Botox Between the Brows, Why is It Not Getting Rid of the Lines?

Question

I've had more than 20 units of Botox injected by my dermatologist between my brows and it does paralyze the muscles but the line never goes away! Do I still need more Botox to rid these lines or do I need Botox along with a filler?! M dermatologist thinks that my lines are so deep and since I'm hitting 30, the lines are harder to get rid of. I also get Botox under my arms to reduce sweating and that works great! Is it just my forehead muscles or what? I'm very frustrated!

Kenneth Hughes, MD · Answer

Botox will help relax the muscle movement to help soften fine lines/wrinkles. It sounds like your treatment is in full effect if the muscles are fully paralyzed. I don't ever recommend any of my patients to apply a filler to the glabellar area, this can create a blockage or clot to the blood vessels in that region and possibly cause a stroke.

Jason E. Leedy, MD · Answer

Sometimes Botox isn't enough to erase the lines in between the eyebrows.  Sometimes the lines are just too deep.  When this is the case, fillers such as Restylane or Juvederm, can be used to fill in the line and make further improvement.  I will use fillers for patients when they want more than what Botox can achieve.  Sometimes people will ask, "Why not just use filler instead of Botox?"  The answer is that Botox creates improvement in the lines because the muscles are weakened, and without Botox the forces contributing to the lines will still be in play.  Without Botox the filler doesn't give as nice of a result.  Sometimes people just need both Botox and a filler.  I find that patients are happier when they know that is a possibility from the very beginning.

Michael A. Zadeh, MD, FACS · Answer

Very deep brow lines may not completely go away with Botox treatment. Once we are certain that the Botox is working the way it should, then sometimes a very small amount of filler or an Ultherapy treatment can help soften whatever lines and folds are left.

Harold J. Kaplan, MD · Answer

Hi Aja.  When you confirm that you have no movement for the muscles between the eyes, the product is acting exactly as it should.  If the lines are still visible after Botox, then we would recommend a filler.  The link below shows the photos of someone in your situation.

Benjamin Barankin, MD, FRCPC · Answer

I typically inject between 24-36 units of Botox for the frown area, but if the muscles are strong like in many men, I may use 48-60 units. Sometimes, a bit of filler is a nice addition as well. Best to review with your dermatologist the best option for you. ~ Dr. Benjamin Barankin, Toronto Dermatology Centre.

Botox Between the Brows, Why is It Not Getting Rid of the Lines?

Answers (10)

Answer: Why Don't My Forehead Lines Go Away after Botox.

Answer: Why Don't My Forehead Lines Go Away after Botox.

Answer: Botox between the brows, how many units are needed?

Answer: Botox between the brows, how many units are needed?

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Botox Between the Brows, Why is It Not Getting Rid of the Lines?

Answers (10)

Answer: Why Don't My Forehead Lines Go Away after Botox.

Answer: Why Don't My Forehead Lines Go Away after Botox.

Answer: Botox between the brows, how many units are needed?

Answer: Botox between the brows, how many units are needed?

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.