Filler For Line Going Across Horizontal Top Part of My Nose?

   For the glabella, the injector should inject an HA filler only and preferably with a blunt cannula.  For the top of the nose, it is safe to inject one of the HA fillers.    Kenneth Hughes, Los Angeles

The primary muscle that creates the horizontal line across the top of the nose is your procerus muscle.  Botox is the prefered treatment and typically does not trigger acne. However some Hyaluronic Acid  fillers can be used to help with this line If done carefully by an experienced injector. Radiesse is not a good choice for this area because it cannot be dissolved if needed.  The issue is that you have important blood vessels near that area and if you accidentally inject product into a vessel you can occlude it. This could lead to a compromise in circulation, tissue necrosis or blindness. For safety,  I would recommend trying Botox again before fillers 

I have never heard of Botox causing acne, so I'd likely recommend trying it again.  For fillers in this area, Restylane is usually the best product for this in my experience, due to its high safety profile and good results.

Although I, too, have not personally seen a case of acne resulting from treating acne (or even read about in the medical literature) in the twenty-one years I have been using Botox for aesthetic treatment of dynamic wrinkles,  I suppose anything is possible, and there is always a first time for anything.

With that in mind, I have a few suggestions. Although the ideal approach for treating wrinkles in this area is to address the dynamic ones (those created by our expression muscles) with neruomodulators, like Botox and Dysport, in this case, I would suggest beginning with the treatment of any static component (i.e a wrinkle at rest created via years of dynamic muscular movement). I prefer to use Juvederm UltraXC or Belotero for this region, both hyaluronic acid products.

In the event that the results are sufficiently gratifying, nothing further need be done. If there is still a need to control the dynamic component, I would suggest a trial of Xeomin (which is essentially Botox stripped of any additional proteins that might elicit an inflammatory reaction). The combination approach also leads to longer-lasting results.

I would suggest that you seek the consultation of injector experienced with a wide variety of injectables. 

For fine lines and wrinkles there are several treatments that you list (Botox, Filler, Laser, etc) and all are good when used in the appropriate candidate.  Without a picture or seeing you in person, it is impossible to give you advice.  In general, dynamic lines of the upper face are nicely treated with Botox.  Static lines with filler and fine lines with peels, laser and topical medications such as Renin-A.

 

Good Luck.