Forehead tension causing deep mid forehead line. (Photo)

A combination of lasers, microneedling/prp with Botox could be used in this area with a great result. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Thank you for your question and photo!  Botox placed correctly should soften the line, i'd wait 2 weeks and then you can place a small amount of filler in the line.  Please be sure to see an experienced injector, as filler placed in this line  can be dangerous if placed incorrectly.   Best of luck to you.  

A combination of Botox Cosmetic® and a thinner-viscosity filler such as Belotero® or Restylane® can be a great option as a more complete treatment than Botox Cosmetic® alone for deep forehead wrinkles.

Thank you for your
question miaalanna. I am sorry to hear about your situation. Botox is a
purified protein used to address wrinkles associated with facial expression. When muscles in the face are used a lot wrinkles can be seen. This is the same as the definition one sees in the muscles on the body when exercising them. Botox relaxes the muscles so that they do not contract. If one has definition in a muscle on the body from exercising and then stops exercising the definition will go away slowly over time. Same with the face. The muscle needs to be relaxed with Botox on the face. But since most people enjoy the results of their Botox treatment for 3-4 months a maintenance treatment is recommended at that time to keep the muscle relaxed. After several sessions a gradual improvement may be seen. While some doctors use fillers in this area I avoid them as their is an increased risk for blindness when using fillers in this area. Skin tightening treatments such as fractional CO2 lasers can help tighten the skin overlying the muscle and further smoother out wrinkles.  Please consult with
a doctor for specific recommendations. Good luck!

This area of the glabella is the most popular area to have Botox injected.  Because this line is already quite deep it will take consistent injections over time to flatten this line out. I would also suggest a small amount of filler in this area.  Please consult a board certified dermatologist with is an expert in Botox for the best cosmetic results.  Best, Dr. Green

Thanks for sharing your photo.  The line that you describe can be treated with products like Botox or Dysport. Botox should be injected into the glabellar area to help reduce movement of the underlying facial muscles that create this crease.  This may be enough to remove the crease, but would likely take multiple treatments.  Depending on your response to Botox, a small amount of filler may be useful to "plump" and flatten the crease once the underlying muscular issue is addressed. 

in our dermatology practice we use Botox for forehead lines all the time, We do not use it however to reduce tension in forehead. I recommend you to discuss specific issues regarding your questions with your dermatologist. 

Mia,This crease will eventually soften with Botox/dysport/xeomin that is properly injected. The  typical migraine protocol does not treat this area. Like others have said, it takes multiple treatments to finally get this crease out. It is like letting down an old hem on a dress. You have to wash it and iron it over and over to finally flatten it out.  I use small amounts of soft filler to flatten if patient does not want to wait. 

Thanks so much for your photo and question.  Doing regular Botox in the glabellar area (around 20 units) will eventually smooth out the crease that is causing you frustration.  It may take around a year to start seeing any real improvement with getting Botox in this area every 3-4 months, but you will see positive change.  I recommend my patients who struggle with deeper creases in their face or neck, go through a series of microneedling treatments along with receiving Botox.  Microneedling is amazing for improving skin texture/tone, minimizing lines and wrinkles, and decreasing pore size.  It takes 5 or 6 microneedling treatments spaced out about a month apart to see "wow" results.  But doing both Botox and microneedling will make your face look and feel amazing.  Wishing you all the best on your journey!

Botox if placed correctly will help soften the line and make it look less deep. However it is partially etched into the skin, so combining Botox with filler, RF-microneedling or laser resurfacing will give you better results. Good luck.