My ability to frown has significantly reduced however I can still frown. My static lines have not improved. I have been informed that multiple Botox injections will help and that fillers are not recommended. Should I stick to multiple Botox injections?
Answer: Frown line Botox will help soften up the area over time, but it does not treat static lines instead dynamic lines. To put a small amount of filler there I would go to an expert personal such as a board certified plastic surgeon or a dermatologist as is it a high risk area
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Answer: Frown line Botox will help soften up the area over time, but it does not treat static lines instead dynamic lines. To put a small amount of filler there I would go to an expert personal such as a board certified plastic surgeon or a dermatologist as is it a high risk area
Helpful 1 person found this helpful
Answer: Ongoing Botox, along with good skin care and possible laser resurfacing, is a great treatment plan for etched-in lines. Hi mischerae, thank you for your question. It sounds like you’re on the right track. A well-trained aesthetic dermatologist will typically aim to reduce muscle movement without knocking it out totally. If you completely lost your ability to frown, you could look unnatural or “frozen."
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Answer: Ongoing Botox, along with good skin care and possible laser resurfacing, is a great treatment plan for etched-in lines. Hi mischerae, thank you for your question. It sounds like you’re on the right track. A well-trained aesthetic dermatologist will typically aim to reduce muscle movement without knocking it out totally. If you completely lost your ability to frown, you could look unnatural or “frozen."
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September 11, 2017
Answer: Concerned about my static frown lines: I recently had 14 units of Botox in my frown lines. Thank you for sharing your question and photograph. It does appear that you would benefit from both additional Botox - to prevent worsening of the static wrinkles - and filler to help even the skin surface. Take the filler in stages and you should see noticeable improvement. Hope this helps.
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September 11, 2017
Answer: Concerned about my static frown lines: I recently had 14 units of Botox in my frown lines. Thank you for sharing your question and photograph. It does appear that you would benefit from both additional Botox - to prevent worsening of the static wrinkles - and filler to help even the skin surface. Take the filler in stages and you should see noticeable improvement. Hope this helps.
Helpful
September 11, 2017
Answer: Botox For Dynamic Lines: Fillers For Residual Static Lines First let me compliment your injector for achieving significant improvement in your dynamic glabellar wrinkles, but not leaving you incapable of motion. Back in the early 1990s, when I first started using Botox for aesthetic purposes, we mistakenly thought that it was necessary to "freeze" muscles. It took us some time to learn that this frozen, porcelainized look and inability to emote was artificial and did not contribute to a natural look. Think about it. If you look at a five year old child, you will see a nice, smooth, wrinkle-free area between the brows. But, just refuse to give that child ice cream and watch how deep a frown that child is capable of making. So, contrary to outdated conventional wisdom, the intent of treatment with neuromodulators (such as Botox, Dysport, and Xeomin) nowadays is to diminish dynamic (motion-related) wrinkling, not to eliminate it entirely. In your case, the residual static (lines at rest) eleven line creases (etch-in lines) present have resulted from years of folding the skin with facial expression, which lead to a situation akin to the creating a permanent crease from repetitively folding a piece of paper. Fillers can be helpful for these residual, static lines,. My preference is Belotero Balance in my NY office and for Teosyal Redensity II or Alaxian FL in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available. Make sure you are seeing a board certified aesthetic physician.
Helpful
September 11, 2017
Answer: Botox For Dynamic Lines: Fillers For Residual Static Lines First let me compliment your injector for achieving significant improvement in your dynamic glabellar wrinkles, but not leaving you incapable of motion. Back in the early 1990s, when I first started using Botox for aesthetic purposes, we mistakenly thought that it was necessary to "freeze" muscles. It took us some time to learn that this frozen, porcelainized look and inability to emote was artificial and did not contribute to a natural look. Think about it. If you look at a five year old child, you will see a nice, smooth, wrinkle-free area between the brows. But, just refuse to give that child ice cream and watch how deep a frown that child is capable of making. So, contrary to outdated conventional wisdom, the intent of treatment with neuromodulators (such as Botox, Dysport, and Xeomin) nowadays is to diminish dynamic (motion-related) wrinkling, not to eliminate it entirely. In your case, the residual static (lines at rest) eleven line creases (etch-in lines) present have resulted from years of folding the skin with facial expression, which lead to a situation akin to the creating a permanent crease from repetitively folding a piece of paper. Fillers can be helpful for these residual, static lines,. My preference is Belotero Balance in my NY office and for Teosyal Redensity II or Alaxian FL in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available. Make sure you are seeing a board certified aesthetic physician.
Helpful
September 11, 2017
Answer: Improving deep wrinkles--Botox/Xeomin/Dysport, fillers, lasers, microneedling/prp Deeper lines can be improved with a combination of Botox with fillers, lasers and microneedling/prp. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer
Helpful
September 11, 2017
Answer: Improving deep wrinkles--Botox/Xeomin/Dysport, fillers, lasers, microneedling/prp Deeper lines can be improved with a combination of Botox with fillers, lasers and microneedling/prp. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer
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