What is the best filler for deep forehead lines?

Question

What is the best filler for deep forehead lines? Have tried Botox, would like something longer lasting, softer look but effective

Anna Chacon, MD, FAAD · Answer

When considering fillers for deep forehead lines, it's important to choose a product that provides a natural, smooth appearance and long-lasting results. Here are some commonly used fillers that might be effective:

Hyaluronic Acid Fillers: Products like Juvederm or Restylane are popular choices. They are known for their ability to provide a softer look and can be adjusted to achieve the desired effect. These fillers typically last 6 to 18 months, depending on the specific product and individual factors.

Calcium Hydroxylapatite Fillers: Radiesse is an example of this type of filler. It is often used for deeper lines and can provide structure and volume, lasting around 12 to 18 months.

Poly-L-Lactic Acid Fillers: Sculptra is another option, which works by stimulating collagen production over time, leading to a gradual improvement in the appearance of deep lines. The results can last up to two years.

Consultation with a Dermatologist or Plastic Surgeon: It's essential to consult with a qualified professional who can assess your specific needs and recommend the most suitable filler based on your skin type and desired results.

Each filler has its own characteristics, and a specialist can help determine which is best suited for achieving a natural, longer-lasting effect for your forehead lines.

Jeffrey H. Spiegel, MD · Answer

The answer is none! Best for forehead lines is botulinum injections AKA Botox and not fillers. Repeat injections every 3-5 months should help, as well as skin tightening procedures, like IPL and Morpheus. All the best from Boston!

Nelson Lee Novick, MD · Answer

I have routinely been treating this very common problem for many years with very gratifying and durable results. Forehead "worry lines" result from two underlying causes, both of which should ideally be treated in order to achieve satisfying and durable results.
The underlying cause of these lines is typically the daily repetitive movement of the forehead muscles of expression, which we tend to use numerous times each day. Over the years, especially as we enter midlife, the overlying :"fabric" of our skin becomes permanently etched and creased, so that even when the underlying muscles are at rest, the skin continues to show the "worry lines."  
So, for best and more durable cosmetic improvement, a two-pronged approach is used. Botox can be used to address the movements of the underlying muscles (The intent is not to "freeze" the muscles so that you cannot emote, but rather to diminish their overactivity), and a low viscosity, malleable, cohesive HA filler can be used to elevate and smooth the creases in the "fabric" of the skin. In the hands of an experienced, board certified cosmetic dermatologist filler expert, the very superficially placed injections needed to achieve elevation and smoothing of the etched lines typically poses little risk. 
Please note: unfortunately, the hard science to promote the use of so-many of today's expensive, here-today-gone tomorrow light and energy-based gizmos, like fraxel lasers, RF devices, etc, lags woefully behind the heavy marketing and social media buzz that hawks them. So, you would be wise to exercise a whole lot of  "buyer beware" when being presented with these types of options  Hope this helps and best of luck.

Camille Cash, MD · Answer

Filler is not typically used in the forehead, or if it is, it is done with caution due to risk.  If you are not satisfied with the appearance of forehead lines after Botox you may want to look into other treatments such as Morpheus8, peels or lasers.

What is the best filler for deep forehead lines?

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