Is it possible to have horizontal lines above the eyebrows filled? (Photo)

Thank you for your question. BOTOX® typically works very nicely to temporarily smooth away lines and wrinkles on the forehead and between your eyebrows, as these are dynamic expression lines. Dermal fillers, on the other hand, typically work best for lines and creases in the mid-face area, such as laugh lines, as well as loss of facial volume. Just make sure you work with a trained and experienced professional to ensure the best results. Hope this helps.
 

Thank
you for your question and photograph. Botox cosmetic is an excellent choice for
treating the horizontal lines above your eyebrows. The results will appear in
one to two weeks, and the benefits of treatment will last up to three months.
For many patients, this is all that is needed to temporarily achieve a smooth forehead.
However, in more dramatic cases, where the wrinkles are ‘etched’ into the skin,
a soft tissue filler can be used to further smooth the tissue. I recommend
locating a board certified plastic surgeon, experienced in injectable, and
scheduling a consultation appointment. At this time, he/she can examine your
facial tissues and recommend the best noninvasive treatment for your individual
needs.

fillers certainly can help. My preferred filler in this area is Belotero. It must be injected very superficially, which is safe with this type of filler. You must go to someone experienced in this area, as the area around the eyes and lower brow are rich in blood vessels. 

Two major factors contribute to the presence of horizontal forehead "worry" lines--the dynamic (muscle contraction, movement-related) action of the frontalis muscles of the forehead with expression and the static (at-rest) appearance of "etched-in" creases that result from years of daily motion of the frontalis. To treat forehead wrinkles, much like treating the wrinkles of the scowl (frown lines between the eyebrows)  and the crow's feet lines around the eyes, you need to address both types of wrinkling. Botox (or Dysport or Xeomin) works to diminish the hyperactivity of the frontalis muscle, which is at the root of the wrinkle formation in that region. However, it takes a filler to smooth out etched-in creases once they have formed within the "fabric" of the skin. In my NY practice, I usually choose Belotero Balance for this purpose, since it possesses little to no tendency to give rise to the unwanted, bluish/gray Tyndall Effect when injected superficially as needs to be done to elevate these lines. (In my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available, I typically opt for Aliaxin FL for this indication). The combination of Botox and filler typically lasts longer than the effects of each alone. One caveat: It is unwise to inject the frontalis muscle lower than one inch or so above the brows as this might result in a brow ptosis. So, for that region, filler alone is typically used. Make sure that you consult with a board certified aesthetic physician and check out his/her before and after photos before agreeing to proceed. Best of luck. 

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs, botox could be used to improve your forehead appearance.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

If the forehead lines are not yet permanent they are treated with Botox or Dysport. These injections eliminate the muscle action on the skin and the lines disappear. If the lines are deep and permanent, you would still need to eliminate the muscle function, but because the lines are too deep and would still be visible, a superficial kind of filler like Restylane Silk or Belotero is needed to eliminate them. I have to say that an aesthetic vision is a must even for injectable use. There is nothing as artificial and unnatural looking as an expressionless forehead that has no wrinkles and eyebrows that don’t move at all. An overall look at the face considering the rest of the face and the patient’s age is very important to achieve a natural result. There is a major difference between the injectors who have learned a recipe in a weekend course and a plastic surgeon who has an aesthetic vision and knows which part of the forehead should treated.

It is possible however there are better options than fillers for that area.  Keep in mind that those lines are created by muscle action and if the muscle is not "tamed," they will persist despite fillers.A worthy combination in my office has been using Botox/Dysport in conjunction with a resurfacing technique and/or PRP.  Give me a call and we would be glad to see you!In good health,Ellen Mahony, MD

Yes, it is possible to use fillers for the forehead lines, but I would start with a neurotoxin such as Botox so they do not easily return. You may need specific filler or a generalized improvement of the quality of skin with laser resurfacing, micro needling and PRP or a good filler to help volume eyes the entire forehead in these areas. I would suggest seeing a practice which has a full line of options available to you in a large skin care center so that you know you are getting a multitude of options and best for you. Best of luck! Dr. Boschert

Absolutely. In my practice I use Botox or Xeomin to relax those lines and usually you might not need anything else, but you can fill any remaining lines with a light filler such as Belotero. In Europe it is common practice to use a neurotoxin along with a filler and in doing so the results appear to last longer.

I usually start with wrinkle relaxers like Botox/Dysport combined with at home retinol to improve forehead lines. If etched in forehead lines are present, a filler such Restylane may help.