Forehead tension causing deep mid forehead line. (Photo)

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