How Often Should I Get Juverderm Treatments for Frown Lines?

Thank you for your question. The frown lines between the brows can be address two different ways:1) Botox or Dysport can be used to soften the deepening of the frown lines when making a frown expression. The treatment may even soften the lines that are present at rest. The effects typically last 3-4 months depending on the dose. I generally use between 15-40 units of Botox (30-120 units of Dysport) in the frown area depending on the strength of the muscle and the degree of frown reduction we are trying to achieve. 2) Restylane or Juvederm can be used to soften the frown lines that are present even when you don't make an expression. This can last for a year or more when used in conjunction with Botox.For someone who has concerns with both the static lines (without expression) and the dynamic lines (with expression), then using both products would work well together. I often find that patients who return after a Botox or Dysport treatment in the frown areas complaining it didn't work, is due to the confusion between the static and dynamic frown lines. They continue to see the static lines even though the dynamic lines have softened considerably.

Gid Day Sidney,

Juviderm for frown lines is very safe.  The effect can be enhanced by returning to you injector about 3 to 4 months after your initial session and getting whatever additional treatment is deemed necessary at that point.  Depending on the area treated, and the individual patient, Juviderm injections generally last anywhere from 9 months to 2 years.  If you are beginning to show signs of volume loss in your face, you may also wish to consider Sculptra volume enhancement which will give you longer lasting and natural results.  As with any aesthetic procedure, make sure that you choose your injecting physician most carefully.  Good luck and be well.

Dr. P

Botox is best for frown lines (the creases in the glabellar region between the eyebrows)  as these are formed by muscular contraction. For those patients whose lines do not improve enough after botox then restylane or juvederm ultra (not ultraplus) can be used. There has been no evidence of long term problems. The juvederm may last a year, give or take. Juvederm and Restylane are more commonly used in the smile creases than the frown lines.

Frown lines can vary in depth from person to person. They are cause by the repeated motion in that area causing creases in the skin. In a person with deep from lines using a combination of botox and filler will result in the best result.  With time and repeated treatments with botox to minimize movement filler can be added if and when needed.  Juvederm last around 9-12 months and is made of hyaluronic acid.  There is no known long term side effects from filler treatment.

Your frown lines are caused by years and years of repeated contractions of the Corrugator muscles.  This in turn causes a thinning of the overlying fat and skin - creating wrinkles.  The ideal treatment will include both Juvederm AND Botox.

Juvederm is a fabulous Hyaluronic Acid filler - and will do well filling these fine wrinkles.  The problem is, that without Botox, the muscles in this area will still contract - and the Juvederm will be forced out of the area, therefore reversing a good correction. 

Adding Botox, which will smooth the collapsed wrinkles, then using Juvederm to fill in the lost fat causing the wrinkles, results in a smooth and plump area.  The Juvederm will stay put, since the Botox has temporarily paralyzed the area muscles, and the treatment will last much longer than either Juvederm or Botox used alone. 

Botox lasts about 3-6 months, Juvederm can lasts 6 months, combining the two products can actually make your treatment provides much longer results than either product would alone.

However, you need to see a board certified dermatologist or plastic surgeon in person, to have your unique situation evaluated and treated.

You should start with Botox which stops the movement of the muscles that cause the frown lines.  Wait a few weeks and if the lines are still prominent, you can have a filler such as Juvederm injected into the lines.  If you keep up with your Botox injections about every 4 months or so, the Juvederm may last for years.  You should be treated by a board certified dermatologist or plastic surgeon.

 

Juvederm treatment for frown lines is often best when combined with BOTOX. This way you often don’t need to repeat the Juvederm treatments. The BOTOX can simply be continued about 3 times a year. Or, if you’re young, even twice a year will suffice. Juvederm by itself in the frown lines doesn’t work as well because the muscle action causes it to absorb. On average it lasts about 6 months, but combining it with BOTOX makes it last longer and additional treatment is needed less often. Frown lines are the result of over action of the muscle. BOTOX can treat the cause of the condition while Juvederm creates a smooth look.

The frown lines are best treated with Botox. Fillers would be my second choice only after Botox did not give sufficient response.

All of the fillers such as Juvederm and Restylane will help to treat the nasal fold lines and marionette line and fine lines around the mouth.  They work well over time.  Most patients will have this done once or twice per year. 

For the frown lines (creases between the eyebrows) I would highly recommend a neurotoxin like Botox or Dysport as first choice before resorting to fillers like Juvederm.  If the line can't be smoothed out to your satisfaction with the Botox/Dysport then Juvederm can be added to the creases to improve them further but most patients are quite happy without the addition of filler.   You shouldn't have any issues with long term use of either Botox/Dysport or Juvederm. You don't have to frown any more.


Dr. Grant Stevens