How can I get rid of deep vertical line be between my eyebrows? (photos)

Question

I have a deep vertical line between my eyebrows. What would be the best treatment for this line.

Sam Rizk, MD · Answer

Hello, thank you for sharing your question and photo. When two pronounced vertical lines form between your eyebrows, they are known as "11" lines, or glabellar lines. They are normally the first signs of wrinkles to appear, and affect both men and women. These lines can temporarily be corrected with Botox, or Restylane injections. For a more permanent solution, an endoscopic forehead lift procedure can smooth out those lines. For the results you’re seeking, visit a board-certified plastic surgeon. Best of luck!

Jason Emer, MD · Answer

Neuromodulators (such as Botox, Dysport, Xeomin, and Jeuveau) and soft tissue fillers like Belotero can improve the appearance of the forehead by reducing lines, wrinkles and folds. Deeper lines and wrinkles need a combination approach with Botox, fillers, lasers, and microneedling/PRP. I recommend getting a formal evaluation with a cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy for surgical and non-surgical options. Fillers may be able to achieve your desired result while providing a short recovery period.
Best wishes,

William Portuese, MD · Answer

The most conservative treatment is to try Botox first. If you tried Botox and  they are still present, then consider a surgical brow lift which can soften the muscles expression in that area. For many examples, please see the link and the video below

Bradley J. Chastant, MD · Answer

Thank you for asking! This is a common concern among both men and women, as the lines between the eyebrows are often some of the first to form on the face. They are known by the medical term glabellar lines and also referred to as frown lines or the 11s. One of the fastest ways to reduce these lines is through Botox injections. Botox relaxes the muscles that lead to the formation of these wrinkles when you make certain facial expressions. If you want a longer-lasting solution (Botox usually lasts about three or four months), you can talk to a board-certified plastic surgeon about a brow lift as well. Good luck!

Lawrence Kass, MD · Answer

The vertical lines between the eyebrows are due to overaction of the corrugator muscles.  This is what Botox Cosmetic was initially approved to treat.  Sometimes, even after Botox the lines can persist and may respond to fillers.  Most good forehead lift surgeons try to weaken the corrugator muscles during the forehead lift procedure to alleviate or eliminate these lines.  I would recommend that you discuss with a local oculoplastic surgeon for the best advice and results.  Good luck!

Navin K. Singh, MD · Answer

I recommend botox injected into the glabella (space between the eyebrows you're referring to).  This will certainly improve and decrease the appearance of these lines.  It will not, however, cause them to disappear completely due to the progressive depth of the lines.  This must be corrected with filler injections or fat grafting.  You should start with botox to the glabella and crows feet to raise the eyebrows and relax the muscles between them.  A more invasive and permanent alternative would be a temporal brow lift.

Curtis Wong, MD · Answer

are what those lines are called and they are caused by frowning.  Botox will paralyze the muscles that frown but must be repeated every 3 months to keep muscles paralyzed.  11's will soften if you commit to Botox but if they persist as I would expect, then you can fill with fat or filler but inexperienced or poor injectors have injected into the blood vessels under the dermis and caused blindness so be wary of how good your injector is.  Finally, laser can be used to take down the ridges and help camouflage the 11's so not as noticeable but this leaves skin red for months.  Thermirase or nerve ablation will work for about a year and then you have to do it again.  Cost-wise, its cheaper to have Botox every 3 months.

Jeffrey Thaxton, MD FACS · Answer

Botox or other neurotoxins would be the first line of treatment, if that does not adequately treat the creases then a filler such as juvederm could be added.  There are surgical treatments that can be more permanent but most people and physicians treat these lines with a maintenance approach with botox and fillers.  Thermirase can also be used to attempt of get a permanent result similar to botox.

Earl E. Ferguson III, MD, FACS · Answer

The quickest and simplest answer is Botox or similar muscle paralytic.  If the change is not adequate with Botox or Xeomin alone, then dermal fillers can be added as well.  Because injection of fillers in this area can be slightly higher risk than other areas, I would recommend seeking out an experienced plastic surgeon, who will be intimately familiar with the relevant anatomy, to perform your treatment.

How can I get rid of deep vertical line be between my eyebrows? (photos)

Answers (12)

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