What can I do to reduce a static frown line in between my eyebrows? (Photo)

Hi @powerful109580! Neuromodulators like Botox, Dysport, or Xeomin are great ways to soften this bothersome line. Some patients may require filler as well. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

"​For glabellar lines (or frown lines / ""11"" lines), we inject Botox, Xeomin, or Dysport into the muscle, causing the muscle to weaken and improving the appearance of the lines. These work by binding to receptors that send nerve signals for muscles to contract. Since your body makes new receptors and neurotransmitters all the time, it needs to be maintained otherwise the wrinkles will slowly return as the muscle regains function over time. Neurotoxins take 2 to 4 weeks to start working and lasts for up to 6 months.

For deeper glabella lines or strong 11s, I use a combination of Botox with fillers, lasers and microneedling with PRP. I suggest getting a formal evaluation with an experienced cosmetic dermatologist and expert in lasers and fillers. Best, Dr. Emer
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Thank you for posting your question. Botox is a neuromodulator that treats lines created due to repetitive facial movements or expressions like forehead creases and the “11” lines between the eyes. The great thing about Botox is that it can be paired with other injectables to help achieve your goals. Dermal fillers are often successful in treating the glabellar furrow and softening lines and deep folds. Juvederm and Restylane may be good hyaluronic acid gel fillers that have natural results. An in-person consultation with an experienced, qualified injector will help you learn more about which fillers may be right for you.

Botox can help soften the appearance of this line, though it may not eradicate it completely. You can add other treatments to help improve skin tone and texture for further improvement such as lasers or Morpheus8. A combination of options may give you the best result,

Your problem is extremely common and is treated practically every day in an active cosmetic dermatology practice. First, it is important to understand that the static frown line is the result of years of dynamic muscle movement beneath the skin leading to permanent creasing of the skin, i.e. the permanent frown line you see. So, there are two components that need to be addressed in order to successfully treat this problem. First, the hypermotility of the culprit must be reduced (not "frozen," which would appear unnatural). Botox works great for that. Next, the crease that has been created over the years by that muscular movement can be elevated and smoothed with an appropriate HA filler. Both aspects can be done in a single treatment session if so desired and shouldn't take more than about five to tops ten minutes to do in experienced hands. So, worry no more. Just make sure to consult with an experienced, board certified cosmetic dermatologist and best of luck.

Even though you have a static frown line, it is caused by muscular action of the muscle underneath the area. I would recommend Botox, as this does normally lead to some improvement. If there is still a furrow there after the Botox, you could consider adding a filler to the area for further improvement.

Hello! Thanks for your question. Botox is a great way to soften this line. It typically takes multiple treatments (about 3 months apart) to rid this line completely. Some patients may still need a thin filler (we use Volbella) in this area but most patients are able to take care of this with botox only. I hope this helps!

Good day and thank you for your question. In my experience, it is difficulty to achieve a completely flat look in that area with botox alone. Once you have static rhytids, I would recommend placing filler in the area of the rhytid. Be forewarned, there are some case reports of blindness as result of placing filler in that area. I think it's safest if your provider uses a blunt tip cannula and does not overfill the area in order to minimize the risk of this complication from happening. Good luck with the rest of your journey!
Cheers,Joseph Batac, M.D.Double Board Certified Plastic Surgeon

Even static lines will fade with Botox (or other neuromodulator treatments) over time. It's difficult to say how much but I have seen lines like this practically disappear over time. Consistent treatments would be recommended because if the muscle strength is allowed to fully recover between treatments, it could start folding the skin again and accentuate the crease as before.
Besides Botox, skin resurfacing treatments such as microneedling, radiofrequency microneedling, plasma, laser, might help as well. The best choice would be made through careful consultation and exam. This is a high risk area for dermal filler complications, in general not recommended except possibly by an expert, experienced injector.

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case you are right that botox will not completely eliminate static lines but it may soften them. Another option would be to use filler here however it is high risk so ensure you see an experienced injector. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes