I'm barely 20 and I am already dealing with permanent frown lines, what should I do?

Hi,It may seem unusual or premature to be developing frown lines already, but each of us has certain expressions that we tend to make repeatedly.  Over time, this can result in skin lines sooner than we might expect even though there may not be any lines elsewhere.  Botox is the perfect solution for this problem because it weakens the affected muscles enough to soften and eventually erase those lines and PREVENT them from becoming deeper or even developing at all.  If you commit and plan for 2 or 3 treatments per year, it will be well worth your investment as those lines will be much less likely to develop.  My experience with someone as young as yourself is that you will most likely not need filler to correct the lines.  Consult with a facial expert before receiving your treatment and you won't go wrong.  Good luck!

Botox Cosmetic stops dynamic movement of muscles to relax frown lines.  If the lines are still evident after the muscle movement has been stopped, fillers can be used to replace lost volume.  Continue with Retin A and use sun protection.

Hi.  Botox will be able to stop your frown muscles from working.  At age 20, the wrinkle is not permanant.  The wrinkle should soften quickly (1-2 weeks) and with maintenance, eventually smooth completely out (1-6 months).  I reserve fillers on the forehead for long standing wrinkles with real fat loss underneath....this does not typically occur until the 40s and 50s.  

You seem to nail it down in terms of options. If you do have a deep furrow, botox may help you and filler can be used to soften it if that is not successful.

20 is not too early to start Botox.  It's easier to treat frown lines now then if they have been there for 10-20 years.  Dosing would be about 20-30 units for the glabella area and would last 3-4 months.  Dysport can also be used and it's dosing is about 50-60 units.  Steve Weiner, MD, Facial Plastic Surgeon

Botox is generally the best treatment for frown lines.  It is safe, quick, non-invasive, and works well for frown lines (the frown line area is called the glabella).  Botox helps prevent frown lines from getting deeper and will help to soften any lines that are already present.  Filler can be added as well but usually Botox alone is sufficient.  There is a higher risk of complications with using fillers in the glabella compared to other areas, although filler injection can be done with the right filler and technique.  Typically I will recommend Botox first since it is easier, less costly, and works well for glabellar frown lines.