Dr. Sam Lam Plastic Surgery Forum

I read a previous post of yours where I believe you mentioned that you prefer botox to fillers when treating the lines between the eyes. I think I remember you mentioning that you liked to use botox for at least a year in that area. Have you seen improvement in botox-treated frown lines from, say 1 month after injection to, say, one year after first injection (assuming additional injections were made over that time)? In other words, can the between-the-eyes depressions actually fill in over time, and if so how do they fill in on their own and how common is it for this to happen? Thank you very much for any info!

bravo! yes, that is exactly what happens. yes, the collagen heals and the lines start to disappear in most cases completely, and they would only return with a return of a bad habit of frowning, which would require more botox. some very rare cases where the lines are really really really really deep (which is rare), botox will only help so much and a filler may be required to speed up the result. however, i believe that botox alone can manage 99% of frowning wrinkles between the eyes with sufficient time. for a really deep line it could take over 2 years of consistent botox to improve the situation. however, if you think about it if you don't do botox, those lines will progressively worsen then it will take botox even longer to work.