Dysport and Botox have not fixed my 11's. I have a hump instead of smooth. How can I fix that?

Question

I've tried to add additional Botox or dysport and have not been successful

Jack G. Bertolino, MD · Answer

To get rid of the 11's you need to inject 3 muscles in the gabella area of the forehead. The amount of units used changes with how strong those muscle are and whether you use Dysport vs. Botox. Ask the provider to re evaluate you. Hope this helps. JB

Aldo Guerra, MD · Answer

Perhaps the dose of each was too low to fully relax your muscles. Can you also post some photos so we could see your lines and muscles.Good luck, Dr. ALDO

Kenneth D. Steinsapir, MD · Answer

A picture is worth a thousand words.  You have asked up what you can do.  Post a photo of your issue so we can understand your concern.

Michael I. Echavez, MD · Answer

Botox and Dysport are commonly used to help improve frown lines (11's).  In some cases where there is a deep groove, if that treatment is not sufficient, an injectable filler may be added to provide further improvement.  Without examining you or at least seeing photographs of you, it is difficult to know if a filler could provide some benefit to you or not.

Shaun Patel, MD · Answer

It's hard to comment without seeing a photo or evaluating you in person. Typically, when I see a patient who has not had correction of the frown lines after Botox/Dysport treatment, the cause is one of two reasons. Either too low of a dose was used or there are "etched in" lines at rest which will need to be treated with fillers in addition to the Botox/Dysport.

Dysport and Botox have not fixed my 11's. I have a hump instead of smooth. How can I fix that?

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