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How can I get rid of these lines on my forehead and cheeks? (Photos)

Why does my cheek have these lines when I smile? I moisturize but that doesn't fix it. would Botox? I'm 29.

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Anna Chacon, MD, FAAD

Thank you for describing this so clearly—it really helps to understand what’s going on. From what you’re describing, it’s very possible that the bulge you notice under your eye when you smile is related to muscle compensation. When Botox relaxes certain muscles (like the 11s), nearby muscles...

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Jeffrey H. Spiegel, MD

Under eye creases are a result of volume loss in the area, otherwise known as tear troughs. Best to start with something that will replenish the volume such as hyaluronic acid Fillers. If you find that you have bulging tissue under the eyes also known as Jellyrolls you can add about one unit of...

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Can over treating the frontalis muscle with Botox lead to a weaker brow ridge?

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Anna Chacon, MD, FAAD

Hi! This is a thoughtful question, and it’s something I hear from patients concerned about long-term effects of Botox on facial structure. Here’s what you should know: Botox and muscle atrophy – When the frontalis muscle (the one that lifts your eyebrows) is repeatedly treated, it can tempo...

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Ugly looking indentation on my forehead - how can this be improved? (Photo)

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Anna Chacon, MD, FAAD

Thank you for sharing your photo and explaining everything you’ve been through. I can hear how frustrating and discouraging this has been, especially after investing time, effort, and money into treatments. Concerns like this can feel very distressing, particularly when you’re young and hop...

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Can botox be used to drop an upturned nasal tip?

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Kally Papantoniou, MD, FAAD

Botox can sometimes be used to subtly relax an upturned nasal tip by targeting the muscle that pulls the tip downward when you smile. Results are temporary and usually subtle, and it won’t change the nose’s underlying structure like surgery can. A consultation with an experienced injector can...

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