What is the best filler for deep glabellar lines? (photos)

Botox is a great alternative to help prevent future line/wrinkles and can help soften lines on the forehead if they're not to deep to start, its best you seek a reputable Board certified physician for an in-person evaluation to see what may be best for your aesthetic desires.

Thank you for your question and photos. Glabellar lines are dynamic wrinkles that form as the result of certain facial expressions. As you have discovered, the lines can become permanently etched over time. This can make them more challenging to treat, but you do have options. I would likely recommend a neuromodulator like Botox first, since this is the treatment of choice for dynamic wrinkles. While you might not see full reduction in the lines with your first treatment, you should notice additional improvement after a few treatment sessions. You can also supplement the neuromodulator with a small amount of an HA filler directly and superficially into the lines. This procedure should only be done by a very experienced, board-certified injector. With a qualified injector, I would expect you to see very good results with these two options.

I would recommend starting with a Botox treatment to soften the lines and then be reassessed for filler. There are various different filling products that can be used for this area. Schedule a consult with an expert injector to discuss treatment and concerns. All the Best!

Patients with deep
frown lines, such as yours in the photo, often benefit most from a combination
approach involving BOTOX and a dermal filler, such as JUVÉDERM. The BOTOX will
prohibit the muscles from worsening the wrinkles and the JUVÉDERM will beautifully
fill in the furrows creating a smoother appearance. If you are consistent with
your treatment plan, you will likely need fewer units in the future to maintain
your look.

Juvederm Ultra XC or Juvederm Ultra Plus XC is a GREAT option for DEEP glabellar lines. An adjunt to this could be Botox to weaken the corrugator muscle within the glabella area. This combination will give a soft, smooth frown free appearance.  T. Ryan RN Injector for Dr. Peter Capizzi at Stillwater Plastic Surgery.

If you were my patient, I would start with Botox and see if that resolved the lines.  If not, then I would offer filler BUT it must be done carefully due to the risk of blindness in this area.

Hello Steph. I would definitely try Botox first if you have not done that yet. You may get the results you want with Botox alone. If after 2 weeks of Botox you still have some deep lines remaining then a very small amount of filler can be used to help reduce the appearance of deep lines. I like using Belotero for this because it is a lighter compound that can be injected superficially. This is a very tricky area for filler injection, therefore, it's important that you choose an injector (preferably a surgeon) who has an excellent knowledge of the anatomy of the area. Hope this helps!

With Botox treatments every 3 to 4 months, the skin can rejuvenate in that area.  If you want instant gratification, Restylane-L or JuvedermXC can be used skillfully in the depressions.  Filler along with Botox will give you the best and longest results.

Thank you for the photo.  For glabellar lines (11's) such as the ones shown in the photo, I would recommend a neurotoxin (Botox or Dysport) coupled with a filler.  My filler of choice in this area is Restylane.  This is a non-FDA approved use of the filler and injector experience is critical in this area due to the superficial network of blood vessels. In order to prevent problems (vascular occlusion), I routinely pre-inject with lidocaine 1% with 1:100,000 epinephrine in order to vasoconstrict the blood vessels.

Thank you for your question! Certainly the first treatment you should do is Botox, for which you are an excellent candidate.  If after a month they have not smoothed out completely, you can have a small amount of a filler like juvederm xc injected very carefully and superficially.  It is important that this is done by an experienced physician injector. Best of luck!