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Would Dermal Fillers Remove Deep Forehead Lines Unaffected by Botox?

I have tried Botox a number of times and had 2 sessions of Fraxel Restore in part for wrinkles on my forehead. Botox helped a bit with fine lines, and Fraxel Restore seems to have reduced the depth of some of the wrinkles. However I still have some fairly deep wrinkles on the right side of my forehead, and stubborn fine lines over my left and right brow. My lines are all horizontal or zigzag. Would dermal fillers get rid of the deep wrinkles and fine lines on my forehead?

Doctor Answers (13)

Fillers in the Forehead

+1

Typically dermal fillers are not used on the forehead. Lasers can be a good adjunct to Botox in the forehead. In rare cases you can use fat injections


Philadelphia Plastic Surgeon
5.0 out of 5 stars 16 reviews

Botox for Deep Lines

+1

I like to use Botox in conjunction with dermal fillers, as the lines are caused by constant movement, so no matter what treatment you do, nothing will ever get rid of them if the muscles keep moving and bringing the lines back.  Once the lines are relaxed I will do a combination of dermal fillers and lasers to soften their appearance.  Studies have shown that combining filler with Botox is superior to improving lines created by movement and present at rest than either one alone.

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 32 reviews

Filler and botox for deep lines

+1

If the lines are deep at baseline, Botox can take time to fully soften them. Supplementing with filler in the short term is a good answer. I would recommend going to a place that knows filler well, so as to match the right filler with the areas of concern. Fine lines do better with certain fillers (Belotero, etc) and deeper lines, where more volume is necessary, do well with others (Radiesse in the right anatomical areas, etc). Best of luck.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 203 reviews

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Botox and filler for deep set lines

+1

Filler can be used in the short term to fill lines that Botox will soften after multiple injections. Over time you would not need as much, if any, filler. Best of luck! 

George T. Boris, MD, FRCS, FACS
Los Angeles Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

Fillers for forehead lines

+1

Botox is a great treatment and preventative for line or wrinkle development where there is movement such as the forehead, frown lines, Crow's feet, and bunny lines. However, if you're starting the treatments once you have deep, etched in lines, then you'll either have to be patient and regularly have Botox for 2-3 years before the lines become more shallow, or add a filler into those lines along with Botox treatments. ~ Dr. Benjamin Barankin, Toronto Dermatology Centre.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
5.0 out of 5 stars 22 reviews

Botox, Fraxel and fillers

+1

You have taken the correct approach to treating your forehead wrinkles.  Fillers will plump up your forehead lines and will complement your Botox and Fraxel treatments.  The zigzag lines may be caused by sleeping on your side and compressing your forehead.  These lines can be prevented by sleeping on your back.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 16 reviews

Addressing moderate depth rhytids with Juvederm

+1

Dermal fillers are sometimes necessary to soften moderate to deep lines that are not adequately corrected by Botox.  Especially for those wrinkles that are "imprinted" into the skin from years and years of wrinkling, a combination of Botox, lasers and fillers are necessary to achieve the best improvement.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Would Dermal Fillers Remove Deep Forehead Lines Unaffected by Botox?

+1

Botox is definitely the best option.  Laser resurfacing in addition to the Botox is usually my second option.  Fillers in the forehead can have more complications than in other areas.  The fillers would help with the deeper wrinkles you still have.  I would recommend doing Botox every 3 months, because the lines will continue to improve if you use Botox regularly.

Rigo Mendoza, MD
Tampa Plastic Surgeon
4.0 out of 5 stars 21 reviews

Remove Deep Forehead Lines

+1

Botox will work for the fine lines, sometimes when the lines are too deep it works better when in combination with a filler

Jhonny Salomon, MD
Miami Plastic Surgeon
4.5 out of 5 stars 36 reviews

Botox Resistant Forehead Wrinkles

+1

You are definitely on the right track by starting with Botox to stop the movement and then adding Fraxel to stimulate collagen formation.  Sometimes for those very deep, very persistent wrinkles, especially those on the lateral upper edge of the brow, filler is a wonderful addition.  There are many different techniques and products that can be used. Our office tends to use Restylane or Juvederm Ultra injected with a cannula placing the filler evenly under the wrinkles then Belotero injected superficially within the line.  This will give you an outstanding result but remember that you need to continue with the Botox and sunscreen is an absolute must. 

Kenneth Janoff, MD
Portland General Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.