Are neuromodulators enough for this deep gabullar crease? What would be the best option? (Photos)

Question

I have a treatment plan for my acne scarring and linear scar but I don’t know what to do with this gabbullar crease neuromodulators haven’t really worked

Nelson Lee Novick, MD · Answer

This is a very, very common problem and one that when properly treated requires BOTH calming the underlying muscular movements responsible for creating the creases with a neuromodulator, and, afterwards using an appropriate HA Filler to elevate and smooth the creases that have already been etched into the fabric of the overlying skin after years of untreated muscular movement. 
Think of the overlying skin as a  "fabric" that has been folded and refolded thousands of times over the years. Even if stop folding it the creases will still show. Well that's really what happened to your skin., except the constant folding resulting from the underlying muscles has deeply etched itself in the skin.
So, in order to achieve optimal results, you must first address the muscular activity below with neuromodulators, like Botox or Xeomen, and then, AFTERWARD, address the residual creasing by elevating and smoothing them with the use of an appropirately chosen and injected HA Filler. 
Repeatedly injecting with Botox by itself, not surprisingly, would not not be expected to produce a successful aesthetic outcome. 
You would be wise to make sure consult with an experienced, board certified cosmetic dermatologist injection expert and best of luck.

Are neuromodulators enough for this deep gabullar crease? What would be the best option? (Photos)

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