{"id":28754,"date":"2025-07-14T20:33:59","date_gmt":"2025-07-14T18:33:59","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?post_type=infographie&p=28754"},"modified":"2026-06-12T10:10:44","modified_gmt":"2026-06-12T08:10:44","slug":"combine-botulinum-toxin-and-hyaluronic-acid-frown-line-treatment","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/en\/infographie\/combiner-toxine-botulique-et-acide-hyaluronique-traitement-ride-du-lion\/","title":{"rendered":"Est-il possible de combiner des injections de toxine botulique et d\u2019acide hyaluronique pour traiter la ride du lion ?"},"content":{"rendered":"

IS IT POSSIBLE TO COMBINE BOTULINUM TOXIN AND HYALURONIC ACID INJECTIONS TO TREAT THE FROWN LINE ?<\/h1>\n

Frown lines, between the eyebrows, are among the first wrinkles to appear, often from the thirties. Caused by repeated contraction of the glabellar muscles \u2014 mainly the corrugator supercilii and procerus \u2014 they create a worried, sometimes stern or tired appearance. Initially, they are visible only during expressions such as concentration or annoyance. Over time, however, they may deepen and become visible even at rest, forming a more or less pronounced permanent crease.
Treatment rests on two complementary approaches : muscle relaxation with botulinum toxin and filling the depression with hyaluronic acid. Combining them within one treatment strategy is now a perfectly legitimate consideration, supported by numerous clinical findings.
Combining these techniques for frown lines is not only possible but often recommended for optimal results, provided a logical sequence and precise indication are respected. This text offers a detailed analysis of the combined approach to treating frown lines.<\/p>\n

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Pourquoi la combinaison toxine botulique \u2013 acide hyaluronique pour att\u00e9nuer la ride du lion ?<\/h2>\n

A frown line initially develops as a dynamic expression line. Repeated contractions of the muscles between the eyebrows crease the skin vertically. During the early years, botulinum toxin injections are often enough to relax these muscles and eliminate the wrinkle.
Over time, however, repeated movement damages the skin : collagen fibres deteriorate, elasticity decreases and a crease forms in the dermis. When a wrinkle remains visible even after correctly performed injections, this means deeper skin changes have occurred. At this stage, muscle relaxation alone is no longer sufficient.
Hyaluronic acid then becomes essential : it fills the wrinkle, restores lost volume and smooths the skin surface. In other words, botulinum toxin addresses the muscular cause while hyaluronic acid repairs its effects on the skin. Their joint action is complementary rather than redundant, each working at a different level to provide a more natural, balanced result.<\/p>\n

What is the ideal sequence for combining botulinum toxin and hyaluronic acid for frown lines ?<\/h2>\n

Dans la grande majorit\u00e9 des cas, l’association doit respecter un ordre th\u00e9rapeutique pr\u00e9cis. La toxine botulique est inject\u00e9e en premier, dans les muscles glabellaires, avec une dose adapt\u00e9e \u00e0 la puissance musculaire du patient. Son effet commence \u00e0 se manifester sous 3 \u00e0 5 jours, avec un r\u00e9sultat complet au bout de 2 semaines.
Ce d\u00e9lai est indispensable pour \u00e9valuer l’effet r\u00e9el de la toxine botulique seule. En effet, il arrive que le rel\u00e2chement musculaire soit suffisant pour att\u00e9nuer significativement la ride, rendant le comblement inutile. Dans les autres cas, si une cassure persistante demeure, l’acide hyaluronique est inject\u00e9 deux semaines apr\u00e8s l’injection de toxine botulique , au niveau de la d\u00e9pression cutan\u00e9e pour la combler.
This two-stage approach avoids overcorrection, limits injected volumes and ensures a natural, harmonious result.<\/p>\n

Which injection technique is used to fill frown lines ?<\/h2>\n

The glabella is a high-risk anatomical area because of its complex blood supply. Several arteries (particularly supratrochlear and supraorbital branches) run near frown lines, making any deep injection potentially dangerous.
Hyaluronic acid used here is therefore specifically selected for low viscosity and good tissue integration. It is injected either by retrograde threading with a very fine microcannula, remaining in the subdermal plane ; or as superficial needle microboluses with millimetre-precise placement.
Injected volume always remains modest : between 0,05 ml and 0,3 ml on average. The aim is to fill the wrinkle precisely rather than create swelling.<\/p>\n

What are the long-term benefits of this combined strategy ?<\/h2>\n

Combining the techniques achieves a result greater than the sum of the procedures performed separately. In particular :<\/p>\n