What’s the permanent equivalent solution to the effects of Botox?

Botox alternative?I’m sorry to hear your story about Botox and other neuromodulators no longer working in your case. The surgical alternative is a brow lift and it is a surgery procedure which is typically carry it out as an outpatient. The operation will resolve the muscular movements with surgical maneuvers that permanently week in the forehead and the glabellar muscles. I recommend that you see at least three board-certified plastic surgeon’s before having your procedure.

Thank you for your question. Unfortunately, there is no permanent alternative to Botox except surgery. All the best!

Hi,During a browlift, the muscles that cause the 11's are usually cut and post-operatively you may not need botox in that area. Unfortunately, the only other way to prevent the muscles from working is cutting the nerves that supply them and that is not an option. Best,

Thank you for your question. "#11" lines are caused by activity of the corrugator supercilii muscle, a paired band-like horizontal muscle located right above your eyes. One option to treat them involves the use of neuromodulation. If you have been requiring increasing dosages to achieve the same result, your body may have developed an immune response. This "resistance" to the effects is caused by your body producing antibodies that fight or inactivate the toxin. An alternative, and more permanent, solution is the surgical resection or cutting of the corrugator muscles. This will provide long term resolution of your symptoms. This can be accomplished either endoscopically, through small incisions hidden in your scalp, or during a brow lift when you will already have an incision made. Either approach can provide you with long lasting results.

Unfortunately, injectables like BOTOX® and fillers can only provide temporary results, and those results tend to become less and less noticeable as we age. When patients reach a point where they’re no longer seeing the results that they used to and need an increasing amount of product, that’s usually a sign that it’s time for a surgical procedure instead. In the long run, a procedure like a brow lift will likely be more cost-effective than continuing to get 60+ syringes of BOTOX and still not seeing the results you’d hoped for. Best of luck!

Everyone has unique expressions. We move our facial muscles in a repetitive way and over time those repetitive movements cause wrinkles and fine lines. When you start to experience the signs of aging, Botox, Dysport, and Xeomin are available to diminish unwanted wrinkles and creases in your face.Botox, Dysport, and Xeomin lock the release of a chemical called acetylcholine, which triggers the muscle contractions that create wrinkles. Botox, Dysport, and Xeomin essentially paralyze the muscles and stops them from contracting. Results from these treatments are visible within 3-7 days with results that can last anywhere from 3-4 months. However, you may be a candidate for a browlift. Next step for you is to schedule a consultation with a board certified plastic surgeon to discuss your options and goals. Hope this helps.

Thank you for your question. As you know, evey patient is unique and a physical examination is recommended to better evaluate you and formulate a personalized treatment plan. That being said, a more permanent solution to Botox or other neuromodulator to soften and help get rid of forehead wrinkles may involve a combination of forehead or brow lift or upper eyelid surgery. During these surgical procedures, strips of muscles that are responsible for facial expressions and thus wrinkles are permanently removed. Hope this helps answer your question. 

You maybe a good candidate for a brow lift.  A proper examination is required to give you the best options for you! 

I encourage you to meet with a board certified plastic surgeon in your area to discuss your concerns.  You may be a candidate for a brow lift which may address some of your issues.  During a consultation you can discuss your surgical goals, and together with your surgeon you can determine the best treatment plan for you.

It's hard to comment on your case without getting a more complete history. I would want to look more closely at the dose being used. Surgical resection of the muscles can be a permanent solution but I will defer to the plastic surgeons to comment further on this option.