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

Question

I get Botox regularly (about every 4 months) and recently this line appeared in between my forehead that won’t go away after treatment. Do I just need more Botox or how can I get rid of it? Injector won’t put filler in that area

Camille Cash, MD · Answer

If you are still able to animate this area even after your Botox treatment then additional Botox may help.  If not, this is a static line.  Potential options for treatment are microneedling or Morpheus8 treatments to address skin tone and texture.  I've included a video I hope you find helpful.

Nick Slenkovich, MD · Answer

Hello! I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center.  Yes, you may need a dose increase of Botox to fully address that line. Another factor to consider is that forehead lines can sometimes result from side sleeping, so it may help to be mindful of your sleeping position as well.

Anna Chacon, MD, FAAD · Answer

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.

Darryl J. Blinski, MD · Answer

The photo shows a light vertical line in the area medial to the eyebrow options would be injections of some type of HA filler every 3 to 6 months most likely skin capital VIVE or for Bella. Other option would be end delays the area with combination of RADIESSE/S CULPRA fee $2500 for that option best to virtual consult with for better understanding.

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

Answers (4)

Answer: Lower forehead, post Botox vertical line option

Answer: Lower forehead, post Botox vertical line option

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Everything you need to know about Botox

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

Answers (4)

Answer: Lower forehead, post Botox vertical line option

Answer: Lower forehead, post Botox vertical line option

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.