Ive recently had 20 units of dysport and im panicking because my brows have dropped tremendously and i look really angry. I do however want to get rid of my forehead lines in the future but i don’t know whether i should turn back to botox/dysport? Is it possible to just fill in those lines with hydrochloric acid filler instead?
Answer: Botox, Dysport & Xeomin All Fine For Dynamic, Horizontal Forehead "Worry" Lines, But Hyaluronic Acid Fillers For Static Lines I have been injecting Botox for expression-related (i.e. movement-related, dynamic) horizontal "worry" lines ever since the early 1990s. It has long been known that if one injects within one-inch or so or less within the region above the eyebrows, then a brow drop (ptosis of the brows and lids) is a likely unwanted consequence. And this may be what happened in this particular case. Expert, experienced injectors are careful to respect the appropriate muscle anatomy in order to avoid such unwanted results as described here And although for the past ten years I prefer Dysport for most facial uses (since I find its benefits start a bit earlier, are a bit stronger, and last a month or two longer), Botox & Xeomin are each quite effective, as well. My guess is that the brow/lid heaviness relates to Dysport simply having been injected a bit too low on the forehead. As to whether a hyaluronic acid filler would be helpful, the answer depends upon whether or not there are static wrinkles present (i.e. wrinkles evident when the expression muscles are at rest). If so, then a hyaluronic acid filler can be quite helpful for elevating and smoothing the lines. Belotero Balance is my favorite for this in my NY practice, since it possesses little tendency to engenger the unwanted bluish/gray Tyndall Effect when injected superficially within the skin. (In my Israel satellite facility, where a far greater number of regulatory agency fillers are available, I typically opt for Toesyal Redensity II or Aliaxin FL for this purpose). Combining Botox and filler typically produces results that last considerably longer than the results of either treatment alone. Make sure that you are consulting with a board certified aesthetic physician and be certain to ask to see his/her before and after photos before agreeing to proceed. Best of luck.
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Answer: Botox, Dysport & Xeomin All Fine For Dynamic, Horizontal Forehead "Worry" Lines, But Hyaluronic Acid Fillers For Static Lines I have been injecting Botox for expression-related (i.e. movement-related, dynamic) horizontal "worry" lines ever since the early 1990s. It has long been known that if one injects within one-inch or so or less within the region above the eyebrows, then a brow drop (ptosis of the brows and lids) is a likely unwanted consequence. And this may be what happened in this particular case. Expert, experienced injectors are careful to respect the appropriate muscle anatomy in order to avoid such unwanted results as described here And although for the past ten years I prefer Dysport for most facial uses (since I find its benefits start a bit earlier, are a bit stronger, and last a month or two longer), Botox & Xeomin are each quite effective, as well. My guess is that the brow/lid heaviness relates to Dysport simply having been injected a bit too low on the forehead. As to whether a hyaluronic acid filler would be helpful, the answer depends upon whether or not there are static wrinkles present (i.e. wrinkles evident when the expression muscles are at rest). If so, then a hyaluronic acid filler can be quite helpful for elevating and smoothing the lines. Belotero Balance is my favorite for this in my NY practice, since it possesses little tendency to engenger the unwanted bluish/gray Tyndall Effect when injected superficially within the skin. (In my Israel satellite facility, where a far greater number of regulatory agency fillers are available, I typically opt for Toesyal Redensity II or Aliaxin FL for this purpose). Combining Botox and filler typically produces results that last considerably longer than the results of either treatment alone. Make sure that you are consulting with a board certified aesthetic physician and be certain to ask to see his/her before and after photos before agreeing to proceed. Best of luck.
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Answer: Forehead lines Yes forehead lines can be safely addressed with Dypsort/Botox. It is important that you visit with an experienced injector for treatment and discuss the concerns with your current treatment. Filler is not recommended typically for the forehead due to risk.
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Answer: Forehead lines Yes forehead lines can be safely addressed with Dypsort/Botox. It is important that you visit with an experienced injector for treatment and discuss the concerns with your current treatment. Filler is not recommended typically for the forehead due to risk.
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January 13, 2018
Answer: Eyebrow drop... I appreciate your question. An injection of Dysport involving 20 units is very small. I’m surprised to see you’ve had a drop in the eyebrows. Injections in the forehead can be effective to reduce forehead wrinkles, but the injections should be done away from the brows.Best wishes. Dr. Aldo
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January 13, 2018
Answer: Eyebrow drop... I appreciate your question. An injection of Dysport involving 20 units is very small. I’m surprised to see you’ve had a drop in the eyebrows. Injections in the forehead can be effective to reduce forehead wrinkles, but the injections should be done away from the brows.Best wishes. Dr. Aldo
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December 12, 2017
Answer: Botox for forehead lines Hi,Thank you for your question.Botox is FDA approved for the treatment of forehead lines but care should be taken not to over treat the area because the frontalis (forehead muscle) is the only muscle that elevates the eyebrows. Generally speaking, I advise against isolated treatment of the forehead without treating the glabella complex because it will result in unopposed depressor activity from the glabella and orbicularis. Depending on whether your forehead lines are static (at rest) or dynamic (with movement), you may benefit from filler treatment. Botox is typically recommended first, or in conjunction with fillers, as it prevents the wrinkles from deepening. I would encourage you to see an experienced injector for Botox treatment to see if you can achieve your desired outcome without the brow heaviness.Hope this helps!
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December 12, 2017
Answer: Botox for forehead lines Hi,Thank you for your question.Botox is FDA approved for the treatment of forehead lines but care should be taken not to over treat the area because the frontalis (forehead muscle) is the only muscle that elevates the eyebrows. Generally speaking, I advise against isolated treatment of the forehead without treating the glabella complex because it will result in unopposed depressor activity from the glabella and orbicularis. Depending on whether your forehead lines are static (at rest) or dynamic (with movement), you may benefit from filler treatment. Botox is typically recommended first, or in conjunction with fillers, as it prevents the wrinkles from deepening. I would encourage you to see an experienced injector for Botox treatment to see if you can achieve your desired outcome without the brow heaviness.Hope this helps!
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December 11, 2017
Answer: Filler for forehead lines Filler can improve the forehead lines without drooping the brows. Hyaluronic acid fillers like Restylane, Juvederm and Belotero work well. If the lines are superficial then Belotero will be the best option. RegardsDr.Janjua
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December 11, 2017
Answer: Filler for forehead lines Filler can improve the forehead lines without drooping the brows. Hyaluronic acid fillers like Restylane, Juvederm and Belotero work well. If the lines are superficial then Belotero will be the best option. RegardsDr.Janjua
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