2 deep crease lines on forehead. Tried botox but it only really softens the lines - how can I completely remove them? (photos)

Hello and thank you for your question. Deep forehead wrinkles can be difficult to treat with Botox alone. Still, you have a few options to diminish these lines and soften the appearance of your skin. You may benefit from more frequent Botox injections. Many individuals who don’t notice a visible difference with Botox may also respond better to Dysport, a similar neuromodulator. Both treatments can also be used in conjunction with laser resurfacing, tightening treatments, and even dermal filler in some cases for a more versatile approach. I advise scheduling a consultation with a board-certified facial plastic surgeon to discuss your treatment options.

This wrinkles are very tough and deep. Botox in-conjunction with CO2 laser or radio frequency ablation will light them. They will not be completely removed.

Botox can be used to soften the appearance of dynamic wrinkles. You can also consider Morpheus 8 treatments. They combine RF technology with microneedling to improve overall skin tone and texture. Lasers are another option. We always recommend using medical grade skin care products and wearing sunscreen every day. Visit with a board certified plastic surgeon near you to learn more about your options.

botox will not get rid of lines completely it willsoften and prevent them from getting bigger. keep up every 2-3 months treatments. start at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) now to prevent further aging. at home dermarolling weekly is essential then in office lasers every 2-3 months. monthly facials and peels.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Botox is best reserved for treating motion-related wrinkles, such as for the crow's feet when smiling; eleven lines when frowning; and for the worry lines on the forehead when the eyebrows are raised. After years of movement, motion-lines, such as the horizontal lines on the forehead can become "etched" into the skin so that they remain present, as in the case, when the forehead is at rest (i.e. a "static" wrinkle).. In this case, the ideal follow-up treatment to Botox is to use a filler to elevate and smooth the etched-in depression, so that it is much less prominent when the area is at rest. Microneedling is best reserved for very superficial, surface irregularities and less effective for actual wrinkles. And RF is more "bells and whistles" with a lot less hard science and a whole lot more marketing hype to support its use. Make sure that you consult with a board certified cosmetic dermatologist and be sure to ask him/her to show you personal befores and afters before agreeing to proceed. Best of luck.

Hello! These lines at rest shown in this picture are also known as "static lines." These lines will soften over time with continual Botox treatments every 3-4 months, but will not go away immediately. Microneedling and Resurfx lasers may be beneficial as well in helping to soften these lines.

Hi there. For those deep wrinkles you can either have more Botox injected or try a different molecule like Xeomin, Jeuveu, Dysport. Some providers choose to actually inject filler. Make an appointment with a certified provider in order to get the best advice. Good luck.

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case from the photo there are a few options- micro needling, deep chemical peels or a very fine filler/skinbooster injected in to this line directly. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

Botox only reduces the muscle function that causes or continues the wrinkles. Thus, it is only one part of treating or preventing such wrinkling. The next most important part is regular use of a retinol if you have no wrinkles or Retin-A (tretinoin) if you already have wrinkles like you. Next, you need to fill the wrinkle with a filler that does not frequently cause blu or green lines after injection (the Tyndall effect) like Juvederm Volbella or Belotero Balance. To speed improvement, you could then use microneedling. This is far superior to the old leveling peel or laser that we used to use since these have about a 2 week down time.