Forehead botox or filler for vertical depression - advice? (photos)

Question

Would it be best to have botox or filler to treat a vertical depression in forehead? I have received miced advice and am worried about the risks of filler in this area

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing images along with your question. While Botox will do a good job at smoothing out lines, dermal fillers may be a better choice for filling in dents and depressions. Hyaluronic acid (HA) fillers can be injected into areas of the forehead which require additional volume. If you are using fillers to address lines and wrinkles, your surgeon will inject them directly into the wrinkle to plump up the skin. For forehead contouring, fillers will be injected at marked areas to achieve your desired shape. Botox may be injected as well to enhance and prolong your overall results. Injectables to the forehead area require skill and experience. This is why I highly recommend only seeking treatments from a reputable experienced injector who knows how much product to use and where to precisely inject it to safely achieve the most natural-looking results.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. It appears that Botox will partially correct your problem. Fillers are not well suited for that area. Make an appointment with an oculofacial surgeon for in person evaluation and proper guidance. Good luck!

Alan Gonzalez, MD, FACS · Answer

Hello @aimes2606 thank you for your question. In the frown line between the eyebrows, many times when we make a strong frown, sometimes is repeatedly that seems to be the cause. However, without a proper assessment an expert opinion is not possible. The best course of action is to consult one or several board certified plastic surgeon for more information and recommendations. Best wishes! Alan Gonzalez MD FACS

Charles Cheng, MD · Answer

The depression is best treated with volume. Submuscular placement would be ideal but there are risks with vascular structures that can be mostly avoided by an experienced provider in this area.
Juvederm Volift or similar products in physical characteristics would be ideal and will likely last 18+ months, depending on technique and experience of the injector.
This is something we do many times daily but we are always respectful of the risks.
Good luck in UK.

Forehead botox or filler for vertical depression - advice? (photos)

Answers (9)

Answer: Forehead botox or filler for vertical depression - advice?

Answer: Forehead botox or filler for vertical depression - advice?

Answer: Filler. Cautiously.

Answer: Filler. Cautiously.

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Forehead botox or filler for vertical depression - advice? (photos)

Answers (9)

Answer: Forehead botox or filler for vertical depression - advice?

Answer: Forehead botox or filler for vertical depression - advice?

Answer: Filler. Cautiously.

Answer: Filler. Cautiously.

Browse related questions

Recommended reading

Everything you need to know about Botox

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