Botox is probably the best choose to fix the frown lines in between on eyes. Your treatment would need to be repeated every three to four months for maximum effect.
Corrugator muscle resection is another option. It is a surgical procedure that involves removing part of the muscles in this area that create these frown lines. In general, Botox (or Dysport) is a simpler option. (Andrew Jimerson, MD, Atlanta Plastic Surgeon)
Botox is the only way to relax the muscle that causes frown lines
Repetitive frowning causes creases between the eyebrows that, over time, don’t go away even when you aren’t frowning. A few small injections of Botox is a quick method of eliminating these lines, and it isn’t too painful.
The first time you have Botox the muscles are at their strongest and the results will last about 3 months. If you continue to get treated as soon as you see the muscles starting to frown again, you may find that it takes a little longer every time for the muscles to “wake up.”
Because you aren’t using the muscles, they don’t get back to peak strength and, in a way, your face may have forgotten how to frown.
All in all, Botox treatments are a realtively quick procedure and well worth it to remove the angry look from your face. (Jordana S. Gilman, MD, Washington Dermatologic Surgeon)
Botox to treat frown lines between eyebrows
With very active frown lines, you may always appear angry. Botox is the perfect treatment to reduce the muscle activity. Treatments do not take more than a few minutes. Although the Botox may “last” 4 months, you may find that you do not need re-treatments that often.
With disuse, your muscles will begin to atrophy, or get smaller, and the habit of frowning may be eliminated so you may not see frown lines, even if you can move the muscles a little.
Many patients do well with yearly treatments. A surgical alternative involves cutting the frown muscles – either by itself or during a browlift or eyelid surgery. (Randy J. Buckspan, MD, Austin Plastic Surgeon)
Botox is great for those patients who notice that they have deep furrows between their eyebrows even when they aren’t concentrating or angry. Botox helps to relax those muscles that cause those furrows and provides a relaxation with the first treatment.
For those who have been “frowning for a long time,” a full relaxation may take a series of treatments. Fortunately, I have seen with even the deepest furrows Botox over time provided relaxation. The good thing about this treatment is Botox is extremely safe with proven record.
Consulting with a Board Certified dermatologist, facial plastic surgeon or plastic surgeon is the first place to start in looking to correct your angry look. (Mark Hamilton, MD, Indianapolis Facial Plastic Surgeon)
Perfect job for Botox AND filler!
Your “angry look” may come from more than just the 11’s. Do not neglect the slight downturn some people get at the corners of their mouth with time.
Botox and a little synergistic filler at the glabellar frown lines PLUS Botox on the sides of the chin where the mucles pull the mouth corners down and a little filler in the “marionette lines” (careful here… too much can lead to “chipmunk cheek”)… can fix this VERY naturally and nicely.
See a careful and artistic dermatologist or plastic surgeon. (Jessica J. Krant, MD, MPH, New York Dermatologic Surgeon)
A more permanent alternative to Botox
The corrugator muscle is the source of your “angry” look. An alternative to Botox injections would be a surgical procedure done through either an upper eyelid incision or an endoscopic approach through the scalp to surgically weaken this muscle.
These procedures tend to last several years and in some cases are permanent. The negative of this approach is that it only affects the so-called frown muscle and doesn’t do anything to decrease the furrows that may occur higher on the forehead or around the eyes and crow’s feet areas—all of which are areas that are readily treated with Botox. (Deason Dunagan, MD, Huntsville Plastic Surgeon)
Botox to make you look less angry
The muscles between your eyebrows are likely what is responsible for making you look angry. When they are used excessively over the years, this results in a pulling down of the muscles in such a way that you look like you are either constantly frowning or angry, even when your not.
While Botox will certainly help soften the appearance and elevate the area to imrove the area substantially, depending on the degree of pulling downsward, you may also need a filler in the two lines (the “11” ) between your eyebrows to soften them.
This is especially true if they are at rest. Even though it is a committment with Botox 2-3 times per year, you are not only improving you appearance but preventing the development of deeper lines and wrinkles.
Fillers such as Juvederm, restylane, and radiesse can last upwards of 6 months to as much as a year so they require less visits. (Ritu Saini, MD – Account Suspended, New York Dermatologic Surgeon)
Botox is great, but a browlift or volumizing followed by laser resurfacing are options
Botox is great, but a browlift or volumizing followed by laser resurfacing are options. A browlift that pulls up our eyebrows and then with additional work to take out the muscles that are causing that frowning can be an option to improve this furrow.
I think volumizing this area can also be a good option. Loss of volume in the forehead and in between the eyes can lead to more skin relative to the tissues underneath. This leads to more skin folding and a closer position of the skin to the muscles that are creating the wrinkles.
Volumizing takes up the extra skin and also separates the skin from the muscles more and decreases the muscles effect on the skin, ie wirnkles. After both a volumizing procedure and a browlift either/or, you can resurface the face to decrease the wrinkles and also to subtly shrink the skin.
The YoungVolumizer is a great option to volumize the area in between the eyes. (Philip Young, MD, Bellevue Facial Plastic Surgeon)
Alternatives to Botox for your 11 or frown muscles
The two most popular alternatives are: surgical destruction of the corrugator muscles achieved through the scalp or upper eyelids. radiofrequency nerve ablation of teh temporal branch of the facial nerve and angular branches. (Otto Joseph Placik, MD, Chicago Plastic Surgeon)
Angry look Botox
First you are assuing that the angry look you have is due to frown lines. You need to evaluate the entire periorbital area, skin, fat, laxity, and most the activity of the muscles and frown lines and most important the shape and position of the EYE BROW After that evaluation then will advise you on your options. (Samir Shureih, MD, Baltimore Plastic Surgeon)
Most of the Botox patients in our practice have at some point had reservations about Botox. These reservations include the stigma (of caving in to their vanity), the expense or the time associated with the treatments (as you have pointed out).
While we understand your concerns, we have found that most patients that have decided to make the leap to start Botox never look back. Botox has a very high satisfaction rate and will be very effective at getting rid of the angry look you describe.
In fact, it’s the best solution we know of to solve the problem. (Harold J. Kaplan, MD, Los Angeles Facial Plastic Surgeon)
How to fix frown lines between eyebrows
Very easy- using either Botox or Dysport to relax the muscles that signal anger (the corrugators which cause frowns) and, if they are etched in, some fillers such as Juvederm or Restylane. Fillers may be needed if the lines are then even when you are relaxed (eg first thing in the morning).
Despite the fact that using fillers with Botox and Dysport instead of just one procedure, there is evidence that using both will prolong the result and it definitely makes the appearance better than either one alone.
So, it is a good investment. This area is one of the best to inject but it needs to be done by someone that has a lot of experience since each person has different anatomy and when performed by someone using a cookbook, the outcomes may not be optimal.
Even then, it may need to be tweaked so if you have a result that still leaves you angry ask your doctor about using a filler in addition. (Kenneth Beer, MD, Palm Beach Dermatologic Surgeon)