What type of filler would be most appropriate for this area?

Dr. Dean Kane Q & A Q. What type of filler would be most appropriate for this area? UPDATE: I had a small amount of Botox injected above the line about a month ago. The aesthetician said that the Botox would remove the line by lifting up the area. However, when I frown, the area is frozen. But there hasn’t been the slightest change in the line. When pinching this area on my nose you can feel that there is an indent. I believe that a filler injection is needed. I plan on seeing a doctor about this problem, but what type of filler would be most appropriate for this area? A. ​Injectables are Art and Science! Choosing the correct filler is only part of the decision! Injecting the correct tissues is dependent on the talent and skill of the physician. This area of injection in particular raises concerns about complications not seen as much in filler injections in other areas. ​ ​Botox is used to relax the muscles which produce the creases and wrinkles in the skin. It is not a filler. If the skin has a near-permanent crease, it will need help to fill and repair this dermal thinning. ​ ​For my patients with this concern, I make sure the balance of movement is upward in the glabella region, across the horizontal crease you are aware of. 2 weeks later we discuss the use of a filler to
  1. ​fill the volume loss and re-contour the nasal “highlights” in the deep tissues near the bone, and
  2. ​increase the resistance and “erase” the visibility of the crease by injecting in the deep dermis.
​As you see, it takes more than picking a filler and simply injecting. Choose your well experienced, Board Certified Plastic Surgeon, ENT Facial Surgeon or Dermatologist with care!   Sincerely, Dean Kane, MD, FACS
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