Finding the fountain of youth doesn't have to involve drugs like Botox -- soft tissue fillers are effective alternatives. Unlike Botox or Dysport, which freeze the muscles around the frown line and prevent them from contracting, injectable cosmetic fillers fill the wrinkle and make the skin look smoother.
Only absorbable injectable fillers are approved for correcting frown lines. Absorbable fillers include collagen, hyaluronic acid gel, calcium hydroxylapatite and Poly-L-lactic acid (PLLA). Injections can be done in a dermatologist's office. Side effects are usually mild and go away within a week or so, but sometimes it takes months or years for side effects to appear. Results last about six months.
Surgery is a possibility for anyone who isn't crazy about undergoing repeated injections to keep frown lines at bay. The old saying that nothing lasts forever is true in terms of permanent solutions for deep, furrowed frown lines, but surgery provides the closest alternative.
A forehead lift can provide results that will last years, rather than months. This procedure can be done for multiple reasons, like repositioning the eyebrows and reducing the appearance of frown lines, or it can target one area. Limited endoscopic surgery is one option for treating a furrow between the eyebrows or across the bridge of the nose. Treating the frown lines may involve altering or removing parts of muscles.
It will, of course, take longer to recover from going under the knife than from getting injections. A forehead lift requires general anesthesia or intravenous sedation to produce a twilight state, and you might have to spend the night in the hospital. Possible side effects of plastic surgery include swelling, bruising and facial numbness. Incisions are typically covered by hair and should be inconspicuous when healed.
Sending those frown lines packing is not necessarily an easy or pain-free process, but it can be done in a variety of ways. Check out the links below for more in-depth information about your options.
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- Allergan. "Fast Facts." 2009. (Accessed 9/16/09) http://www.allergan.com/newsroom/fast_facts.htm
- American Academy of Dermatologists. "Botulinum Rejuvenation." 2008 (Accessed 9/14/09) http://www.skincarephysicians.com/agingskinnet/botulinum_rejuvenation.html
- American Academy of Dermatologists. "Facial Skin Rejuvenation." 2008. (Accessed 9/14/09) http://www.aad.org/public/publications/pamphlets/cosmetic_facial.html
- American Academy of Dermatology. "Soft Tissue Fillers." 2009 (Accessed 9/16/09) http://www.aad.org/public/publications/pamphlets/cosmetic_softtissue.html
- American Society for Aesthetic Plastic Surgery. "Forehead Lift (Brow Lift)." 2009. (Accessed 9/16/09) http://www.surgery.org/consumers/procedures/head/forehead-lift
- American Society for Aesthetic Plastic Surgery. "Statistics Quick Facts." (Accessed 9/16/09) http://www.surgery.org/media
- Singer, Natasha. "F.D.A. Requires Warning Label for Botox." New York Times. 5/1/09 (Accessed 9/16/09) http://www.nytimes.com/2009/05/01/business/01botox.html
- Stacy, Kelli Miller. "Botox Rival Fades Frown Lines." 3/16/09. (Accessed 9/14/09) http://www.webmd.com/skin-problems-and-treatments/news/20090316/botox-rival-fades-frown-lines
- U.S. Food and Drug Administration. "Wrinkle Relief: Injectable Cosmetic Fillers." 8/31/09. (Accessed 9/16/09)http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm049349.htm
- U.S. Food and Drug Administration. "FDA Requires Boxed Warning for All Botulinum Toxin Products." 4/30/09. (Accessed 9/16/09) http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm149574.htm
- Warner, Jennifer. "FDA Approves New Wrinkle Treatment." 5/1/09. (Accessed 9/14/09) http://www.webmd.com/skin-problems-and-treatments/news/20090501/fda-approves-new-wrinkle-treatment
- WebMD. "Cosmetic Procedures: The Brow Lift." (Accessed 9/16/09)http://www.webmd.com/skin-beauty/cosmetic-procedures-brow-lift
- WebMD. "Wrinkles." (Accessed 9/14/09)http://www.webmd.com/skin-problems-and-treatments/guide/wrinkles
- WebMD. "Wrinkle Treatment Offers BOTOX Alternative." (Accessed 9/14/09) http://www.webmd.com/video/grx-wrinkles