Skin Fillers & Neurotoxins Photos - Case #2020
Before
This is a difficult case. The lines between her eyebrows are very deep. When asked to “maximally frown,” the lines between her eyebrows become very prominent. The muscles that cause these lines are the corrugator, procerus and orbicularis oculi. She preferred to have her frown lines improved by using a neurotoxin such as BoTox, XEOMIN or Dysport vs. a skin filler such as using one’s own fat or a hyaluronic acid filler such as Juvaderm, Restylane or Belotero.
After
When asked to “maximally frown” after her neurotoxin injection, she still has residual lines between her eyebrows but they look better. Injecting the neurotoxin lower into the orbicularis oculi muscle directly below the eyebrows initially could have made the lines between her eyebrows look better. However, by doing this there is an additional risk of causing “ptosis” where the upper eyelid does not open fully due to the migration of the neurotoxin. She did not want this additional risk and was happy with her result. Another option for a better improvement would be to simultaneously inject a filler below the deep lines to lift the skin in conjunction with her neurotoxin injection.
Resources
Before
After
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