How to get rid of Procerus Static Wrinkle? (photo)

I have routinely been treating this very common problem for many years with very gratifying and durable results. Static (at-rest) glabellar "frown lines" of all kinds, be they "eleven lines" or the horizontal line note here, result from two underlying causes, both of which should ideally be treated in order to achieve satisfying and durable results.
The underlying cause of these lines is typically the daily repetitive movement of the muscles of expression located there, which we tend to use numerous times each day. Over the years, especially as we enter midlife, the overlying :"fabric" of our skin becomes permanently etched and creased, so that even when the underlying muscles are at rest, the skin continues to show the "frown lines." as is the case here.
So, for best and more durable cosmetic improvement, a two-pronged approach is used. Botox can be used to address the movements of the underlying muscles (The intent is not to "freeze" the muscles so that you cannot emote, but rather to diminish their overactivity), and a low viscosity, malleable, cohesive HA filler can be used to elevate and smooth the creases in the "fabric" of the skin.
In the hands of an experienced, board certified cosmetic dermatologist filler expert, the very superficially placed injections needed to achieve elevation and smoothing of the etched lines typically poses little risk.
Please note: unfortunately, the hard science to promote the use of so-many of today's expensive, here-today-gone tomorrow light and energy-based gizmos, like fraxel lasers, RF devices, etc, lags woefully behind the heavy marketing and social media buzz that hawks them. So, you would be wise to exercise a whole lot of "buyer beware" when being presented with these types of options Hope this helps and best of luck.

Addressing static wrinkles, such as those over the procerus muscle, can indeed be challenging, especially if Botox alone has not been effective. Here are some options to consider:

Combination of Botox and Fillers: While Botox can help prevent further deepening by relaxing the muscle, dermal fillers can be used to fill in the static wrinkle, providing a smoother appearance. This should be done by an experienced professional who can minimize risks and discuss your concerns about fillers.

Laser Treatments: As you mentioned, fractional lasers like Fraxel or CO2 laser resurfacing can be effective for reducing the appearance of static wrinkles. These treatments work by promoting collagen production and resurfacing the skin, which can improve skin texture and reduce the depth of wrinkles.

Microneedling with PRP: Microneedling combined with platelet-rich plasma (PRP) therapy can enhance skin rejuvenation by stimulating collagen production and improving skin texture.

Chemical Peels: Medium-depth chemical peels can help improve the appearance of static wrinkles by encouraging the turnover of skin cells and promoting new collagen formation.

Continued Use of Retinoids: Since you are already using tretinoin, continue with this as it helps in maintaining skin health and promoting collagen production over time.

Consult with a Specialist: It’s important to consult with a board-certified dermatologist or plastic surgeon to evaluate your specific needs and develop a tailored treatment plan. They can provide guidance on the most appropriate and safe combination of treatments for your situation.

Each of these options has its own benefits and considerations, so a professional consultation is key to determining what will work best for you.