After 3 sessions of Dysport my fine lines are still present but movement is gone, would hydrator filler help? (photos)

Question

I have had dysport now three times every 4 months. Last treatment was June 17th so three weeks ago. The fine lines on my upper right side of my forehead are still there now after three treatments. My provider now says maybe injecting a "hydrator filler" on the area might solve this but i wanted to ask for opinions here as well. I have never heard of such treatment on the forehead for fine lines. Also i wonder why Dysport has not helped for this area. Movement does go away but not the lines.

Glenn Lyle, MD · Answer

You appear to have static lines in your forehead. Dysport will stop the muscle movement in the area however, if you are sleeping on that side then the crease is considered static now. Microneedling would help soften this line. I would start there before a hydration injection.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your experience with Dysport and your concerns about persistent fine lines on your forehead. It's understandable to seek clarity and additional opinions on this matter.

Dysport, like other neuromodulators such as Botox, works by temporarily paralyzing the muscles responsible for dynamic wrinkles, which are lines formed by facial expressions. However, it may not always be fully effective for static wrinkles—lines that are present even when your face is at rest.

Here are some insights and potential options for you:

Persistence of Fine Lines: The presence of fine lines despite the absence of movement suggests that these lines are static. Static lines can be more challenging to treat with neuromodulators alone, as they are often due to factors like skin aging, sun damage, and loss of skin elasticity.

Hydrator Fillers: Your provider mentioned the use of a "hydrator filler," which typically refers to hyaluronic acid-based treatments designed to improve skin hydration and texture. These fillers can help plump the skin and reduce the appearance of fine lines. While less common for the forehead, they can be effective in certain cases.

Combination Treatments: Combining Dysport with other treatments might yield better results. Options include:

Hyaluronic Acid Fillers: These fillers can be injected superficially to hydrate and smooth fine lines.
Microneedling with PRP: This treatment can stimulate collagen production and improve skin texture.
Laser Resurfacing: Fractional laser treatments can improve fine lines and overall skin quality by promoting collagen remodeling.
Skin Care Regimen: Incorporating a robust skincare routine with products containing retinoids, antioxidants, and peptides can also support skin health and reduce fine lines over time.

It's important to have a detailed discussion with your provider about your treatment goals and concerns. They can assess your skin and recommend the most appropriate combination of treatments for your specific needs.

I hope this helps clarify your options. Wishing you the best in achieving your desired results.

Best regards,

Ryan Rebowe, MD · Answer

Fine lines are very difficult to treat. They are very superficial, or close to the skin, so it is difficult to target them with a treatment at the correct level of the skin, While dermal fillers can help in some cases, other times we rely on targeting these lines from the surface with microneedling, ablative lasers, or other treatments. I would ensure you are seeing a provider with all treatment modes available to make sure they are recommending the appropriate intervention.

Lexie Wang, MD · Answer

If you are still noticing lines at rest even though the dysport is working (ie preventing you from doing the movement), then these are wrinkles that have set into the skin, and the way to address them is working on your skin.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Based on your concerns, I recommend treatments with a CO2 resurfacing laser in the area of concern to help minimize fine lines/wrinkles and improve overall skin texture. I hope this helps and best of luck!

After 3 sessions of Dysport my fine lines are still present but movement is gone, would hydrator filler help? (photos)

Answers (9)

Answer: Skincare

Answer: Skincare

Answer: Try CO2 laser resurfacing

Answer: Try CO2 laser resurfacing

Recommended reading

Everything you need to know about Dysport

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

After 3 sessions of Dysport my fine lines are still present but movement is gone, would hydrator filler help? (photos)

Answers (9)

Answer: Skincare

Answer: Skincare

Answer: Try CO2 laser resurfacing

Answer: Try CO2 laser resurfacing

Browse related questions

Recommended reading

Everything you need to know about Dysport

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