Alternatives to botox for the "11" wrinkles between eyebrows?

The frown lines between the eyebrows often need both botox and fillers for the best results. Permanent implants do good in this area as well as temp. fillers. Sincerely, David Hansen,MD

Botox, or other neuromodulators (such as Dysport or Xeomin), is your best option for treating the "11" lines.  Botox is a very well tolerated, and relatively low risk, procedure that provides extremely satisfying results. Serious side effects would be very rare, especially when being treated by a well-trained and experienced injector.  Even if you were to have the rare and unfortunate side effect of eyelid drooping, this is only temporary (and there are ways to make it less apparent in the meantime, if necessary). I would recommend having a consult with your provider to review the treatment, discuss expectations, and address any more specific concerns you have regarding the risks (to hopefully ease your mind!).
Other options would include injecting hyaluronic acid fillers into the area. However, this is a high-risk area for filler injections, and you would definitely need to see an experienced injector with in depth knowledge of facial anatomy. In my opinion, Botox is a much superior option (especially in younger patients with likely less severe wrinkles) than filler for this area due to its lower risk, high satisfaction, and preventative benefits. Fillers would only treat, not prevent, these lines. Less common options for the "11" lines would be resurfacing lasers or microneedling - but, again, I say neuromodulators such as Botox remain the gold standard for this area. good luck!