Follow-Up: Botox and Dysport not smoothing my 11's. What are my options? (photo)

Hi Lisa. Depending on the age of the patient and how active the muscles between the eyes are, we sometimes have to offer dermal fillers after injecting Botox (or Dysport) to completely resolve the 11 lines.  This is the situation in your case.  You need a small amount of Restylane or Juvederm to smooth out the area between the eyes.  Take a look at the case at the link below to get an idea for what that will look like.

Deep wrinkles can be improved with a combination approach of Botox with lasers, microneedling/prp and fillers. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer