Will filler help this? (Photo)

Question

I have been doing Botox and Dysport for 10 years. I’ve treated every 3-4 months. I avoided the sun most of my life and I apply SPF religiously. I use medical grade skincare, I do Sciton Halos twice a year, and I have had a face lift. I have these two fault lines in between my brows and they bother me so much. I am 39. I see them in every picture. I cannot make expression to cause this as I’ve had this area frozen for years. What can I do to pop these dents out?

Anna Chacon, MD, FAAD · Answer

It sounds like you have been diligent in your skincare and aesthetic treatments, yet the lines between your brows remain a concern. Here are some options to consider for addressing these persistent lines:

Dermal Fillers: Fillers can be an effective solution for static lines or "fault lines" that remain even when the muscles are relaxed. Hyaluronic acid fillers, such as Juvederm or Restylane, can be used to add volume and smooth out these areas.

Collagen-Stimulating Fillers: Products like Sculptra or Radiesse stimulate your body's own collagen production, which can help improve skin texture and plumpness over time.

Microneedling with PRP: This treatment can improve skin texture and promote collagen production. The addition of platelet-rich plasma (PRP) can enhance the results by accelerating healing and rejuvenation.

Laser Resurfacing: While you already do Sciton Halo treatments, you might discuss with your dermatologist or aesthetician whether a more aggressive laser treatment could specifically target these lines.

Subcision: This is a minor surgical procedure where a needle is used to break up the fibrous tissue beneath the skin that may be pulling the skin down into a line or dent.

Consultation with an Expert: Before proceeding with any new treatment, consult with a board-certified dermatologist or plastic surgeon. They can assess your skin and recommend a tailored approach based on your specific needs.

Each treatment has its own set of benefits and considerations, so it's important to discuss these with a professional who can guide you toward the best option for your situation.

Camille Cash, MD · Answer

This is not an area that we typically treat with filler due to the risk.  You may want to consider Morpheus8.  This treatment combines RF technology with microneedling to improve overall skin tone and texture.  I've included a video I hope you find helpful.

Keera Kang, MD · Answer

Hi DanielleB!I am sorry to hear that the indentations are bothering you. First of all I do want to praise you for taking good care of yourself (botox, skincare and SPF!! - the three are actually the essentials for you to keep your glabellar region in check :))But I totally understand how you feel bc many of my patients have the same concern regarding the mild depressions in their glabellar region. So like you mentioned, fillers (hyaluronic acid) will help. But other options like skinboosters (hyaluronic acid, PDRN, PN, PDLLA, type I collagen) can help too. I recommend you to go to an experienced physician and get a consultation in person first bc the glabellar region can be a difficult place to inject (due to its anatomy - it is considered one of the danger zones when injecting) and the physician may have other treatments to recommend after a thorough examination of your face / skin laxity.Hope this helped. Good luck!

Will filler help this? (Photo)

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Will filler help this? (Photo)

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Recommended reading

Everything you need to know about Dermal Fillers

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