Botox, Dysport and Xeonim no longer work on me. I'm told there's no such thing as "developed immunity" to these but my forehead says there is. My last try was 60 units of Dysport Just for furrows between brows and no change. Can Restylane be used for these lines instead?
Answer: With strong glabelkar lines you may need a combination of botox/Dysport and fillers When you have a very strong glabellar line and a deep furrow you may need combination therapy. If you have a very strong muscle and have had a depression of your tissue using filters such as Restylane, Voluma or Juvederm will be helpful. Often times paralyzing the muscle is not enough. Care should be taken when choosing a physician to inject you in this area as complications can occur.
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Answer: With strong glabelkar lines you may need a combination of botox/Dysport and fillers When you have a very strong glabellar line and a deep furrow you may need combination therapy. If you have a very strong muscle and have had a depression of your tissue using filters such as Restylane, Voluma or Juvederm will be helpful. Often times paralyzing the muscle is not enough. Care should be taken when choosing a physician to inject you in this area as complications can occur.
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Answer: What to Do If Botox Doesn't Work Anymore? Hi and thank you for your question! Some patients do develop "tolerance" to Botox and other medications in the group which is associated with reduced effectiveness. While Botox (and Dysport or Xeomin) address different issues versus fillers such as Restylane, in your case when the frown lines are too deep, it is possible to smooth them out to some extent with filler injection. For this area, I suggest using fillers that absorb less water once injected to avoid compromising the local blood flow given the proximity to superficial arteries. I hope it helps and good luck!
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Answer: What to Do If Botox Doesn't Work Anymore? Hi and thank you for your question! Some patients do develop "tolerance" to Botox and other medications in the group which is associated with reduced effectiveness. While Botox (and Dysport or Xeomin) address different issues versus fillers such as Restylane, in your case when the frown lines are too deep, it is possible to smooth them out to some extent with filler injection. For this area, I suggest using fillers that absorb less water once injected to avoid compromising the local blood flow given the proximity to superficial arteries. I hope it helps and good luck!
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June 14, 2017
Answer: If Botox, Dysport and Xeomin Don't Work, Can I Use Restylane? Go for a Higher Dose of Neuromodulators (Botox, Xeomin, Dysport) 60 Units of Dysport may not be sufficient to treat the degree of contraction in your glabellar muscles – that's why you are not getting a good result. Before you start considering dermal fillers, go for a higher dose of a neuromodulator. Dermal fillers would only accentuate the bunching of your brow until you can relax the muscles. If you do decide to add in a dermal filler such as Restylane, Juvederm or Beletero please be sure you work with a board-certified dermatologist who has many years' experience treating this area with fillers as you want the most natural results possible.
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June 14, 2017
Answer: If Botox, Dysport and Xeomin Don't Work, Can I Use Restylane? Go for a Higher Dose of Neuromodulators (Botox, Xeomin, Dysport) 60 Units of Dysport may not be sufficient to treat the degree of contraction in your glabellar muscles – that's why you are not getting a good result. Before you start considering dermal fillers, go for a higher dose of a neuromodulator. Dermal fillers would only accentuate the bunching of your brow until you can relax the muscles. If you do decide to add in a dermal filler such as Restylane, Juvederm or Beletero please be sure you work with a board-certified dermatologist who has many years' experience treating this area with fillers as you want the most natural results possible.
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June 11, 2017
Answer: Can I use Restylane for my glabellar lines? From the photo you provided, it is doubtful that Restylane or any other HA filler is going to be effective for softening your lines. As someone who has injected Btx-A products for over 16 years, I have found that some people just need higher doses to see effects and have rarely encountered anyone who has developed actual antibodies to the toxin. That being said, I would also recommend that you seek out an experienced injector. It does not have to be a dermatologist but should be someone in the Core Aesthetic Specialities (Plastic Surgery, Dermatology, Facial Plastic Surgery, Oculoplastics) and discuss your concerns with them. I have personally found that I need higher doses to soften my lines and that the standard dosing recommendations do not always prove effective.I hope that helps and wish you the very best.-Gregory A Buford MD FACSBoard Certified Plastic Surgeon
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June 11, 2017
Answer: Can I use Restylane for my glabellar lines? From the photo you provided, it is doubtful that Restylane or any other HA filler is going to be effective for softening your lines. As someone who has injected Btx-A products for over 16 years, I have found that some people just need higher doses to see effects and have rarely encountered anyone who has developed actual antibodies to the toxin. That being said, I would also recommend that you seek out an experienced injector. It does not have to be a dermatologist but should be someone in the Core Aesthetic Specialities (Plastic Surgery, Dermatology, Facial Plastic Surgery, Oculoplastics) and discuss your concerns with them. I have personally found that I need higher doses to soften my lines and that the standard dosing recommendations do not always prove effective.I hope that helps and wish you the very best.-Gregory A Buford MD FACSBoard Certified Plastic Surgeon
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June 11, 2017
Answer: If neuromodulators don't work anymore can I use Restylane on glabellar lines? Thank you for sharing your question and photographs. Unfortunately with the degree of muscle activation and furrowing currently present filler would only lead to a fuller appearance as you perform this movement. I would discuss the need for higher doses of Xeomin or Botox with your injector to try to achieve improved paralysis. Hope this helps.
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June 11, 2017
Answer: If neuromodulators don't work anymore can I use Restylane on glabellar lines? Thank you for sharing your question and photographs. Unfortunately with the degree of muscle activation and furrowing currently present filler would only lead to a fuller appearance as you perform this movement. I would discuss the need for higher doses of Xeomin or Botox with your injector to try to achieve improved paralysis. Hope this helps.
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