What's the best filler that last longer for deep static frown lines between eyebrows?

Thank you for your question. I believe Bellafill is the best option for longer lasting results. However, each person is different, therefore a consultation with an experienced physician is necessary to discuss the best options for you.  All the best.

Thank You for your question. For glabellar lines (or frown lines / "11" lines), we inject Botox into the muscle, causing the muscle to weaken and improving the appearance of the lines. Botox works 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. Botox takes 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

I would recommend a combination of Botox and one of the longer more lasting hyaluronic acid fillers such as juvederm or restylane product. I typically perform the procedure about two weeks apart allowing the botox to decrease the movement before placing filler into that area.

You can never go wrong starting with a neurotoxin like Botox in the glabella forehead lines.  If the deep furrow remains after Botox injections then there are a number of fillers available which will finish the job quite nicely.  Not a huge fan of permanent fillers in this area.  See if you can get a 1/2 cc syringe as you will not need very much filler to manage this area.

As someone has already mentioned this is a rather tricky area to treat. Those static lines you are seeing are also the location of the blood vessels that supply blood to the forehead. These are very small thin vessels. This is also an area that the tissue is not very thick. The risk is that you can compress the blood vessels with a dermal filler or even get dermal filler in the blood vessel. This is the primary reason everyone is saying to use a neuromodulator like BoTox  to decrease the muscle activity in the area. The other reason is if you do use a dermal filler and don't use a neuromodulator , the increased muscle activity tends to cause the dermal filer to migrate or resorb faster. As you can guess a combination treatment tends to me more effective. Also keep in mind if you use a dermal filler in this area, you want one that is easy reversible. If you do have a complication you want to easily be able to dissolve  the filler.
What you will find in using a neuromodulator  with deep static lines it will take forever to make them go away. It will soften them but the tissue is damaged in this area . This is why many will suggest skin resurfacing in one form or another after you treat with a neuromodulator . Which technique you use will be dependent on how much you want to spend and how fast you want to see results. This was a technique I often used and then would go back and treat with dermal filler later. In this way I would be treating a fine line and not a deep line. This is a much safer technique as you don't have to use a filler with a lot of body and you can also inject it more superficial. Less chance of compressing a vessel. The problem with this technique is it takes time.
A faster technique is to use a neuromodulator and then have smooth PDO threads placed in the area. This rules out the vascular compression or occlusion issues . Keep in mind you most likely will need to have the threads placed every 4-6 weeks until you are happy with the results. ( Often 5 times) and then once a quarter for maintenance . The PDO threads build up your own  collagen in the area . 

This is a good question because it is a common complaint.  I always start by relaxing the muscle activity causing the frown with Botox, Xeomin or Dysport.  It is difficult to know how much filler is actually needed until 1-2 weeks after results are achieved with step 1.  Also, relaxing the muscles first will prolong the results of the filler. Then for step 2 I inject a small amount of a hyaluronic acid filler which can be easily removed if necessary.  The blood supply is tricky in this area so seek an experienced doctor to avoid serious complications. 

Hi there! thanks for the question. Since this is one of the more 'risky' areas for fillers, and if you haven't already had botox, I would start there. It's true that static lines wont necessarily soften immediately with botox but over some months their appearance can improve a lot! Good luck

The frown lines are caused by movement and puckering of the skin, therefore the first line of treatment should be botox/dysport/jeuveau to relax the movement of the muscle.  If the lines are deeply etched a dermal filler can be used.   Vobella or juvederm ultra are good choices depending on how deep the  line is.  Combining dermal filler with neurotoxin in this area will add to the longevity of the filler.  Consult with an experienced practitioner as this is an advanced area to inject.

I would start with Botox as it is inexpensive and often can do the trick singlehandedly. If the furrow are deeper, it can be combined with dermal filler.

In all of my years of experience I don't think I've ever seen a static frown line. A line which has formed in between the eyebrows is always caused by some form of muscle action. You should benefit from at least a small amount of Botox or similar and if that does not work by itself, then you can add a filler. Any of the fillers should do a sufficient job as long as it is properly injected by a plastic surgeon. Restylane and Juvederm should all work very well. Good luck from New York City