American Society of Plastic Surgeons
For Medical Professionals
 
MargaretS
4 years ago
Answered

No help with Botox

After my Botox injection, my 11 lines are still there. What else can be done to remove them?

Procedure: Botulinum Toxin
Location: Chittenango, NY

Replies 4

Larry Weinstein
ASPS Surgeon

Botox is a great product I have used for over 25 years. It is effective in relaxing the muscles that make the eleven lines. Sometimes the furrows are so deep a filler is needed to plump out the lines. Also sometimes a brow lift is needed to soften the furrows. See a board certified plastic surgeon in consultation. Good luck.

More
 Show more Replies  Replies 1 less
Elliot Jacobs
ASPS Surgeon

The "eleven" lines between the brows are formed by the action of certain muscles. Over time, the lines deepen due to loss of skin thickness. Botox is excellent at relaxing the muscles that causes the lines -- but deep lines often remain. Then one must use a skin filler such as Juvederm or Restylane to fill in the lines and thicken the tissues. This combination therapy is remarkably effective -- but it may take one or two treatments to achieve best results. Hope this helps.

More
Nelson Castillo

Thank you for sharing your excellent question. If the muscle activation has ceased, the "static" lines can be treated with chemical peels, micro needling, and dermal filler placement. Hope this helps.

More
 Show more Replies  Replies 1 less
Katerina Gallus
ASPS Surgeon
Add to Favorites

Margaret - thank you for your question! Botox can help reduce the static lines if used over time - one treatment is not enough if the 11 lines are deep and present at rest. By preventing movement, the Botox treatment will slowly allow the wrinkle to relax - like un-crinkling tissue paper. This can several rounds of treatment so I would not give up yet. Also, other treatments such as the Plasma Pen and microneedling can help improve that area. For deep lines, combination therapy is ideal. See a board-certified plastic surgeon to help come up with the best plan. Good luck!

More
 Show more Replies  Replies 1 less
Logo

Patient Care Center