Botox: Q&A

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Which Product Do I Use for Vertical Lines? Botox or Restylane?

I have two sort of deep vertical lines right between my eye brows. Which procedure would be better, botox or restylane. Or should one have both procedures on the same site? I am not sure if you can see the vertical line on my picture. I am the one on the right. Thanks.

20 Doctor Answers | Asked by texasmom in Corpus Christi, TX
+2

Get Botox first

Most physicians would agree that Botox is the treatment of choice for your “11” and if the lines improve only partially, then you can consider having a filler injected. Be certain that you see a qualified experienced physician as there is a risk if too thin a filler is injected into that area. The safer ones to use are Juvederm and Restylane. Try the Botox first. Realize that the lines are there from years of frowning and the skin developed these creases from the accordion-like... more
+2

Botox for corrugator muscle lines

Texasmom: Thanks for providing the photo to help our answers. I think the active muscle lines between the eyebrows (corrugator muscle lines) would be ideal for Botox. In fact, that is the area for which the parent company obtained FDA approval for the marketing of Botox. Many of the initial studies were done for that area. If you did not achieve satisfactory improvement after 2 treatments and 6-8 months time, you might add a filler in addition to Botox. I would not suggest filler... more
+2

Botox first for glabellar frown lines

These are the corrugator muscles - when they contract, they form what we call 'glabellar frown lines', these vertical lines of wrinkles. The thing to do is to relax these muscles with Botox. Start there and see what it looks like before you pay for any fillers. Good luck. It should cost somewhere between 250-400 dollars depending on how prominent these muscles are in your case.

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+1

Botox and Restylane

Botox stops the movement of the muscles causing your frown. Restylane fills in the depressions. You can have both the same day and if you keep up with regular Botox injections, your Restylane may last for years.
+1

Vertical lines on forehead requires Botox or Dysport first

Vertical lines on forehead are due to combination of dynamic and static wrinkles. I would consider Botox or Dysport first for dynamic lines which are caused by involuntary muscle contraction then followed by judicious placement of filler if necessary for the static lines due to loss of volume in affected area.
+1

Botox, Dysport, Wrinkle Treatment, Beverly Hills Botox Dysport, Los Angeles Botox Dysport

For lines between the eyebrows, called the Glabellar area, Botox or Dysport is superior to fillers.  Fillers can cause pressure on the thin walled vein traveling along the same pathway as the lines in this area.  If the vein is partially collapsed by the filler, the lack of blood supply can and has caused a quarter-sized hole in the center of the forehead.  I have always considered fillers in the glabella to be contraindicated for that very reason.  You can always contact... more
+1

Botox/Dysport and Restylane/Juvederm can be a great combo!

For the vertical frown lines between the eyebrows, the combination of Botox AND filler can work better together than either alone. The Botox works to weaken the muscles creating the wrinkle, and the filler works to immediately lift and smooth the line that would otherwise take months and months and months to smooth out just with Botox alone preventing creasing. If the line is mild, and your budget has limits (whose doesn't?), it's a good plan to try the Botox first and see... more
+1

Frown lines and treatment

For the vertical glabellar lines or frown lines I usually start off with Botox. If they are very etched in, I will add a filler after I see the affects of the Botox.
+1

Botox is the First Choice for Frown Lines

It looks like in your picture that you would be better suited for Botox. While the lines may seem deep, they look like they would be effectively addressed with Botox and that it would not be necessary to use Restylane. We only suggest Restylane in this situation if Botox has failed to do the job of smoothing the area. Try Botox first and if there are still some wrinkles left, then try Restylane. Make sure you choose your practitioner based on his/her experience with these procedures before... more
+1

Botox mostly

Probably the best procedure would be to adminster Botox. These are dynamic lines and respond to Botox (treatment of these lines, the glabella lines, are still the only cosmetic approval for Botox). Two weeks later you could come back to the office and see whether Restylane might be needed to fill in the slight more superficial lines that remain.An alternative is to have the fillers plased first and then have Botox injected ( in this order so the Botox does not obliterate the lines). ... more
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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.

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