Dent on my glabellar line. So, I had botox for the very first time in the beginning of April this year for my glabella line. I also have a dent in between my eyebrows right where my glabeller is. The botox didn't do justice for the dent but did decrease the size of wrinkle. Can a fat graft be done to fill my indent, or can I get a filler. My derm mentioned the complications that could come with a filler. But I hate my dent. It's so unattractive. I want a filler badly or anything to rid that dent.
May 16, 2017
Answer: Filler vs fat graft to the glabella Fillers are a great treatment option for treating fine lines and wrinkles (such as smile lines), to fill in depressions or irregularities (such as your glabellar region or the tear trough area in the lower eyelid region), for lip enhancement, and for volume augmentation (such as in the cheeks or temples). The main category of soft tissue fillers are the hyaluronic acid group, which is basically a long chain sugar that comes in a gel in a syringe for us to use; these include Restylane, Juvederm, Belotero, Voluma to name a few. There are subtle differences between these fillers so I prefer certain fillers for various indications in the face. The real beauty about these hyaluronic acid fillers is that they are adjustable. If we have a bump or an irregularity (which is very uncommon), we can go back with a small enzyme injection called hyaluronidase and make that bump go away almost immediately. Fat grafting is also a great option, however, this is considered a permanent treatment and if there is a bump or irregularity following the injection, there really isn't a great option available for making the fat graft dissolve. I recommend a consultation with a facial plastic surgeon who is experienced with injectables.
Helpful
May 16, 2017
Answer: Filler vs fat graft to the glabella Fillers are a great treatment option for treating fine lines and wrinkles (such as smile lines), to fill in depressions or irregularities (such as your glabellar region or the tear trough area in the lower eyelid region), for lip enhancement, and for volume augmentation (such as in the cheeks or temples). The main category of soft tissue fillers are the hyaluronic acid group, which is basically a long chain sugar that comes in a gel in a syringe for us to use; these include Restylane, Juvederm, Belotero, Voluma to name a few. There are subtle differences between these fillers so I prefer certain fillers for various indications in the face. The real beauty about these hyaluronic acid fillers is that they are adjustable. If we have a bump or an irregularity (which is very uncommon), we can go back with a small enzyme injection called hyaluronidase and make that bump go away almost immediately. Fat grafting is also a great option, however, this is considered a permanent treatment and if there is a bump or irregularity following the injection, there really isn't a great option available for making the fat graft dissolve. I recommend a consultation with a facial plastic surgeon who is experienced with injectables.
Helpful
