What are my options to reduce static frown lines and dents? (photos)

Thank you for sharing your question and posting your photos. Fortunately, all of your concerns could likely be managed with a few shots of Botox. The bumps are probably caused by the muscles in that area which will smooth out with Botox. See an oculoplastic surgeon for detailed evaluation. Good luck!

Thank you for your question and for providing photos. Repetitive muscle movements can lead to lines that deepen over time, such as the static frown lines and dents you’re referring to. Botox injections can target the muscles causing these lines, reducing their movement so the skin becomes smoother over time. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can assess your concern and suggest the best approach for helping you address it.

"​For glabellar lines (or frown lines / ""11"" lines), we inject Botox, Xeomin, or Dysport into the muscle, causing the muscle to weaken and improving the appearance of the lines. These work by binding to receptors that send nerve signals for muscles to contract. Since your body makes new receptors and neurotransmitters all the time, it needs to be maintained otherwise the wrinkles will slowly return as the muscle regains function over time. Neurotoxins take 2 to 4 weeks to start working and lasts for up to 6 months.

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
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In general, Botox is used for the underlying frown muscles whose repetitive, daily movement eventually leads to the development of visibly etched-in "eleven lines" in the skin. By quieting the underlying muscles this process is slowed significantly. The use of a cohesive, low viscosity HA filler can be used to elevate and smooth the etched-in lines that have already formed. The aforementioned can be performed in one treatment session or divided into two separate treatment sessions, if so desired. And doing so may better fit your budget. Hope this helps. Best of luck.

Botox can help soften the appearance of frown lines. The treatment is done in the office with final results seen after two weeks. The effects will fade gradually over about three to four months. See an expert injector near you to learn more.