My main concern are nasolabial lines. I've read about frown and brow lines; is Botox appropriate?
Is Botox Appropriate for Nasolabial Lines?
Doctor Answers 16
Botox is for the eyes and up
BOTOX works by weakening muscles. The muscles that pinch the brow are best treated with BOTOX. However from about the eyes down BOTOX can create problems with the muscles of facial expression and mouth movement. In particular, BOTOX has no role in treating the nasolabial fold.
Fillers are much better and safer treatment choices for the nasiolabial folds.
Botox is not for nasolabial folds
Botox is not used for nasolabial lines. Generally it is not advised to weaken these muscles as it can create the appearance of a stroke..
Fillers are generally used for this purpose.
Botox is dangerous in the nasolabial lines.
Botox near the nasolabial lines can weaken the muscles that lift your upper lip and that enable you to smile. And it doesn't work anyway.
These lines need to be filled with either Restylane or Juvederm.
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Fillers best here
While a tiny touch of Botox in a muscle called the Levator Superioris Nasii might slightly soften a nasolabial fold, it will lenghten the upper lip and possibly cause other unwanted side effects like changing your smile, so I'd say NO.
Fillers do such an awesome job in this area, especially when combined with a little filler in the cheeks, there is no reason to do Botox here.
Fillers Are Appropriate for Nasolabial Folds
Fillers are better
Fillers better than Botox for nasolabial folds
The best treatments for nasolabial folds are fillers. Fillers are injectable substances that plump up the skin from below, reducing the depth and shadowing that occurs as nasolabial folds deepen. I try not to completely eliminate the nasolabial folds because this begins to look un-natural. With fillers I start slow and build up if the patient requests it. In Austin my patients want to look better, but they don't want to look like they've had "something done". Fillers I use include Juvederm, Restylane and Radiesse.
Botox for Smile Lines
Botox is great for wrinkles caused by muscle contraction like the frown lines between the eyes and the crow's feet at the outer eyes. Muscle activity in these areas are responsible for the development of fine lines and wrinkles. Using Botox in these areas can halt the muscle contraction and therefore get rid of the wrinkles.
The smile lines (nasolabial folds) are caused by an altogether different problem. Gravity and loss of volume in the skin combine to cause the lines that appear between the sides of the nose and the corners of the mouth. In this area dermal fillers like Restylane, Juvederm and Perlane are a much more appropriate choice as they are designed to add volume.
Botox and nasolabial folds
Botox is not a good treatment for nasolabial folds. The best thing to treat the deep nasolabial folds are filler products like restylane, juvederm, and radiesse.
The folds you are referring to result from time, gravity, and a weaking of the mid-face structures moving forward and downward. Botox works by weakening muscles that cause wrinkles. Therefore, fillers would be more apporpriate, or even a mid-face lift.