Best treatment for horizontal nasal bridge wrinkle?

Question

Hi, I have a horizontal line that sits at the top of the nasal bridge, in between my eyes. What is the most effective way to treat this line? Filler? Or Botox in the procerus muscle to help 'lift' it?

Jennifer Thomas-Goering, DO, MBA · Answer

The static wrinkle on the bridge of the nose is created by the procerus muscle depressing between the eyes. If you inject botox, you will paralyze the muscle and soften that line and prevent it from becoming deeper. If you have a deep static wrinkle there, you will need some type of skin resurfacing to correct that line and stimulate collagen. This would be laser ablation, microneedling, chemical peels, or microdermabrasion. Filler could be dangerous if injected by an inexperienced provider. Filler will only soften the line, it won't remove it. The only way to remove it is from one of the methods above. Good luck!

Jason Emer, MD · Answer

I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Hello and thank you for your question. The deep horizontal line between your eyes (also referred to as a bunny line) may be caused by the hyperactivity of the muscle. Botox can be injected to soften the muscle and smooth out the wrinkle. To determine the best treatment option, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon who will recommend the appropriate treatment plan to ensure the best possible outcome.

Jules Feledy, Jr., MD · Answer

Hello. Thank you for your question. The nasal bridge wrinkle is often challenging to treat. A first line treatment is Botox in the procerus region. Despite this, the wrinkle is often under treated. The addition of filler is generally required. Even so, the line is improved but still present.

Camille Cash, MD · Answer

Botox would be the first treatment to help improve the nasal bridge wrinkle.  If the result is not adequate you can then go back and address it further with filler.   See an expert injector near you for treatment.

Best treatment for horizontal nasal bridge wrinkle?

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Best treatment for horizontal nasal bridge wrinkle?

Answers (10)

Answer: Nasal Bridge Wrinkle

Answer: Nasal Bridge Wrinkle

Answer: Nasal bridge

Answer: Nasal bridge

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