Can Botox Correct Nose Crease?

Question

Will Botox or another injectable filler correct a horizontal crease at the top of my nose (between my eyebrows)? It's NOT the 11 that most people are concerned with.

Eric M. Joseph, MD · Answer

This horizontal crease between your eyebrows is almost impossible to completely eliminate.
I know that BOTOX is supposed to work wonders for this wrinkle (caused by the procerus muscle), but I have not found that to be the case. I might start with 25u BOTOX to rejuvenate the eyebrows, and then fill the line 1 - 2 weeks later after the BOTOX has taken effect.
I hope this is helpful for you.

Jeffrey E. Schreiber, MD, FACS · Answer

Hi Sue1949 - Botox or Dysport would probably be great for those lines. If you need a filler, this can be placed simultaneously. The Botox will last about 3 months, so if it works plan on repeating it. The filler may last 6-12 months depending on the type of filler used.

Ron Shelton, MD · Answer

Botox is often used for this horizontal crease. some creases are deep from years of skin contraction that fillers can be injected after the botox has had a chance to inhibit the muscular movement underneath the skin. Fillers in this area need to be thinner rather than the thick fillers, and small volumes as there is a risk of circulation problems in the middle forehead above this area which can lead to scarring. This happens infrequently but that is why it is worth doing the Botox first.

Ben Behnam, MD · Answer

Botox is a muscle relaxer and works great on dynamic lines. It works very well on the vertical lines in the frown area but can also be injected for the horizontal lines at the base of the nose. It works great there too. Dr. Behnam.

Alison Stallings, MD · Answer

Botox or Dysport can be very helpful in eliminating the horizontal crease on the upper nose and the lines on the side of the nose or "bunny lines". These lines are caused by contractions of the procerus muscle. When the muscle contractions are relaxed by injections of botox, the lines are significantly improved. Very deep creases, especially those that have present for many years, may need injection of a filler such as Restylane or Juvederm in addition to the botox for a more satisfactory result.

Carmen Kavali, MD · Answer

That line you describe is caused by the procerus muscle, which can definitely be treated with Botox or Dysport. This muscle is usually treated at the same time as the ones that cause the "11s" (the corrugators).

Steven Wallach, MD · Answer

How do you treat creases along the bridge of the nose? I usually start off with Botox first to see if the line goes away because of animation. Sometimes the line is pretty deep causing a dermal depression. I will then fill it out with a small amount of a filler.

Stella Desyatnikova, MD · Answer

Botox will work very well for these. Any doctor who is trained in using Botox should know that the procerus muscle is responsible for these lines.
However, in addition to muscle activity, sun damage and aging in general may make these lines deeply creased in the skin and fairly resistant to correction. The key is to keep Botox treatment on a consistent basis and occasionally you might need to add a filler injection.

Khaled El-Hoshy, MD · Answer

Botox works very well for nose lines. It can erase both the transverse upper line[s], & the lines on the sides [bunny lines]. The whole procedure takes less than 5 minutes.

Mary P. Lupo, MD · Answer

The procerus muscle is the culprit, so Botox or Dysport will definitely help. In many, it is all you need, but if you are older, with sun damaged skin, and the line has been there a while, some Restylane or Juvederm with the Botox is magic. The reason you need a pro, it this area can suffer the necrosis complication if injected too deeply. Go to a seasoned cosmetic doctor.

Can Botox Correct Nose Crease?

Answers (14)

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