Can my sleeping position cause glabellar lines? Will Botox help?

Hi @realsisa! Botox works by temporarily paralyzing the targeted muscles. This is an excellent treatment to reduce appearance of wrinkles. Best of luck, Dr. Nima!

"​For glabellar lines (or frown lines / ""11"" lines), we inject Botox, Xeomin, or Dysport into the muscle, causing the muscle to weaken and improving the appearance of the lines. These work by binding to receptors that send nerve signals for muscles to contract. Since your body makes new receptors and neurotransmitters all the time, it needs to be maintained otherwise the wrinkles will slowly return as the muscle regains function over time. Neurotoxins take 2 to 4 weeks to start working and lasts for up to 6 months.

For deeper glabella lines or strong 11s, I use a combination of Botox with fillers, lasers and microneedling with PRP. I suggest getting a formal evaluation with an experienced cosmetic dermatologist and expert in lasers and fillers. Best, Dr. Emer
​

Hello,
Thank you for your question.
Botox injection is an excellent treatment to smooth the 11 lines/glabella and typically requires 15-20 Units. Botox works by temporarily paralyzing the targeted muscles and results typically last 3-4 months.
The way you are sleeping, does not significantly affect the glabellar lines.
I would recommend an in person consultation with a Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results.
I hope this helps. Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Thank you for sharing your question. If the lines are truly glabellar and not due to say your pillow pressing against your skin, then Botox should help.

Botox is commonly used for the glabella area to soften dynamic lines. It's difficult to say if your sleeping position is causing them or if they are more pronounced after sleep. Visit with an experienced injector near you for treatment. You will be able to see final results after 2 weeks.

Thank You for sharing your question. While sleeping, we might be contracting our Glabellar lines unbeknowst to us. Similar to grinding your teeth (bruxism) while sleeping. Glabella (frown) lines occur due to Glabellar muscles and they can be contracting while we are sleeping. Therefore, treating this area with Botulinum toxin such as Botox, Dysport, Xeomin will help minimize this.

Sleep lines do occur usually on the cheek or the forehead but they are totally independent of the glabellar lines

Hello and thank you for your question. You can develop lines on the surface of the skin from sleeping however not usually in the glabellar. Glabellar lines can be very effectively treated with Botox but lines due to sleep are more challenging as Botox targets lines caused by muscle movement. The best option would be to go to clinic for an in person assessment. Please always seek an experienced and qualified injector. Hope this helps, Best wishes

Good day! Thank you for your question. Botox and other FDA approved neuromodulators improve the wrinkles that you see when you animate your face, i.e. scowl , raise your brow, squint. Fine lines and wrinkles that you see when your face is in repose can be mildly improved by injecting Botox; however, often the best treatment for lines like "sleep lines" are skin resurfacing procedures, such as CO2 laser and radiofrequency microneedling. At my practice we use the top rated, per a survey on RealSelf, skin resurfacing technologies--DEKA for CO2 laser resurfacing, the Venus Viva and the Vivace for radiofrequency. Patients typically see excellent results after one treatment. Hope this helps address your concerns.