Why Your Frown Line May Not Completely Disappear with BOTOX

Dr Sabba

21st January 2017

Take a look in the mirror.

Can you see any wrinkles or do they only appear when you make an expression such as frowning or laughing?

This is a very important distinction to make when it comes to wrinkles. If your frown line remains visible even when you have stopped frowning this is a static wrinkle. This is different to a dynamic wrinkle which only appears when you use that particular muscle.

It is really important to know this as dynamic wrinkles respond much better to anti-wrinkle injections. When a wrinkle is present at all times this means that it is within the skin. Botox acts on muscles, not the skin. Botox will prevent static wrinkles from worsening by stopping the muscle from creasing up.

However it is important to bear in mind that the lines will soften but they might not disappear completely, especially if they are very deep. The best chance of removing a static line is when they first start to appear as over time the skin weakens and is less able to bounce back.


What will remove deep static wrinkles?

Static wrinkles can be treated with dermal filler. Imagine someone who has a very deep frown line. Botox will stop the line from worsening as it will prevent the muscle responsible for frowning contracting. Dermal filler can then be used to plump up the line within the skin itself. This is one example of how botox and dermal filler can work very well together.

Are there any other reasons why Botox will not work?

Very occasionally some people produce antibodies to anti-wrinkle injections which results in their treatment not working. Your practitioner should be able to identify this and help you accordingly.


For queries and further information or to book a consultation please call 0203 633 4908, DM @DrSabba on Instagram or email Dr Sabba at info@drsabba.co.uk