Can I get fillers on my 11 lines or should I try plastic surgery instead? (Photo)

Thank you for your question and photo. Keep in mind that neuromodulators require a great deal of precision and expertise in both needle placement and dosing amount to achieve an optimal outcome. It is possible your injectors have not been experienced enough to produce the best possible result. It is also possible you might need a bit of filler in addition to the neuromodulator if your 11s are permanently etched and a bit more stubborn. Find a very experienced, board-certified injector for your treatment and my guess is you will see a better result - no surgery needed.

"​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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Hi @DDH123! Neuromodulators like Dysport or Botox in combination with hyaluronic acid dermal fillers like Juvederm can be an effective treatment to smooth out the 11 lines. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of Luck, Dr. Nima!

I encourage you to visit with a board certified plastic surgeon near you for a consultation. If Botox is not effective in treating your glabella you may consider FaceTite. This procedure use RF technology to tighten skin up to 40%. The results are enhanced with Morpheus8 treatments which improve overall skin tone and texture.

Fillers can be used in the gabellar area if performed carefully and staying very superficial. You should have it done only by an experienced injector with detailed knowledge of the anatomy in that area as there have been reports of vision loss from injecting fillers in the gabella. You should also try having someone else inject Botox because your injector may not be hitting the muscle in the right place.