How Do I Get Rid of the Horizontal Crease Between my Eyes?

Horizontal wrinkles on nose between eyes are usually caused by the procerus muscle. Botox can help. The first step is an in person evaluation by someone who is familiar with treating lines in this area.

Botox should be able to quiet the muscle that is causing the horizontal crease between your brows. If the crease is very deep, you may need a hyaluronic-acid based filler, such as Restylane or Juvederm, to smooth it out. It is also possible that you might benefit from a slight browlift with Botox. Consulting a board-certified dermatologist who has expertise in Botox injection will allow your wrinkle to be evaluated and the best treatment plan chosen.

Botox would certainly help this area soften. Consult in person with an experienced injector for an assessment.

 

At the very top of my nose, between my eyes is a crease that appears as if my forehead is slipping down, which it probably is because when I put on a tight headband it lifts and softens. Would botox help with this?

 

Most of the time, wrinkles between the eyes are vertical (i.e. frown lines). However prominent horizontal lines are likely to be the result of excess activity with the proceris muscle.  Injecting Botox in this area should help.

You may still see a visible line after the Botox treatment. Botox will only address the muscle component of wrinkles. However, if the line is etched into the skin, a dermal filler might be needed to improve the appearance of this area in a more complete fashion.  

 

Most likely, Botox will help reduce the appearance of the creases between your eyes. You should consult in person with a facial plastic surgeon to make sure Botox is the correct treatment. If you have more severe sagging, other treatments might be better.

When the forehead appears to be hanging down as a shelf over the crease, Botox often helps lift the glabella and the line improves. It might be prudent to not treat the upper forehead the same day and ensure that you get a good result because treatment of the upper forehead can cause it to lower and fight against the good result that the botox glabellar treatment provides.

That crease is difficult to correct- a subtle crease will improve with Juvederm.  More significant crease may respond to a forehead lift. 


 

 Because your crease resolves with a headband, it sounds like you need both a Botox brow lift and some filler to even out the crease. Please see a board-certified dermatologist to find out how you can get a more uplifted look with Botox. 

Thank you for your question Los Angeles2748. I understand your concern. Botox is a purified protein
used to address wrinkles associated with facial expression. When injected into
the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the
upper face. These include the horizontal lines seen on the upper forehead when
one raises the brows, the vertical lines seen between the brows when one frowns
(frown lines), and the crow's feet seen around the eyes when one smiles.It is difficult to make an assessment without a
formal exam in the office where I can view the skin in multiple angles and
observe wrinkles formed with facial expression. However I hope that the information provided here is helpful.The appearance of frown lines is variable from
person to person. Usually they are in a vertical orientation but sometimes they
can be oblique and sometimes a horizontal line is seen across the upper portion
of the nasal bridge as you described. The most common variation is to have two parallel lines,
hence the common term "11's" to describe them. But some people have
one, three, or more lines. Some people also will see a bulge in the area when
contracting the muscle. This bulge is smoothened out after a Botox treatment.The pivotal studies used 20 units of Botox in
the glabella area between the brow to address the frown lines. These studies
demonstrated that the peak results are seen 14 days after the treatment and
most people enjoy their results for 3-4 months. At that point, a maintenance
treatment is recommended. While some people start to see results as early as
the next day, it can take two weeks for full results so patience is
important. We have our patients return two weeks after their treatment to
assess their results via photographs. At that time additional units may be
added if necessary.Some people have lines at rest (that is without
facial expression) which get deeper with facial expression. In these cases, the
wrinkles often do not go away completely. However, I find that if patients
continue treatments every three months as recommended the wrinkles smoothen out
after approximately one year.With any injection, there are risks such as
pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take
special precautions to minimize these risks such as using a painless technique.
We also treat bruises with a laser as early as the next day. Bruises usually
resolve within two weeks if untreated. After a laser treatment bruises usually
resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is
also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile. Diffusion of Botox into nearby areas may also be caused by
other preventable things. For this reason, I recommend that my patients carefully follow the simple aftercare instructions described below.After a Botox treatment, I recommend that my
patients avoid heat exposure, alcohol consumption, and strenuous exercise for
24 hours and not lie down flat for four hours. This is because all of these
activities may possibly lead to the movement of the product and consequent side
effects such as droopy eyelids as described above. Although there have been no
definitive studies shown that these actually occur and some physicians do not
provide such aftercare instructions, in the absence of data I err on the side
of caution and recommend that my patients avoid such activities.Botox is what we call a neuromodulator. This
means that it controls nerves to relax the muscles by preventing them from contracting.
Botox is the most popular neuromodulator available, has been the most studied,
and is cleared for the most number of indications. Other neuromodulators
available in the United States include Dysport, Xeomin, and Mybloc. Overseas
many others are also available. Each product has slight differences, but all of
them work. The majority of our patients find that they like the results of
Botox the best. Additionally, Allergan, the maker of Botox, offers the
Brilliant Distinctions Program. This is a rewards program where patients
receive points from their Botox treatments which can be used toward discounts
at subsequent treatments. Points are also received when patients purchase other
treatments in the Allergan portfolio including Juvederm Ultra, Juvederm Ultra
Plus, Voluma, Volbella, Vollure, and Kybella or products such as Latisse or
Skin Medica products.I find that combining Botox with other
treatments or skin care regimens enhances the results and allows patients to
enjoy their results for longer. One specific topical product our patients have
found to be outstanding in conjunction with a Botox (and filler) treatment is
our Hydrating Serum, which contains hyaluronic acid. Hyaluronic acid draws water
into the skin and helps to fill in fine lines and wrinkles.Please consult with a doctor for specific
recommendations. Good luck!

The horizontal crease between the eyes is often caused my moving the facial muscles underneath the surface of the skin. A neurotoxin such as Botox or Dysport would be the best treatment for this area. These medications are injected into the muscles to relax the muscles which improves the wrinkle.  If botulinum toxin can’t be used for some reason, or isn’t enough in a particularly deep crease, use of Restylane or Juvederm there would also be appropriate.  If no injectables are desired, I have had some success with fractional radiofrequency device known as eMatrix.