FROWN LINES (OR “THE 11s”)
The frown lines are due to the action of the corrugator and procerus muscles, and serve to “scowl”, or pull the medial part of the brow inwards and down.
My treatment for this group of muscles is a neuromodulator (such as Botox, Dysport, Jeuveau, or Xeomin). Typical treatments are 20 Units, though some patients may require up to 35 Units if they have very strong or resistant muscles. Treatment of this area has the effect of raising the medial brow and lifting it outward (the opposite of the effect of the muscles contracting), which gives the feeling of a weight lifting off of the eyes. Neuromodulator treatments in the office take 15 minutes (most of which is spent talking about the treatment and expectations), and the effects are seen as early as 2 days, and by 2 weeks, all of the effects have taken place. The duration of treatment is typically ranges from 3-6 months, depending on the individual patient and dose used.
Some patient have deep lines that are etched permanently into the skin, they are best served with first immobilizing the muscles (with a neuromodulator), waiting a full 2 weeks to make sure that the effects have matured, and then treating the deep lines with a small amount of a thin filler, such as Versa or Restylane Refyne. This combination of treatments helps treat the static lines (the lines that are present at rest) as well as the dynamic lines, which are shown when you scowl.