Men’s Botox for the 11s (photo)

Question

I am a male about to turn 50. What bothers me most is the lines between my eyebrows immediately people say Botox could assist, but after recently receiving a treatment of 76 units, I still had the issue so I went back two weeks ago and had an additional 20 more to treat the area. Obviously, I still have the problem and I am not sure if it was because of the treatment not being done correctly or if in fact, I should consider something else in terms of a procedure.

Nelson Lee Novick, MD · Answer

I have routinely been treating this very common problem for many years with very gratifying and durable results. Glabellar "frown lines" result from two underlying causes, both of which should ideally be treated in order to achieve satisfying and durable results.
The underlying cause of these lines is typically the daily repetitive movement of the muscles of expression located there, which we tend to use numerous times each day. Over the years, especially as we enter midlife, the overlying :"fabric" of our skin becomes permanently etched and creased, so that even when the underlying muscles are at rest, the skin continues to show the "frown lines."  as is the case here.
So, for best and more durable cosmetic improvement, a two-pronged approach is used. Botox can be used to address the movements of the underlying muscles (The intent is not to "freeze" the muscles so that you cannot emote, but rather to diminish their overactivity), and a low viscosity, malleable, cohesive HA filler can be used to elevate and smooth the creases in the "fabric" of the skin. 
In the hands of an experienced, board certified cosmetic dermatologist filler expert, the very superficially placed injections needed to achieve elevation and smoothing of the etched lines "eleven lines" typically poses little risk. 
Please note: unfortunately, the hard science to promote the use of so-many of today's expensive, here-today-gone tomorrow light and energy-based gizmos, like fraxel lasers, RF devices, etc, lags woefully behind the heavy marketing and social media buzz that hawks them. So, you would be wise to exercise a whole lot of  "buyer beware" when being presented with these types of options  Hope this helps and best of luck.

Lauren D. Mileo, MD · Answer

Can try another form of botox (xeomin, dysport, daxxify) to see if it will paralyze the muscles in the area more and soften the 11s. Otherwise will have to consider a procedure (forehead lift) if you want to more permanently treat the area.

Ella Fedonenko, MD · Answer

Glabellar lines in your case have significant static component. That’s why you are not seeing good results after the Botox injections. This will likely improve after you have Botox injections several more times.

Jose Telich, MD · Answer

Dear Dude thank you for your question.

Sometimes the 11 limes require adjunct treatment modalities in order to be resolved. Sometimes a bit of hialuronic filler may help in making them less visible, and in certain patients treatments focusing on the skin like CO2 laser or peelings can achieve good results.

Stanley Okoro, MD · Answer

Hello! Thank you for such a great question. When assessing your glabella (the area between your eyebrows), you have what we call "static lines" or lines that are present on your face even at rest with no facial movement. Static lines become increasingly difficult to treat the longer they go without treatment. Starting with Botox to this area is a great first step, as this will relax the muscles that cause these creases (the procerus & the corrugator muscles) and will slowly soften these lines over time.

When deep static lines are present, it may take multiple treatments of Botox to truly start to soften these lines, as they have been forming for 50 years and have become a deep crease. The use of Botox will be great to prevent these lines from getting any deeper as you continue to age as well.

However, wanting to treat these lines completely may require multiple modalities of treatment including Botox + potentially using filler to fill these lines to help minimize their appearance.

Mohamed Elmaraghy, MD, FRCS(C) · Answer

If botox alone doesn't soften the "11" wrinkles then consider filling in the furrows with filler. this will immediately correct the issue of concern and is long lasting. You should still keep up the botox treatments indefinitely and things will continue to improve further with time. Filler in this location can last years but beware there are additional risks injecting filler in the glabella!

Men’s Botox for the 11s (photo)

Answers (11)

Answer: Adjunct treatments may be needed

Answer: Adjunct treatments may be needed

Answer: Botox to the Brows

Answer: Botox to the Brows

Answer: Combine treatments

Answer: Combine treatments

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Everything you need to know about Botox

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Men’s Botox for the 11s (photo)

Answers (11)

Answer: Adjunct treatments may be needed

Answer: Adjunct treatments may be needed

Answer: Botox to the Brows

Answer: Botox to the Brows

Answer: Combine treatments

Answer: Combine treatments

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.