Fine lines on nose bridge between eyes. Caused by facial expression, but lines have formed permanently. Will Botox work? (Photo)

Great question, These lines I tackle with two staged process. First start doing botox in the area to prevent these lines from getting deeper and then if after few rounds of botox they don't get smoothened out then fillers will do the trick. But the key is regular botox before the muscle action returns.

Yes Botox can help. Although Botox is best at treating dynamic lines (lines present during expression), it is possible for Botox to soften static lines (lines present at rest).  I would start with an adequate Botox treatment of the entire glabella complex (treating the glabella, procerus, corragators and nasalis muscles), then reevaluate after a couple weeks. If the lines are still present, you can consider a gentle to moderate laser resurfacing procedure that will help smooth out those lines and stimulate collagen such as Scitons micro laser peel or a Lumines C02 Active FX. Hope this helps. 

Botox doesnt help fine lines.  This needs textural improvement with facials, microneedling/PRP, lasers long term.  Even small amounts of smooth fillers. Best, Dr. Emer.

Here's the rule. Botox (as well as the other neuromodulators, Dysport and Xeomin) are used to treat hyperkinetic expression muscle actions (i.e. overactive facial muscle movements), and expression muscles that are in a state of static tension (contraction at rest).  Simple fillers, on the other hand, like ordinary Restylane, Juvederm and Belotero, are used for static lines (that have developed, like carved-in creases in the skin after years of moving the muscles of facial expression (like those controlling the "frown" or "scowl" lines between the eyebrows). So, to your question, Botox will work to prevent further creasing of the skin and smooth the skin IF there is also static tension present that it can relax. Fillers will help to smooth the lines that have already been carved into the skin. Make sure that you consult with a board certified aesthetic physician and be certain to ask to see his/her before and after photos before agreeing to any treatment. Best of luck.

Dear sarah1180,Botox is generally an on off switch for muscle activity. I get a fair amount of actors/actresses in my practice that are looking to reduce wrinkles but keep some expression. Finding an experienced physician injector is your best bet.Most of patients see first changes after 4-7 days and the final results after 10-14 days.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Your skin appears to be healthy and youthful.  Botox will decrease the amount scowling will wrinkle the skin and over time the wrinkles will improve.  I suspect in your case the result will be quite good from Botox alone.  If there is some residual fine wrinkling this can be further improved with microneedling and skin care.

I cannot see the cause of your lines since your muscles are not activated in the photo. I suspect these are due to your muscle contraction. This means, Botox, will help with these lines, but you may need microneedling or skin resurfacing to get a more ideal result.Good luck, Dr. ALDO 

Although BOTOX is known for minimizing dynamic wrinkles that appear or deepen when making normal facial expressions, lines and wrinkles can be diminished even when your face is at rest with BOTOX injections. Once the muscles are treated, the overlying skin can relax and smooth, letting the wrinkles fade. Hope this helps!

Thanks for this question.It sounds like your lines are most prominent with animation in which case YES, Botox should help. The bunny lines (horizontal upper nose lines) are very easily helped with just a few units of Botox.Permanently "etched" lines that are present even without animating may require additional maneuvers like fillers and "subcision," where we use a needle or other device to break up the adhesion between the line and the muscle layer. These added steps can help lift up the creased skin and allow filling underneath to soften the depth. However, if the muscle remains active, Botox helps soften the line further by reducing the overacting muscle. Sometimes these are combined for optimal effect. Other approaches can include removal of some of the muscles of facial expression responsible for "11" frown lines, but I'm not a huge fan of permanent muscle removal.

This is an area that responds well to botox treatment. I would discuss your concerns with a board certified plastic surgeon. Best.