Thorough communication is key to managing expectations with injectables.
Thank you for the
photo, and I’m sorry you’re having such a negative experience with injectables.
When the vertical lines between the eyebrows only occur when a frowning face is
made, BOTOX® alone is usually sufficient because it prohibits the underlying
muscles from contracting, which stops the wrinkle from being made. If these
vertical lines exist even when you’re not making a facial expression, the use
of a dermal filler may be needed to fill in the static lines in that area. This
comprehensive approach is likely what you will need to get the results you’re
looking for. With that said, complete and honest communication between you and
your injector is essential. That’s the only way to ensure that he or she
understands your concerns and that you understand what kind of improvement you
can expect with your chosen treatments. Best of luck.
What to do for wrinkles and lines
Sorry you had such a poor outcome from your treatment. You should get a second opinion in person from a highly experienced doctor for detailed evaluation and proper guidance.
I suggest you see an expert and speak to them about your concerned. You need a formal in person consultation to determine what is best for immediate and long term improvement. Often people do too little to get optimal correction and are unhappy with the outcomes. Best, Dr. Emer.
Persistent Glabella Wrinkles and Lines
for posting your photos!
last photo, the ability to create the single center wrinkle appears weaker. If
you had not waited 10-14 days before first and last photos, you have not
allowed Botox to optimize the results. Botox, Dysport and Xeomin require expert
injection. Go to the most qualified injector available to you!
If you did wait 2 weeks following injection, this
would be the best time to try intradermal hyaluronic acid gel fillers. The area
between the brows is a high risk complication injection site and must be
performed by a well experienced, skillful and talented preferably Board
Certified Plastic Surgeon, Facial ENT or Dermatologist.
are times when both injectibles are done at the same sitting but this is not
Restylane and Botox - didn't get result I wanted
Thank you for asking about your Botox and filler injection.
- It isn't possible to settle your dispute with your doctor -
- It appears the chief problem is lack of response of the botox.
- Botox is not a filler - it stops the muscle action that etches deep lines in some facial areas.
- You have a very deep etched line between your brows - Botox was the right treatment.
- It looks much less deep than it was to start - so the Botox is working.
- The line is still there because Botox is not a filler - fillers are very dangerous in this area.
- I suggest you have Botox every 3 months - in time your body is likely to heal the deep line.
Always see a Board
Certified Plastic Surgeon.
Best wishes - Elizabeth
Morgan MD PHD FACS
Wasting a syringe of Restylane and 25 units Botox???
Under treatment with either toxins (BOTOX) or fillers is an issue of the patient wanting to bnotspend enough $$s to receive effective results. Thus you need t return for additional toxin injections SORRY.
Botox and fillers for deep crease
Botox alone is likely not sufficient for a deeper crease in the glabella which is present "at rest." Botox is not a filler and won't fill in the lines. It works by relaxing the muscles that cause the line to form. In the case of an etched-in crease, it is still helpful to do Botox but a filler will be required to fill in the crease for maximal improvement. I prefer Belotero for this area, injected carefully and superficially. The glabella is considered a higher risk area for filler complications so make sure that you see an experienced physician.
The pre-treatment photos show very deep glabellar lines. In a best case scenario, these lines will be softened but not eliminated by 25 units of Botox. In situations such as these, I recommend use of a filler such as Belotero or Restylane to concurrently treat these lines. The Botox will need to be repeated, but often the filler does not. This is not an FDA indication for any filler, so you need to see a Doctor with expertise in injecting such areas.
Lines treated with Botox...
Thank you for your question. Botox may take up to two weeks to show an effect, you are posting your glabellar pics 6 days post injections. Additionally, your glabellar lines are deeply etched, while the Botox will soften them it will not completely eliminate them. Please wait at least another week and if still dissatisfied follow up with your board certified Dermatologist for further evaluation and management. Regards, Dr. Matt Elias