Tissue Fillers for the Forehead and Bridge of Nose?

Thanks for the interesting question. I often have patients who ask me the very same thing during their skin consultations. The approach which I have found most helpful is to use Botox or Dysport for these deep horizontal forehead lines, vertical lines between the eyebrows, and nasal bridge lines ("bunny lines") first and then see the patient back in 1-2 weeks. At this point if there is a bit of a residual wrinkle, a small amount of a filler such as Restylane or Juvederm can be placed to fill it. Because these lines are related to muscle activity constantly folding the overlying skin, the best approach is to start with a neuromodulator such as Botox or Dysport to relax the muscles. The vast majority of the time, this single treatment is sufficient. 

Best,

Dr. Mehta

In the vast majority of patients with glabellar frown lines
and transverse nasal wrinkles, the treatment of choice is Botox.This product works by decreasing the ability
of the forehead muscles to contract.When strategically placed it can impact the glabellar muscles and
minimize vertical glabellar frown lines and transverse nasal lines.Unfortunately,
botox may not totally alleviate these frown lines when they are of long
standing duration and deeply etched into the forehead and nose.Under these circumstances, injectable fillers
may be effective in treating this problem.In most
cases we utilize hyaluronic acid fillers.These include Juvederm, Restylane and Perlane to name a few.These products typically last about 6 to 9
months.In patients who want more
permanent solutions we utilize Radiesse.All of these products are associated with excellent clinical results and
high levels of patient satisfaction.If
Botox hasn’t adequately addressed vertical glabellar frown lines and transverse
nasal lines, consultation with a specialist is appropriate.This specialist should be able to formulate a
treatment plan that uses injectable fillers to address this problem.

The line you describe on the bridge of the nose would most likely be suited for a combination of Botox and Restylane. In cases like yours, Botox can often not be enough to solve the issue and a dermal filler is used to provide volume to the skin in the crease at the same time that Botox works on relaxing the muscle.
We would not recommend using Restylane for the forehead lines and would recommend a surgery consultation instead.