How to address this irregular forehead? (photos)

It sounds like your initial approach was a good one.I would differentiate to determine which was more effective Botox or filler's.One option is using longer-lasting fillers.Radiesse it's a much better option than any of the hylouronic acid-based fillers such as Juvaderm.there are even longer lasting fillers such as artefill.fat transfer has the potential of giving permanent results.It is however fickle and can be unpredictable.When working with fat transfer to correct precise volume deficits in the face such as what you have it's better to be conservative and plan on doing a few treatments six months apart.That will minimize the chance of having problems such as a lumpy four head and give you when your surgeon time to fine-tune your result for a lifetime of good aesthetic outcomes.if Botox makes a substantial improvement then continuing Botox is the way to go.There are surgical procedures that can mimic long term Botox effects by surgically weakening the muscles that are injected with Botox.you should interview multiple providers.Specifically look for providers who can prove they have ample experience with full facial fat transfer including the forehead.Most facial fat transfer is done in the mid cheek area giving diffuse volume.This is quite different then the very precise type treatment you're looking for.Best of luck,Mats Hagstrom M.D.

Thank you for the question and photo and an examination is really needed to see what might be the best way to treat your problem.  So go on some complimentary consultations with experts in your areaDr Corbin