Why do I have vertical lines on forehead long after Botox wore off as well as lumps and dents? Would filler fix this? (Photos)

Question

I have been going to a board Certified good doctor for many years for Botox at the 11 lines on forehead and the sides of the lines. Many many months ago I developed an indent that feels like there’s a bump over right eyebrow, two vertical lines over left eye and a bumpy overall appearance of forehead . The doctor said this seems like other muscles compensate for the weaker ones. They persist even after Botox has worn off. I feel as if it’s permanently altered. What can be done? Would filler help?

Jason Emer, MD · Answer

this is typically from sleeping over time develops with aging.  botox doesn't make better because this is at rest not with movement. you will see these more when the botox wears off , so filler, lasers and microneedling RF are needed to help improve these.  Best, Dr. Emer.

John Tang, MD · Answer

Based upon your submitted photos, I do think you would benefit from a dermal filler in the vertical lines.  It appears the bumpiness can be related to possibly some loss of fat around the area making what you see look bumpy.  The vertical lines itself are likely due to the ongoing contraction of the extended glabella muscles which allow for frowning.   I would recommend a formal evaluation to better understand this and to discuss your treatment options.

Shaun Patel, MD · Answer

These lines are probably related to either muscle compensation after Botox treatment or sleep position. Botox maybe used to relax these lines if they are due to muscle compensation.

Jean M. Casello, MD · Answer

You would need a formal evaluation by an experienced provider to address your concerns.  From your photos it would appear that the issues you describe are not related to the botox or dynamic wrinkles.  You would probably benefit from dermal fillers, microneedling or laser resurfacing to smooth out the area.  You would need to continue with botox treatments for dynamic wrinkles (lines that appear with movement).

Ray Bayati, MD · Answer

HelloThey do not seem related to Botox injections. A formal in-office consultation would be necessary to determine the best treatment modality.I would think filler injections by an experienced physician should take care of your concern. Restylane, Juvederm or Bellafill would be choices.Would continue with Botox injection. All the Best, Dr Ray

Why do I have vertical lines on forehead long after Botox wore off as well as lumps and dents? Would filler fix this? (Photos)

Answers (5)

Answer: Forehead lines

Answer: Forehead lines

Answer: Fillers for vertical lines in forehead

Answer: Fillers for vertical lines in forehead

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.

Why do I have vertical lines on forehead long after Botox wore off as well as lumps and dents? Would filler fix this? (Photos)

Answers (5)

Answer: Forehead lines

Answer: Forehead lines

Answer: Fillers for vertical lines in forehead

Answer: Fillers for vertical lines in forehead

Browse related questions

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.