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Botox is the first like of defense in our office for this area. We usually have the patient come back in 10 days to evaluate the result. If the lines are very deep and have been there for a long time we might consider a filler. One must be very careful when this is done as there are, (fortunately), rare but possible complications.
This product has not been approved for use in the US. But we do have Juvederm Ultra XC or Juvederm Ultra Plus XC.
Glabellar lines are caused by dermal atrophy from hyperactive muscles in this region. The best treatment is a combination of Botox and Juvederm for deep lines. You should first have Botox injected and observe the result for 2 weeks. If they lines do no completely resolve, then consider having Juvederm Ultra injected under the lines to help soften their appearance. Good luck.
I have abandoned fillers in the glabellar lines after seeing two patients complicated by intravascular embolization/occlusion/ischemia. The complication is extremely rare, but if you do enough injections, it happens. I prefer Botox for this area.
Juvederm works well with or without Botox in the glabellar lines. A skilled dermatologist or plastic surgeon understands how to safely perform these filler injecitions.