Can Restylane or Juviderm be injected in areas like the bridge of the nose and forehead lines?

These areas do not have much fat or tissue underneath. I have a line across the bridge of my nose and I want to get ride of it. Dot Co2 treatments have not been able to erase it. I have had success with Restylane in lifing the tired sagging lines underneath my eyes but my practitioner said she did not feel comfortable injecting in problem areas like the forehead and bridge of the nose.

Can this be done?

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6 answers to “Tissue fillers for the forehead and...”

A: You can use both fillers and botox in this area to help this concern

By Joel Schlessinger, MD - Omaha Dermatologist

Fillers and botox are the best treatments for this area, but one without the other probably won't work all that well. Additionally, I would recommend Restylane over Juvederm as Restylane has a bit more effectiveness in this area. It will need to be repeated over time, but I find that it gets better... more

A: Watch Out With Filler in the Horizontal Lines Between the Brows at the Brige of the Nose

By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Red Robin, The lines that you describe are horizontal between the brows at the bridge of the nose best respond to Botox. Fillers can cause some very unnatural edema and swelling in that particular area. The horizontal lines of the forehead are best treated with Botox. The vertical "11"... more

A: Tissue fillers would not work well in those locations

By Felix Kuo, MD - Long Island Dermatologist

I would not recommend using tissue fillers for forehead lines. These lines are created because of repeated movement (raising your eyebrows). The treatment here is with Botox, to limit that movememt. Depending on how deep the lines are while at rest, will determine how much the lines will... more

A: Wouldn't recommend it

By Vishal Kapoor, MD - Beverly Hills Plastic Surgeon

In these areas, it is difficult to completely get rid of this transverse wrinkle above your nose. I have found that Botox combined with Radiesse works well in this region. Remember however, that at some point the botox will wear off and the radiesse will at some point go away, so you'll need to do some... more

A: Both fillers can achieve good results

By Ronald Shelton, MD - Manhattan Dermatologist

Absolutely. They can achieve very good results. Botox is a helpful area for the bridge of the nose in addition to the filler. Sometimes the line is so fine that human collagen injections could give a finer result than the Juvederm or Restylane.

A: Botox or Dysport plus fillers will probably work best

By Robert F. Gray, MD - San Francisco Facial Plastic Surgeon

As a facial plastic surgeon I often see people with these concerns. These deep lines are caused mainly by muscle contraction which can cause indentations and deep lines in the skin. That is why Botox or Dysport is very important in this treatment. If the line is so deep that Botox/Dysport... more

Comments

jcervone
13 posts
27 Oct 2008

Robin, This is an excellent question and I do agree with the cautions cited by everyone above. Botox is safe and effective in this area and with time the muscles weaken a bit to help the lines thin out. Fillers in the area of the glabella can potentially travel through small vessels to the retina and cause serious damage, so I would avoid them. If dot CO2 didn't help you may want to try an Accent treatment (a radiofrequency device-see www.accentyourbody.com) with the bipolar module to tighten the area a bit.

sammyjj
1 post
19 Jul 2009

I have horizontal lines across my forehead. They were treated with botox. 6 injection sites, 2ccs each. Almost no effect. 2 weeks later the same amount of botox was injected in the same area also with no effect. i am a 50 yo male, is the dosage too low, or does botox not work for everyone in this area? additonally, botox to the crowsfeet 5 ccs each side, now injected twice helped but did not eliminate the lines. And the area between the eyebrows has had 3 injections sites 5ccs, 5ccs, and 10ccs and has also helped but not eliminated the problem. again is the dosage too low?

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