Would Botox Help Indented Scar in Between Eyebrows?

Hi Carly,

I would use combination of Botox to de-activate the muscles in that area and filler to improve the contour.

I have used this successfully in a number of patients. You should have a geat improvement with this combiniation.

Hope this was helpful.

If the scar is made worse by muscle contraction, Botulinum Toxin (Dysport and Botox) may help ease or soften the appearance of the scar, but are not likely to erase it completely. This may require a combination of scar revision and/or fillers.

Botox and Dysport do not directly treat scars. They are used to treat the dynamic wrinkles and furrows that result from the movement of the muscles of facial expression. These substances are called neuromodulators, i.e. chemicals that interfere with nerve impulse transmission to muscles. As such, they do not directly impact on the fibrotic collagen or its formation within scar tissue. However, recent evidence suggests that if these chemicals are injected in around a scar, especially a developing scar,  they may reduce muscle activity around the scar sufficiently to allow a the scar to heal in a more esthetic fashion.

For this reason, I routinely inject scars located in and around the facial expression muscles with Botox or Dysport as an initial phase of their treatment. Then depending upon the type of scar and precise location, I follow with either the use of fillers, dermaspacing, medical microneedling, mesotherapy, or scarabrasion.

In this case of an indented linear scar across the top of the bridge of the nose, I would likely supplement the Botox injections with one or two dermaspacing treatments spaced at six week intervals to free up the bound down fibrotic scar tissue and then follow with the placement of a superficial filler, such as Restylane L or Juvederm Ultra XC.

when the scar is mature, Botox is not expected to improve the appearance. If the scar is new, then Botox may relax the surrounding musculature and decrease the pulling of the skin as a sutured wound is healing and may help improve the ultimate appearance of the scar.

There have been a few recent publications in the medical literature about the use of Botox to reduce facial scars. These were newly acquired facial scars from trauma or procedures like lesion removals. Botox relaxes the surrounding muscles so there is less pull on the freshly healing scars. These scars were thinner and less visible than similar scars without Botox treatment. Unfortunately, i don't think this will be as effective for old scars unless the action of the surrounding muscles is exaggerating the scar.