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

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.

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.

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.

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.

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.