Doctor A’s Answer:
Treating the glabella creases (vertical frown lines between eyebrows)
may require both a filler (Restylane/Juvederm) and a paralytic (botox/dysport).
The paralytic agent stops you from making the expression that caused the
lines in the first place. If you don’t have any lines when not making
that mean face, then all you will need is Botox or Dysport. Either of
these products work great and if you use them regularly you might never
get creases at all. This is why I suggest people start with Botox/Dysport
in their 20’s. But if you are a little late to the party, then your
creases may need to be treated with a filler like Restylane. The Restylane
will fill the crease for a partial instant improvement but more importantly
it will stimulate collagen growth in the area which (along with relaxing
the muscle) may completely correct even deep creases over a few months.
The collagen will persist well after the Restylane itself has dissolved.
In fact, it may last indefinitely if you continue to use a Botox or Dysport.
Even extremely deep glabellar creases may be completely fixable using
that combination. In summary, prevent the crease with Botox/Dysport, repair
the crease with a filler like Restylane or Juvederm.
Your neck banding may improve with a paralytic. This is an affect that works better on some people than others. It generally requires a higher dose of Botox or Dysport. Certainly it is possible to cause swallowing issues, but that would be very unlikely if the injector knows the proper location for injection. The swallow muscles are quite a bit deeper than the muscles that cause the banding. I truly doubt you will have any correction of jowls using Botox/Dysport in the neck.
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