Is filler in the frown line dangerous?

Thank you for your question Amman9420.  Hyaluronic acid fillers are great filler to help correct those deep frown lines after the use of Botox. The risks of any injection typically include redness, swelling, bruising and possible infection though these are rare you should address your concerns with your experienced board certified provider. 

Hi Amman.Thanks for this question. Frown line filler has some potential higher risks which might include blood vessel injection and embolism. Always proceed with caution and make sure you understand the risks! I suggest you seek an expert injector/physician. Good luck. Dr. ALDO 

Fillers are an excellent choice to diminish frown lines. However, for prominent or deep glabellar (frowns) lines, I often use a combination of both fillers and Botox to soften this area.  If the procedure is done by a board certified plastic surgeon or dermatologist with experience and expertise and a knowledge of facial anatomy, you should not experience any issues.

This is a common area for deep lines that Botox/Dysport may not fix by itself. The frown lines or "elevens" sometimes need something that will add a little more volume that a neuromodulator can't fix alone. Filler that is properly injected by a skilled professional can be used in that area. You want to be very careful regarding injectables around the eye, but it can be done correctly! Best of luckDr. R. Kevin Haney

Yes, for deeper lines, fillers combined with Botox, lasers and microneedling/prp can give improvement for deeper frown lines. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Thank you for your question.I typically avoid filler in the forehead region because there is not a lot of room for error. If the filler is injected wrong it can cause tissue necrosis. Although there are newer fillers out now that are made to be injected superficially and could help to correct these lines for you. I would suggest having a consult with a PS near to discuss these options and decide on how to proceed. Good luck.

Amman9420.     Sometimes Botox fails to correct deep vertical lines in the mid brow.  Fillers are an excellent adjunct and they work well.  Either Juvederm Ultra plus or fat are excellent options.  The chance of vision loss is extremely rare, but to minimize risks, seek out a board certified plastic surgeon or dermatologist.  Good luck!

Botox (as well as the other neuromodulators, Dysport and Xeomin) works by softening the hyperactivity of the muscles of facial expression, such as the frown lines (scowl lines) between the eyebrows, i.e. it works by suppressing dynamic wrinkling or those caused by dynamic muscle movements. However, after years of frowning, most people find that they have developed "etched-in" lines and creases following years of daily muscular activity. These wrinkles are known as static wrinkles, or wrinkles at rest. Fillers are best for elevating and smoothing these. I have personally been performing both treatments for about two decades and it has been reported and my own personal experience confirms that the use of both agents together can achieve a synergistic effect, i.e. one that lasts longer than the effects of either agent when used alone. In my NY practice, I prefer to use Belotero Balance for this purpose, since it possesses little to no tendency to give rise to the unwanted bluish/gray Tyndall Effect when injected superficially in the skin. (In my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available, I typically opt for Teosyal Redensity II or Alaxian FL for this). Injecting this area is not for novice injectors accustomed to treating simple smile lines with ordinary Restylane or Juvederm. Be sure to seek consultation and treatment by a board certified aesthetic physician with experience and expertise and make sure to ask to see his/her before and after photos before agreeing to proceed. Best of luck.. 

A hyaluronic acid filler should be able to address this issue, and should not cause any sort of vision loss. Fillers are common to fill in wrinkles where volume has been lost. I would recommend scheduling a consultation with a certified injector to discuss your options. Best of luck. 

Thank you for your question. It is very rare to experience vision loss after having a dermal filler in the frown lines. It’s also very important to seek treatment from a board-certified dermatologist. For more information, I recommend getting a formal evaluation from a specialist.