How to get rid of this stubborn line that appeared after Botox? (Photo)

What you're experiencing is a common concern, especially in patients who have been getting Botox regularly. This stubborn line likely represents a static line, meaning it's now visible even when your facial muscles are at rest. Botox is effective for dynamic wrinkles (those that form with movement), but static lines can remain even after muscle activity is relaxed.

Here's what may help:
Time + Consistency with Botox
Sometimes consistent Botox over time softens static lines gradually. Ensure you're not waiting too long between treatments and that the units used are adequate, particularly in the glabellar complex.

Microneedling or Laser Resurfacing
These treatments help rebuild collagen in the dermis and can improve the depth and texture of static lines.

Topical Retinoids
Prescription-strength retinoids (like tretinoin) can help increase cell turnover and improve the appearance of fine lines over time.

Skin Boosters / Biostimulators
While traditional dermal fillers in the glabella carry higher risk, alternatives like Skinvive (hyaluronic acid microdroplets) or Sculptra (poly-L-lactic acid) in surrounding areas may stimulate collagen production and improve texture indirectly.

Hydration and Barrier Support
A compromised skin barrier or dehydration can make lines appear more prominent. Using serums with hyaluronic acid and moisturizing regularly can help plump the skin slightly.

Final Thought
Your injector is correct to avoid filler in that area due to vascular risk, but there are still non-filler solutions worth exploring. With a combination approach (botox + collagen-stimulating treatments + topicals), you can likely see gradual improvement.

Let me know if you'd like specific product or treatment recommendations to discuss with your provider.

Treatment options for these persistent lines include very carefully placed filler directly within the superficial dermis, using a very soft product and a very conservative approach. This must be done only by an experienced injector or plastic surgeon familiar with the anatomy, since the deeper layers are close to blood vessels where complications can occur. Another option in the right setting is facial fat transfer, sometimes using nanofat. Good luck!