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Hi Dr Lam, I have treated my patient twice now with Botox and acheived reasonable success as she had marked forehead lines. She is still left with 2 deep lines to the central forehead and I wondered if I could fill these using a Juvederm product? Many thanks
i really think that does not work well and risks having visible lumps if you are not perfectly experienced with it. personally, forehead lines don't go away that fast if they are deep. i like to explain it like exercise. if you are 400 pounds over weight, you won't get fit going to the gym twice. if you are 5 pounds over weight you don't need to go to the gym that long to see a difference. botox is the same way. if they are bad, give it more time or if you are not seeing a difference, increase the dose or tighten the interval so long as it does not drop the forehead or waste money excessively, respectively.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery