Botox and 11s. Will Botox work to improve static lines as well as movement lines for everyone?

Question

I've had Botox and really liked the results. My 11s were also present when I made no facial motion. Botox completely smoothed them out! A friend also has bad 11s. I suggested Botox to her as a miracle worker. Money is tight for her. Her doctor says Botox may not rid all of the lines but it would help lots. I don't want her to spend money if it doesn't work, but I do want her to give it a try to see big improvement. Will Botox work to improve static lines as well as movement lines for everyone?

Mitchel Goldman, MD · Answer

Botox works for most people whose wrinkles are caused by dynamic muscles folding the skin. However, success is contingent on the quality of the patient's skin as well as how deep the wrinkles are. Your friend will likely see improvement, but if her lines are especially deep, a dermal filler such as Restylane or Juvederm may be recommended for further improvement. If she has realistic expectations, Botox may be enough for her; otherwise, she may be able to work out a payment plan with her board-certified dermatologist so that she can get the full improvement she seeks. In any case, it is important that she see an experienced dermatologist in person so that her wrinkles can be evaluated and she can take the best course of action.

Jerome Edelstein, MD · Answer

Botox can help reduce the appearance of 11s but your friend should see an experienced injector to determine if it's right for her. Sometimes, fillers can be injected as well to achieve the desired improvement.

Asif Pirani, MD, FRCS(C) · Answer

You need to see a board certified plastic surgeon in your area to discuss your options.  An in person examination is needed.Best,

Bryson G. Richards, MD · Answer

Patients generally find the best results with botox in the 11 lines. It is remarkable. If your friend doesn't have the money for the procedure, don't pressure her into it. Botox for "11" lines is a cosmetic treatment and I'm confident that your friend will love the result. With that being said, not worth it to break the bank.I hope this helps.- Dr. Bryson Richards

Nelson Lee Novick, MD · Answer

While the general rule is that Botox (as well as the other neuromodulators, Dysport and Xeomin) are used for wrinkles that result from the movement of the muscles of facial expression, if the skin above those muscles has developed etched-in lines as a result of years of repetitive use of the underlying muscles, Botox may not be enough to eliminate the lines entirely. In such cases, a filler may additionally be needed to take care of the lines at rest that have resulted from all those years of smiling, frowning, etc. That having been said, if the problem is caught early enough before the overlying skin has become heavily creased like folded paper, the simple injection of the Botox to soften the reaction of the muscle upon movement and to decrease the static tension that often exists in these muscles even at rest, may be enough, as it was with you, to do the job. Make sure your friend sees an experienced injector.

Jason Emer, MD · Answer

Botox works mainly for lines of movement (dynamic rhytides) however, lines at rest improve as the muscles become less prominent or active.  I suggest seeking botox treatment from an expert.  Best, Dr. Emer.

Timothy R. Miller, MD · Answer

Yes, Botox can often improve both static (face at rest/not moving) and dynamic (facial motion) lines and wrinkles.  However, moderate to deeply etched static lines and wrinkles may not be completely smoothed with Botox for everyone.  In these cases a filler such as Juvederm, Restylane, or Belotero can be used to further improve the line or wrinkle.  It is commonly thought that placing filler, after Botox has been injected into the area, will prolong the effects of the filler.I hope this helps.

Manish C. Champaneria, MD · Answer

Thank you for your question.Botox in the glabella works well, when placed correctly into the muscle that creates the "11s" appearance. Botox will improve static and dynamic wrinkles, however, is more useful for dynamic wrinkles. When static wrinkles are present, filling the wrinkles Juvederm or another filler may be an excellent option. Also, if Botox worked for your glabella in the past, it will likely work again. I recommend seeing your plastic surgeon again for a consultation and expressing your concerns.Regards,Manish Champaneria, MD

Edwin C. Pound, III, MD · Answer

Botox works on muscles to temporarily prevent them from contracting and causing lines and wrinkles.  By doing this, it improves lines and wrinkles in the skin, both static and dynamic.  If the line is deeply ingrained in the skin then it may be softened but not eradicated by using Botox.  In this case a filler may need to be used as well.  Caution must be used when using fillers in the 11's area as there are blood vessels here that you don't want to inject with filler.  Make sure that anyone injecting in this area is experienced and very competent.

Kevin G. Rose, MD · Answer

Botox should help improve those lines in almost everyone but if she has really deep lines she may require a filler and Botox both.  I would recommend getting Botox first, any wrinkle that is left after 10-14 days then could be filled in with a product like Juvederm.  I would recommend going in for a consultation with a board certified plastic surgeon.

Botox and 11s. Will Botox work to improve static lines as well as movement lines for everyone?

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