Forehead crease - what will help? (Photo)

Thank you for your question and photo. If you previously had success with Botox injections, you may want to consider another neuromodulator formula such as Dysport, Daxxify, or Xeomin as an alternative. RF microneedling is also a favorable option for minimizing lines and improving the skin’s quality and texture. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or expert injector. They will be able to review your treatment history, assess your concern, and determine the best course of action.

When the Botox used to last longer, were you happy with your results? If so, try a different brand such as Dysport. When fillers are used for vertical wrinkles in the glabella area, this can lead to visible filler product at the injection site. I hope this is helpful! Sincerely, Dr Joseph

"​For glabellar lines (or frown lines / ""11"" lines), we inject Botox, Xeomin, or Dysport into the muscle, causing the muscle to weaken and improving the appearance of the lines. These work by binding to receptors that send nerve signals for muscles to contract. Since your body makes new receptors and neurotransmitters all the time, it needs to be maintained otherwise the wrinkles will slowly return as the muscle regains function over time. Neurotoxins take 2 to 4 weeks to start working and lasts for up to 6 months.

For deeper glabella lines or strong 11s, I use a combination of Botox with fillers, lasers and microneedling with PRP. I suggest getting a formal evaluation with an experienced cosmetic dermatologist and expert in lasers and fillers. Best, Dr. Emer
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