Static Glabellar Wrinkle - Filler or Botox? (photos)

start with botox - it should ease the lines.If you don't think the result post botox is enough - judicious use of a softer filler like restylane / juverderm may be required.

A
Botox treatment in your frown area will help to decrease these lines, by
relaxing your muscles underneath, even when you are not frowning. However, if
they are very deep lines, they will not go away completely but will look much
less prominent. I do not use filler in this area as there are significant
risks, whereas Botox is safe in this area.

Botox can relax the frown muscle so the skin won't bend but the existing crack in the skin will only improve by filling it, so combination of Botox and filler is the best for optimal improvement. Filler injection would be safe if injected very superficial.

As you've hinted at, Botox is excellent for addressing dynamic wrinkles - those that are created from the movement of your facial muscles.  Movement of the muscles causes the overlying skin to wrinkle, and with constant wrinkling can cause the skin to become permanently creased.  While Botox will help soften your creases, it may be necessary to also have some filler injection to fully address them.

Hi Sparky.  As Dr. Truong points out, we always start with Dysport (Botox).  If the smoothing effect achieved with Dysport alone is not enough for the patient, then we proceed to a dermal filler and we prefer Restylane in this area because it is a softer, smoother gel.  Make certain to find an injector well versed with injecting off label areas with fillers (like between the eyes).  Good luck.