Would Botox or filler be a better option for the lines above my eyebrows? (Photo)

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

Hello karenflo! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. It is hard to determine based on the photograph. However, based on the area that you are concerned with, I recommend trying a neurotoxin such as Botox to target the forehead muscles and minimize the appearance of the deeper lines. I hope this helps!

It is difficult to determine based on your singular photo whether or not this horizontal line is due to an indentation or due to wrinkling. An examination would be necessary to determine the feasibility of utilizing BOTOX for this line. I believe you would benefit from a consultation with a reputable cosmetic dermatologist or facial plastic surgeon. I hope this helps! Sincerely, Dr Joseph

At least from the one photo provided here, the use of an appropriate low viscosity, malleable, cohesive HA filler injected with the proper technique can help to significantly elevate and smooth these kinds of indentations. I have performed this many times for individuals with bony abnormalities that give rise to troughs in the forehead and for those with deep wrinkles worsened upon raising the eyebrows. Filler for the forehead should not be left to the hands of inexperienced, novice injectors accustomed to the use of ordinary Juvederm or plain Restylane for treating simple smile lines. You would be wise to consult with an experienced, board certified cosmetic dermatologist and best of luck.

Based on the photograph you provided, what you’re seeing is the result of the formation of the skull and soft tissue covering it. Most likely it’s purely hereditary. In my opinion, the best way to round everything out and make it smooth as well as natural, would be with the use of your own fat. When a plastic surgeon who specializes in fat grafting techniques performs a procedure, the result should be extremely natural and permanent. I hope this helps and good luck from New York City Plastic Surgery.