I have a very deep from lines. I have tried Botox several times with different doctors up to 30 unites. There hasn't been even once that showed any improvements. What are the reasons and are there any other alternative treatments for that area that guarantees the outcome? I have spent too much with disappointing outcome!
November 26, 2017
Answer: Fillers for Frown Lines Hi Elle. It appears that the lines you have are very deep. In most cases with these types of lines, we take a two step approach. First we use Dysport (Botox) and once the muscle is relaxed, if the lines are still present, we then use Restylane for further smoothing. To see an example of before and after photos for an Irvine, CA patient just like your case where we had to use both Dysport (Botox) and Restylane (a dermal filler) to resolve the patient's concerns, click on the link below. An in person evaluation may help, but in your case, it may be unrealistic to get complete resolution of the lines because they are so deep.
Helpful 1 person found this helpful
November 26, 2017
Answer: Fillers for Frown Lines Hi Elle. It appears that the lines you have are very deep. In most cases with these types of lines, we take a two step approach. First we use Dysport (Botox) and once the muscle is relaxed, if the lines are still present, we then use Restylane for further smoothing. To see an example of before and after photos for an Irvine, CA patient just like your case where we had to use both Dysport (Botox) and Restylane (a dermal filler) to resolve the patient's concerns, click on the link below. An in person evaluation may help, but in your case, it may be unrealistic to get complete resolution of the lines because they are so deep.
Helpful 1 person found this helpful
July 1, 2015
Answer: Why is Botox not working on my 11s You appear to have fairly severe imprinted frown lines. This means that those lines are present even when your face is totally relaxed. If I'm misinterpreting your photo my apologies. With imprinted lines, it is possible that Botox can completely eliminate the muscle movement but will not fill in or eliminate the lines that are folded into the skin. If that is the case, you're likely a good candidate for placement of a small amount of filler in those imprinted lines to plump them up and eliminate them for up to one year. This is a higher risk injection area so it is best if you seek out a highly experienced physician injector who understands the anatomy there like the back of their hand. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
Helpful
July 1, 2015
Answer: Why is Botox not working on my 11s You appear to have fairly severe imprinted frown lines. This means that those lines are present even when your face is totally relaxed. If I'm misinterpreting your photo my apologies. With imprinted lines, it is possible that Botox can completely eliminate the muscle movement but will not fill in or eliminate the lines that are folded into the skin. If that is the case, you're likely a good candidate for placement of a small amount of filler in those imprinted lines to plump them up and eliminate them for up to one year. This is a higher risk injection area so it is best if you seek out a highly experienced physician injector who understands the anatomy there like the back of their hand. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
Helpful
