A. The effect can vary from one individual to another, but most find the improvement lasts 4 months.
Q. I have very deep horizontal forehead lines. I have heard about Botox for the frown or "11's", but can Dysport or Botox be used for other deep lines? My forehead is very high and these lines make me look old. I am a 35 year old male.
A. Dysport would be ideal for you. After a couple of years of trial and error with optimal doses and dilutions, we are now seeing Dysport results that rival Botox results. In fact, for men with high foreheads, Dysport is actually my favorite. I combine the glabellar (the 11's) and the frontalis (the horizontal lines) at the same time for best synergy of results.
Q. I'm thinking of getting botox for my brow ptosis as I'm starting to get horizontal lines in my forehead and almost daily headaches to the front of my head from keeping my eyebrows lifted (otherwise the droop bothers me and feels heavy on my eyes). I've been trying to do some research as to whether this is a good alternate to surgery since it's not all that bad yet and I am finding conflicting answers. My main concern is that the botox will make it worse. Would it help?
A. The answer is complicated, but briefly, if Botox is done in a certain pattern and the frontalis muscle is NOT injected, you can get a nice brow lift. It likely, however, will NOT improve the horizontal lines and there is no guarantee it will improve the headaches. To get the lift the procerus and orbicularis must be injected and this will not help those lines. You might have to choose between lift or line improvement, or else get the brow lift to get both.
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Lupo Center for Aesthetic and General Dermatology
Mary P. Lupo, M.D. - Connect on Linkedin
Our mission at the Lupo Center is to provide patients with innovative, effective and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical and cosmetic treatments to all patients.
Board certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of Women’s Dermatologic Society, adjunct professor of dermatology at Tulane and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for approval of new drugs and devices and acts as an advisor for numerous aesthetic-minded companies.
