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.