I have this wrinkle, more of a "shadow" in between my eyebrows. Had 10 units of botox there, will that help? (photo)

Question

Its not an actual dent, and is only seen in some random lighting but it bugs me. If you feel the area it feels completely smooth, but in the right lighting it seems as though theres a small dent there, like a wrinkle if that makes sense.  Its been about 5 days and I still see the shadow. I'm not sure what it is, my skin has a weird way of creating shadows! Will filler fix it better?

William Franckle, MD, FACS · Answer

While some patients see their results from Botox within just a few days, others see results in 7-10 days. Botox treatments are very specialized to the patient and if this if your first time using Botox, it may take a follow-up visit to determine the exact amount you need for ideal results.

Jason Emer, MD · Answer

It's still too soon to tell, but a combination may be needed. It can take 1-2 weeks for final results with Botox. A combination of Botox and fillers will be able to give this improvement. See an expert. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  If this line does not fully resolve after the botox results have matured the best path would be placement of a thin hyaluronic acid based dermal filler, such as Volbella or Belotero.  Hope this helps.

Nelson Lee Novick, MD · Answer

I have successfully treated circumstances like this many times in the past in various areas of the face, including, as in your case, the glabella area. Since you have already been treated with Botox in that area, I would suggest a microdroplet or two of a cohesive, smooth, easily moldable filler, such as Belotero Balance, which would be my choice for this in my Upper East Side Manhattan practice, since it posseses little to no likelihood to giving rise to the unwanted, bluish Tyndall Effect when injected very superficially, as would be required here. (In my Israel satellite facility,where a far greater number of regulatory agency approved fillers are available, I would opt for Teosyal Redensity II).  Good luck to you.

Kally Papantoniou, MD, FAAD · Answer

If this is your first time doing botox, you can wait for a few months to see if this softens on its own over time. For a quicker fix restylane or another hyaluronic acid based filler can be injected into this area for immediate correction. Best, Dr Papantoniou.

Michael I. Echavez, MD · Answer

I would say that it is possible that 10 units of Botox could help with the wrinkle/shadow that you see between your eyebrows.  It is also possible that a filler could improve it as well.  I would recommend waiting at least a month after the Botox to see how much improvement you get and then if you feel there is still a bit of a dent there, you could try adding a filler.

Hardik Soni, MD · Answer

Thank you for your question. Botox works by blocking signals from the nerves to the muscles. The injected muscle then can no longer contract, which causes the wrinkles to relax and soften. Having 10 units injected into this area is not enough. The typical dosing for this area is 20 units. However, you can have this filled with a dermal filler, such as Belotero. Please see an expert injector in your area. Best of Luck!

Praven Chetty, MD · Answer

Dear g2005:My recommendation would be to follow up with your injector 2 weeks after injection and if the line is still present then to have an additional 10U injected to the area.  All the best.

Jack Berdy, MD · Answer

12/6/2016

Sorry to hear about your concern and I believe you will be able to correct it with the right treatment and a little patience.  First you should give the Botox 10-14 days to optimize its efficacy and then re-evaluate the area. Second, in my experience the area usually requires 20 units of Botox which is also consistent with the Allergan product insert .  So I would then get additional units of Botox to the area if you have not yet achieved cosmetic satisfaction.  Third, if after receiving the appropriate dose of Botox you are not satisfied I would suggest the addition of a HA (Hyaluronic acid) filler such as Juvederm Ultra, Volbella, or Restylane Silk administered by a knowledgeable physician.  Good Luck and thanks for the question.

Dr. Berdy

Jordan P. Farkas, MD · Answer

Hi-  The shadow is likely from the muscle beneath the skin contracting. Botox is a good way to help that because the shadow should improve with the medicine. Filler is definitely an option and may be worth investigating with a board certified plastic surgeon. Good Luck!

I have this wrinkle, more of a "shadow" in between my eyebrows. Had 10 units of botox there, will that help? (photo)

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