Cause of Glabellar Lines and How Can It Be Remedied? (photo) Doctor Answers, Tips
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Cause of Glabellar Lines and How Can It Be Remedied? (photo)

Hi I have only just realised glabellar lines between my eyes tend to join together when frowning when they should remain parallel (in a 11 formation). I'm in my 20s so it cannot be from weakened muscle (from age related degradation to elasticity) it may possibly have been caused by acne or from nose injury (I believe my nose is slighty wonky) I do not know anything else that could have possibly caused this. One side is more noticible at having a furrow than other. How can it be set right ?

14 Doctor Answers | Asked by karps
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Glabellar Lines and Botox

Your wrinkles are quite significant and will be helped with Botox injection and I would recommend having them injected with 20 units and return 2 weeks later if you feel it is still cosmetically bothersome for you for more Botox - perhaps another 10-20 units.
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The solution to glabellar lines

There are many different appearances to glabellar lines, and they will change as you age. Botox, Dysport, and Xeomin are all good solutions for glabellar lines. The procerus and corrugators are some of the strongest muscles. I typically find that people will get treatment, and find they don't have full relaxation. This area typically requires at least 15 units of Botox, but I have used as much as 30 units in a single patient in this area. After full relaxation is achieved, if you have... more
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Frown lines cure

Botox or dysport is your quick and easy answer. It will give you a very nice result in about 5 days after injection. A permanent approach would be to perform a transbleph transection of those muscles. You should consider this and seek out a plastic surgeon who can offer this procedure to you.

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Improving the appearance of the glabellar lines

The best way to improve the appearance of glabellar lines is with Botox or Dysport. You generally want to avoid filler in this area, as it can be dangerous and complications may occur. I would recommend seeking an in-person consultation with a board certified plastic surgeon, facial plastic surgeon, or dermatologist. I hope this helps, and I wish you the best of luck.
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Scowl (Frown) Lines Respond Well To A Combination of A Neuromodulator and a Filler

A recent article in Dermatologic Surgery, a prominent dermatology journal, classified five different common glabellar contraction patterns for the muscles responsible for frowning (glabellar muscles) based upon the shapes the muscles created in the region when at their maximum contraction. Defining the pattern helps to guide the placement of injections and dosing of injections of neuromodulators, such as Botox, Dysport and Xeomin. These descriptive categories included a "V" shaped pattern,... more
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Treatment of glabellar lines

Dynamic muscle movement causes these lines. You should consult a dermatologist or plastic surgeon to discuss how a product such as Botox would be beneficial for you.
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Glabellar lines

Glabella lines can be transverse like you describe and how it appears in your photos. This can be from procerus muscle over-activity. This can be treated with Botox.
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Glabellar line improvement

A neuromodulator such as Botox, Dysport or Xeomin would likely be very helpful for your glabellar lines. It would be worthwhile to start them sooner rather than later to avoid having to use fillers (e.g. juvederm, restylane) in addition if these lines start to permanently etch in. Benjamin Barankin, Toronto Dermatology Centre.
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Transverse Glabella (intra brow) Lines

There are three muscles in the glabella area. The one that causes vertical lines is the corrugator. The procerus causes transverse lines. The orbicularis can accentuate either. You appear to have a combination of corrugator and procerus function that is somewhat more than usual. Botox® (or one of the other neuromodulators) can markedly improve your appearance by eliminating function of these muscles.
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Not everyone has exact "11"s!

Dear Karps, This bulking you have when you scowl or frown are from muscles called the procerus and the corrugators. Although we often see lines that look like 11s, not everyone has this exact configuration. It varies with each person's anatomy. Men, especially, tend to have thicker bulkier muscles in this area in particular so the pattern can vary that way too. The muscles on the two sides can be different slightly so the furrow may be... more
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Glabellar Frown Lines

This is a common area of wrinkles that patients wish to address. Using Botox or Dysport will help soften and relax the muscles to address that area. If you wait too long, the lines can become deep set and require more than just Botox or Dysport. Please consult with a board certified specialist who can assist you!
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Cause of Glabellar Lines and How Can It Be Remedied?

The cause of these lines is muscle contraction and you have a fair amount of muscle bulk in this area. The best treatment is Botox to relax these muscles. This will reduce or eliminate your frown lines and asymmetry for about three months. I hope this information is helpful. Stephen Weber, M.D., F.A.C.S. Lone Tree Facial Plastic Surgeon
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Botox vs. Juvederm for Frown Lines

Thank you for posting your question and photo. In most cases, an appropriate dose of Botox will weaken the muscles in the inter-brow region (glabella) and lesson the frown lines. Some surgeons will use filler in this region, though the lines are truly dynamic (related to muscle activation) and there is a distinct possibility of lumpiness/bumps in this area. For very deep lines, an endoscopic brow lift is a great option; in this treatment, the corrugator muscles can be disrupted -- offering a... more
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Juvederm in glabellar lines ?

Actually, even though Juvederm is sometime used in this area for static lines or "lines at rest", I feel that Botox is more appropriate to start out. You may be able to correct the creases with Botox alone, especially if they only show up when you make that expression. Botox is a muscle relaxer, and as such, it will relax the muscles in that area and stop the furrowing.
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