Can Juvederm Be Used for Deep Wrinkles Between Eyebrows?

Juvederm can be used to correct deep frown lines (glabellar rhytids, elevens) between the brows.   I think it is even more effective to have Botox done first  and then 10 days later have Juvederm to correct any wrinkle that is left.   Because the brow is not repetitively contracting following Botox, the Juvederm should last longer.   The synergy between botox or dysport (neuromodulators) and fillers like juvederm, restylane, radiesse, or perlane allows better correction of deep wrinkles than when just either neuromodulator or filler alone is used. 

Thank you for your question.

In short, yes. Juvederm is FDA approved to treat any moderate to severe facial wrinkles and folds. However, for certain lines Juvederm is not always the best option available.

In our San Francisco Bay Area practice we commonly treat the deep wrinkles between the eyebrows with either Botox or a combination of Botox and Juvederm. Botox works by relaxing wrinkles caused by activity of underlying muscles, which is the case for wrinkles between the brows (also called “glabellar lines”) and why Botox on its own is often effective. When the wrinkles are too deep to be corrected by Botox alone Juvederm is added to fill in and further soften the lines.

I hope this helps.

Botox injections are the most common way of treating the glabellar vertical lines of the forehead between the eyebrows as this minimizes muscle movement so the skin stops creasing together. The fillers can be used in addition if the crease is stubborn. It is safer to use Juvederm Ultra or Restylane in this location and not advisable to use Juvederm Ultra Plus or Perlane as these two fillers are too thick for this area and the risk of necrosis (ulceration of the skin) increases. Some way rather wait for the Botox to take effect and then do the injections at a later date to minimize the volume effect.

The cause of the wrinkles between the eyebrows is overactivity of the muscles that cause the skin the fold and give the scowl or concerned appearance. For that reason, the first line treatment is usually relaxing the muscles with Botox or dysport. Fillers (such as Juvederm) alone do not work as well, but may be useful in addition, when the wrinkles have been there long enough to be "etched" in..

Juvederm or any fillers can be used for frown lines but they are not my first choice. Botulinum toxin is superior despite the fact that it needs to be repeated more often.

Thanks for the question.

Juvederm can indeed be used to manage the deep wrinkles in the glabellar region. I would initially treat the area with a chemodenervation product such as Botox Cosmetic or Dyport, weakening the muscle groups and minimizing the wrinkle. Once this is accomplished, the injectable filler (Juvederm) can be used to manage any residual stigmata of wrinkling in this area. Additionally, the use of Botox in combination with the filler will prolong the effects of the filler.

Warmest Regards,

Glenn Vallecillos, MD, FACS

The flagella is the space between the eyebrows. Creases here can be dynamic - from muscle contraction, or static - etched into your skin. The dynamic component contributes more, so the best way to treat the lines is with botox. If botox stops the movement but does not get rid of the lines, then Juvederm is very effective.

for eyebrow wrinkles. Botox relaxes the muscle that is the cause of the wrinkles. Juvederm fills the wrinkle.

 

Best, 

Dr. Robert Kasten

Both Botox and Juvederm are used in situations where a patient has deep wrinkles. Botox works by temporarily weakening the muscles that cause you to frown. These muscles are actually the culprits of causing the wrinkles. The Juvederm, in addition to the Botox, is a good option because Juvederm is a "filler," meaning it fills the void that is beneath the wrinkle.

Nine out of 10 times the best approach for deep lines between the eyebrows is either Botox or Dysport.  Both act to relax the muscle action that causes the wrinkle.  In that 10th individual the first best approach is still Botox or Dysport.  I will treat the overactive muscle, wait 2 weeks and reassess.  If the deep lines are still present  then it is time for filler. Judicious use of the hyaluronic fillers works beautifully and lasts up to a year.  This should only be done by an experienced injector since there have been reports of skin damage in that area if too much or the wrong type of filler is used.