My frowning lines run all through my brows. Is Botox the only way out? It's very expensive and does not last long. (Photo)
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Doctor Answers 13
My frowning lines run all through my brows. IS Botox the only way out? It's very expensive and does not last long.
Volume loss and sagging after steroids
From your photos, it appears you have very strong muscles of the glabellar complex. Relaxing these with one of the botulinum products will improve the appearance of your forehead. The only other way to relax these furrows is a surgical procedure to cut the nerves or radiofrequency ablation to destroy the nerves feeding these muscles, which would be more expensive. An evaluation of your facial volume and skin laxity will be helpful in determining whether you might benefit from dermal fillers such as #Voluma or #Sculptra and/or a skin tightening procedure such as #Ultherapy, #Pellevé, or Thermitight.
Sorry you had to go through this treatment for your sarcoidosis. I have found that chronic steroid use changes the response to some of these treatments. Bruising may be more likely, and the skin can be more fragile. You might want to start with Botox, and then only proceed cautiously with any other treatments untill more time has passed since your steroid use.
All the best,
Frowning and BOTOX
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Many options for facial changes
Regarding the loss of volume in your face, you have several options. One is filler, but you will most likely need a LOT of filler (consider the fact that a syringe of Juvederm is 1/5th of a teaspoon!). A second option would be fat grafting where a considerable amount of volume can be placed, much of which will last a lifetime, but there is some unreliability with fat. The third option would be facial implants. They last a lifetime and are guaranteed to give you the volume desired. Ultimately, I would recommend seeing a surgeon that has experience with all three options so you can discuss what would work best for your particular anatomy, finances and expectations.
Andrew Campbell, M.D.
Facial Plastic Specialist
Quintessa Aesthetic Centers
Botox for frown lines
Botox is the only and best way to eliminate those frown lines. The facial hollowing would respond better to Voluma and Thermage would help well with the jowls and skin tightening. Please consult a board certified dermatologist with an expertise in these injections and lasers for the best cosmetic result. Best, Dr. Green
Botox for frown lines
Botox best for wrinkles in forehead/brow
Post steroid facial changes
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.