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.