11’s/frown lines - is filler risk worth it in this area? (photo)

Thank you for your question. A combination of Botox, fillers, lasers, and microneedling may help address your concerns. But since it is a high-risk area, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with extensive experience with injectables. Your surgeon can do a proper evaluation of your skin and determine your eligibility for fillers in treating your 11s. It is imperative you only seek treatments from skilled, experienced, and highly qualified providers who can ensure the safest and best possible outcome.

This is a high risk area for filler, but only you can make the decision if the risk is worth it. Besides Botox you can consider other treatments such as Morpheus8 to address this area. Speak with an experienced injector about the risks and benefits of treatment.

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

Correcting this area can be done but this is a very high risk area and you absolutely must see a professional who has experience injecting the glabella. Do your research and ask the provider if he or she has a plan in place to treat ocular occlusion should this rare emergency happen. I use Belotero to fill this area but I have over 20 years of experience injecting. Once this area is corrected with filler, you should stay regimented in treating the brow with Botox every 3-4 months in order to prevent the frown line from returning. Please make sure to choose an experienced board-certified dermatologist or plastic surgeon who specializes in dermal filler!

Only you can decide if the risk of injection of fillers to this area is acceptable. Make this decision after discussing the risks/benefits with your provider. This is a very advanced area to inject. Make sure that your provider is experienced and skilled injecting this area and the office is equiped to handle any complications that may occur. In the hands of a skilled injector the risks are minimized. Most patients are very happy with the results.

You should absolutely consider treating the frown line with Botox first. If Botox is ineffective by itself, then you may want to add a filler to the frown and it is not a danger area at least not in the hands of an experienced plastic surgeon. Alone fillers are not as effective when the muscles in the frown area are very strong. I hope this helps and good luck from New York City plastic surgery

What you have is from previous muscle function before Botox. The only way to improve it is with filler. In truly expert hands the risks are minimal, so make sure you check credentials carefully and that whoever you choose is comfortable treating this area.