Maurice M. Vick, Jr., MD

I would suggest a repeat Coolsculpting treatment. It usually takes at least two treatments. You did not say how long it has been since your treatment. It takes 2-3 + months to get the final results. Best Wishes, Maurice Vick MD

Go to an experienced injector to treat this area. I treat the eye troughs frequently several times a day. I like Vollure microdots deeply injected in small quantities. This area must not be over injected to avoid puffiness. I like to use a two treatment approach waiting 2 weeks between treatments. Vollure is said to last a year or so. Best Wishes, Maurice Vick MD

Go back to your injector for evaluation. Hyaluronic Acid filllers can be removed with Hyaluronidase if they bother you. You might benefit from waiting another week or two to see if it softens. Next time use Volbella as your filler. It is very soft and natural feeling. Best Wishes, Maurice Vick MD

From your pictures your lines appear to be outside the area supplied by the muscles that cause the 11 lines. That is why Botox has not helped. Hyaluronic Acid fillers can be used to smooth out the forehead. However this is a very vascular area where you should be treated by an expert to diminish the chances of accidental injection into a vessel. Best Wishes, Maurice Vick MD

You need to lose your excess weight before considering Coolsculpting. A surgical procedure such as a gastric sleeve, or a good dietary program are what you need. After reducing to about your ideal weight, Coolsculpting can help remove unwanted residual fat deposits. Best Wishes, Maurice Vick MD