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.
Answer: For Deep "Eleven Lines" Consider Botox & HA Filler Combo For Better & More Durable Results 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.
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Answer: For Deep "Eleven Lines" Consider Botox & HA Filler Combo For Better & More Durable Results 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.
Helpful 1 person found this helpful
Answer: Adjunct treatments may be needed 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.
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Answer: Adjunct treatments may be needed 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.
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April 8, 2025
Answer: Botox to the Brows 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.
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April 8, 2025
Answer: Botox to the Brows 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.
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March 21, 2025
Answer: Combine treatments 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!
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March 21, 2025
Answer: Combine treatments 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!
Helpful
March 17, 2025
Answer: Static vs Dynamic Wrinkles Hi! It sounds like you’re dealing with static wrinkles rather than purely dynamic ones, which is why Botox alone isn’t fully addressing your concerns. Dynamic Wrinkles - Caused by repeated muscle movement (like frowning). Botox works well here by relaxing the muscles to prevent deeper creasing. Static Wrinkles → These are present even when your face is at rest and are due to collagen loss, skin thinning, and deep-set lines (11s). Botox alone won’t erase these completely. To address static wrinkles - we need to build collagen in that area. Consult with your doctor about Smoot PDO Threads to lift and build collagen in that area. Also, men typically need higher Botox doses than women due to stronger facial muscles, so precision matters! 96 units are more than plenty for that area to soften the wrinkles if they were dynamic.
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March 17, 2025
Answer: Static vs Dynamic Wrinkles Hi! It sounds like you’re dealing with static wrinkles rather than purely dynamic ones, which is why Botox alone isn’t fully addressing your concerns. Dynamic Wrinkles - Caused by repeated muscle movement (like frowning). Botox works well here by relaxing the muscles to prevent deeper creasing. Static Wrinkles → These are present even when your face is at rest and are due to collagen loss, skin thinning, and deep-set lines (11s). Botox alone won’t erase these completely. To address static wrinkles - we need to build collagen in that area. Consult with your doctor about Smoot PDO Threads to lift and build collagen in that area. Also, men typically need higher Botox doses than women due to stronger facial muscles, so precision matters! 96 units are more than plenty for that area to soften the wrinkles if they were dynamic.
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March 2, 2025
Answer: Additional time to see the final results. Botox’s only effect is to give a temporary paralysis of the muscle that it is placed in. If you start with a completely smooth forehead at rest, with no creases between your eyebrows, but you can create deep creases by frowning, then Botox will return you to a smooth appearance between your eyebrows. However, if you have creases between your eyebrows at rest and over developed frown muscles, Botox will not immediately get rid of these creases nor the over developed muscles. It will take time for the muscles to atrophy and smooth out, and for the creases to get as good as they can be. This usually takes multiple treatments with Botox, separated by approximately 4 months, so that the muscles can’t become active and can’t flex the skin. Even with persistent paralysis of the frown muscles, some patients lines will never completely disappear because they have become “fixed“ due to a lifetime of frowning and flexing the skin. Adding volume to the area, such as Restylane or Juvaderm, help to camouflage these lines. As it seems that you have only recently undergone your treatment, I would think that you need to be patient for many more months and continue your Botox regularly to actually see what your best result would be. Best wishes.
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March 2, 2025
Answer: Additional time to see the final results. Botox’s only effect is to give a temporary paralysis of the muscle that it is placed in. If you start with a completely smooth forehead at rest, with no creases between your eyebrows, but you can create deep creases by frowning, then Botox will return you to a smooth appearance between your eyebrows. However, if you have creases between your eyebrows at rest and over developed frown muscles, Botox will not immediately get rid of these creases nor the over developed muscles. It will take time for the muscles to atrophy and smooth out, and for the creases to get as good as they can be. This usually takes multiple treatments with Botox, separated by approximately 4 months, so that the muscles can’t become active and can’t flex the skin. Even with persistent paralysis of the frown muscles, some patients lines will never completely disappear because they have become “fixed“ due to a lifetime of frowning and flexing the skin. Adding volume to the area, such as Restylane or Juvaderm, help to camouflage these lines. As it seems that you have only recently undergone your treatment, I would think that you need to be patient for many more months and continue your Botox regularly to actually see what your best result would be. Best wishes.
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