Hello, I am a 48 year old man looking to improve the deep frown line between my eyebrows. My question is which filler is best for this area? I heard Hyaluronic acid or HA fillers might be best- is this true? Thank you
June 25, 2023
Answer: Fillers for frown lines These lines between your brows are are caused by movement of the gabellar muscles. The best way to treat this would be to use Botox or one of the other 5 botulinum toxin products available in the US. I would not recommend fillers in this area. The blood supply is limited and if the fillers are injected into a vessel, this is a high risk area for skin necrosis. More scary is the risk of blindness when injecting into this area. Having said that, I do sometime use fillers in this area. If the lines are etched in to the skin, you may need a little more help to pop them out. I use hyper diluted hyaluronic acid fillers and inject very very superficially and very very carefully. Fillers in this area should only be attempted by very experienced injectors and should not be done repeatedly. Once you fill the engraved lines, you can maintain by keeping up with your botulinum toxin treatments.
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June 25, 2023
Answer: Fillers for frown lines These lines between your brows are are caused by movement of the gabellar muscles. The best way to treat this would be to use Botox or one of the other 5 botulinum toxin products available in the US. I would not recommend fillers in this area. The blood supply is limited and if the fillers are injected into a vessel, this is a high risk area for skin necrosis. More scary is the risk of blindness when injecting into this area. Having said that, I do sometime use fillers in this area. If the lines are etched in to the skin, you may need a little more help to pop them out. I use hyper diluted hyaluronic acid fillers and inject very very superficially and very very carefully. Fillers in this area should only be attempted by very experienced injectors and should not be done repeatedly. Once you fill the engraved lines, you can maintain by keeping up with your botulinum toxin treatments.
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June 23, 2023
Answer: Botox For The Dynamic Component Of Wrinkles; Filler For The Static Component The proper way to treat eleven lines (and also horizontal forehead worry lines and crow's feet on the sides of the eyes) is to first address the dynamic component, i.e. the underlying movement of the experssion muscles responsible for the appearance of these lines in the first place. Once these muscles are quieted with Botox, then filler can be used for the wirnkles in the overlying skin that the muscular movement gave rise to. If both the dynamic and static are treated in one session, as is often the case, the filler is placed first and then the Botox given. If performed in separate sessions, Botox is given in the first session and then the filler in the subsequent one. You would be wise to consult with a board certified cosmetic dermatologist and best of luck.
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June 23, 2023
Answer: Botox For The Dynamic Component Of Wrinkles; Filler For The Static Component The proper way to treat eleven lines (and also horizontal forehead worry lines and crow's feet on the sides of the eyes) is to first address the dynamic component, i.e. the underlying movement of the experssion muscles responsible for the appearance of these lines in the first place. Once these muscles are quieted with Botox, then filler can be used for the wirnkles in the overlying skin that the muscular movement gave rise to. If both the dynamic and static are treated in one session, as is often the case, the filler is placed first and then the Botox given. If performed in separate sessions, Botox is given in the first session and then the filler in the subsequent one. You would be wise to consult with a board certified cosmetic dermatologist and best of luck.
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