If you have both smile lines and 11 lines, it's not a problem: you can get both dermal fillers and neuromodulators during the same appointment.
Some of the most common signs of aging appear on the forehead. Juvéderm® helps fill those deep lines that may be present. These deep lines include those obvious “number 11” lines between the brows. Juvéderm® is a fantastic solution that allows you to have natural facial expressions.
Juvéderm® for Frown Lines
The area between the eyebrows may develop vertical wrinkles or even deep creases (called glabellar frown lines or also referred to as '11s').
As well as plumping out frown lines on the forehead, dermal fillers can also be used to minimise the appearance of indented scars by filling them out to the level of the rest of the skin.
11 lines can be genetic. If you've noticed that your mother or father has deep 11 lines, you're more likely to experience them in the future. Factors like extreme weight loss or smoking can also contribute to a loss of foundation for the skin in this area.
One of the fastest and easiest ways to completely get rid of 11 lines is by using Botox. Botox is used to relax the muscles around the 11 lines and relieve you with any lines when you have facial expressions.
Botox Cosmetic is FDA-approved for use on horizontal forehead lines, “11” lines between the eyes, and crow's feet around the eyes.
Botox is temporary, lasting about four to six months. If you like the results, you may decide to continue with several treatments a year.
Compared to Botox, dermal fillers are just as effective. More importantly, the results last longer. However, the duration of the effects of dermal fillers still varies mostly on the type of filler. Some may last as long as Botox, while other types of fillers can last for more than a year.
If you want to improve the look of your forehead, fillers are a minimally invasive alternative to facelifts. Although well known in their use for plumping your pout, enhancing your cheekbones, and as an alternative to rhinoplasty, face fillers are also commonly used as an anti-ageing treatment on the forehead.
Hyaluronic acid (Restylane, Juvederm, others).
This natural component of the skin's connective tissue is the most common filler used for wrinkles.
While Botox, Dysport, Xeomin, and, most recently, Jeaveau, are the only FDA-approved neuromodulators for the "11" lines, Botox is the only one that's FDA-approved for between the brows, on the forehead, and around crow's feet (if that's also a concern for you).
The drug information for Botox® states that the maximum number of units that should be used for Botox® treatment is: Four units per injection point for horizontal forehead lines. Four units per injection site for vertical 11 lines.
There is no definite age when you should start BOTOX®—it's more about the state of your skin, and everyone's timeline is different. For wrinkle treatments, it's best to start when you notice forehead lines, frown lines, or crow's feet even when your expression is neutral.
Your Face in Your 30s
You should be prepared for the start of the "dreaded 11's" -- that pair of lines that pop up between the brows -- as well as shadows forming in the triangular area between your nose and the corners of your mouth.
I can tell you, I have used this product for about 15 years and, yes, they do work. They do not smell like a dead animal. They don't smell like anything that I can detect. They do stick on your skin but your skin cannot be oily so put them on after cleaning your face and before putting on face cream.
“Forehead wrinkles are caused by repetitive crunching of the frontalis muscle, and are exaggerated in individuals with bulkier muscle mass and those who are very expressive,” explains Brian Hibler, a board-certified dermatologist at Schweiger Dermatology Group in New York City.
With no active ingredients, Frownies patches function simply by retaining your muscles in your sleep, preventing them from moving and thus forming 11 lines, and training your muscles overtime to stay in place.
Microneedling causes low-level trauma to the uppermost layer of the skin, which pushes skin to regenerate by reorganizing old collagen fibers with new collagen and elastin fibers. This results in tightening of the skin and almost complete eradication of frown lines (1).