I have two sort of deep vertical lines right between my eye brows. Which procedure would be better, botox or restylane. Or should one have both procedures on the same site? I am not sure if you can see the vertical line on my picture. I am the one on the right. Thanks.
Which Product Do I Use for Vertical Lines? Botox or Restylane?
Doctor Answers 28
Botox for corrugator muscle lines
Thanks for providing the photo to help our answers. I think the active muscle lines between the eyebrows (corrugator muscle lines) would be ideal for Botox. In fact, that is the area for which the parent company obtained FDA approval for the marketing of Botox. Many of the initial studies were done for that area.
If you did not achieve satisfactory improvement after 2 treatments and 6-8 months time, you might add a filler in addition to Botox. I would not suggest filler alone. Good luck. I think you'll look great.
Botox and Restylane
Botox stops the movement of the muscles causing your frown. Restylane fills in the depressions. You can have both the same day and if you keep up with regular Botox injections, your Restylane may last for years.
Botox first for glabellar frown lines
These are the corrugator muscles - when they contract, they form what we call 'glabellar frown lines', these vertical lines of wrinkles. The thing to do is to relax these muscles with Botox. Start there and see what it looks like before you pay for any fillers. Good luck. It should cost somewhere between 250-400 dollars depending on how prominent these muscles are in your case.
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Botox will relax the muscle of facial expression which cases the wrinkle. While very effect some deeper wrinkles may require a combination of Botox and filler as you have suggested.
Vertical Line treatment
For shallow "11" lines, start with botox and add restylane later
Botox or Restylane for frown lines
1) Botox or Dysport can be used to soften the deepening of the frown lines when making a frown expression. The treatment may even soften the lines that are present at rest.
2) Restylane or Juvederm can be used to soften the frown lines that are present even when you don't make an expression.
For someone who has concerns with both the static lines (without expression) and the dynamic lines (with expression), then using both products would work well together.
I often find that patients who return after a Botox or Dysport treatment in the frown areas complaining it didn't work, is due to the confusion between the static and dynamic frown lines. They continue to see the static lines even though the dynamic lines have softened considerably.
Botox or Restylane for Glabellar Lines?
Hope this is helpful. Best wishes. Dr. Shah
Botox versus Restylane for vertical lines
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