What is the best treatment for 11s deep wrinkles? Botox? And serums or creams?

Depending on the severity, the 11's can be treated with Botox and/or fillers, lasers and microneedling/prp. See an expert for a formal evaluation. Best, Dr. Emer

Hello,Thanks for your question. BOTOX , or other neurotoxins, is the best treatment for the 11's. However, if your lines are deep, BOTOX will soften them but may not totally eliminate them. We often use dermal fillers to fill deep lines. Topical creams and ointments won't get rid of your ll's but they will give a softer appearance to your skin. Those frown lines are created by repetitive movements. That's why using BOTOX to stop those muscles from contracting is the best way to address the issue. A word of caution, know your injector and their qualifications and make sure they are using actual BOTOX and not a bootleg product. Good luck!

The 11's are the lines between the brows. These are caused by overactive muscle activity (the corrugator muscles). Since the cause of these lines is overactive muscles, the best treatment is Botox. Botox doesn't usually make deep lines go away immediately, so consider some filler in the lines at the same time as Botox. Then continue with the Botox regularly and the filler seems like it lasts forever. Serums and creams will do very little.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

Thank you for your question.  This is one of the most common questions I am asked.  The 11's are the vertical lines between the eyebrows (the area is called the glabella) due to contraction of the corrugator muscles.  Medications, such as Botox, Xeomin, and Dysport, work to weaken the corrugator muscle and thereby relax the forces that cause the 11's.  This is the most reliable means to treat these lines.

Thank you for your inquiry. Botox will help relax your frown lines and reduce your 11s and/or prevent your 11s from forming. A good skin care regimen is very important to maintain your skins youthful appearance. Consult with your board certified plastic surgeon for a treatment plan tailored specifically to your needs. 

For deep wrinkles, I would definitely suggest Botox as the most effective treatment. You can consider serums or creams, but those work better for fine lines and wrinkle prevention rather than treatment. You could also consider chemical or laser skin resurfacing. 

Botox can freeze the glabella muscle to reduce and prevent deepening of the frown lines. You can use either Botox Cosmetic, Dysport, or Xeomin.  Good skin can also complement botox treatments. I personally like Vitamin C serums or products like Obagi with retinols.

To treat the 11s in the glabella Botox, Xeomin and Dysport can work miracles. 15-20 units of the first two or about 70 units of Dysport will get you the results you want.   Good skin care is always important and can make a huge difference.   I like the Skin Medica and Defenage lines.   Good luck! 

Thank you for your question.  Unfortunately, serums and creams will not eliminate those stubborn 11 lines, caused by years of muscle movement.  Botox or Dysport are great options to soften or eliminate those lines.  If the lines are deep, multiple treatments (every 3-4 months) may be needed to get the results you desire.  A small amount of filler can be used if the line is particularly deep.  

The 11's are caused by muscle movement.  There is no cream that will stop this because the movement needs to be stopped to stop the formation of lines. Botox/Dysport/Xeomin will all work equally well.