F34, bump above the eyebrow - which muscle could this be and will Botox smooth out that area? (Photos)

Question

4 weeks ago I (f, 34) noticed a kind of bump above one eyebrow. It looks worse when I move my eyebrow + the eyebrow on that side is moving a lot more than the other. It looks like I'm permanently angry on that side, the skin looks like it's pulled together. Taping makes it look better, but it‘s not going away. Could this be due to too much muscle activity? I have no forehead lines and no lines between my eyebrows. Which muscle could this be and will Botox smooth out that area?

Glenn Murray, MBBS · Answer

Hi there. It would be great to know if you've already been treated with botox in your forehead or frown, but this appears to be an active corrugator muscle, which is stronger on that side. Botox may help but make sure you visit an experienced injector and aim to treat very conservatively to avoid further asymmetry.

Thanks and take care.

Anna Chacon, MD, FAAD · Answer

When dealing with a bump above the eyebrow and asymmetrical movement, it's possible that the issue may be related to the muscles responsible for facial expressions. Here are some considerations:

Muscles Involved: The frontalis muscle is primarily responsible for raising the eyebrows. If this muscle is overactive on one side, it can lead to asymmetry. Additionally, the corrugator supercilii and procerus muscles, which are involved in frowning and pulling the skin between the eyebrows downward and inward, could also contribute to the appearance of a bump or asymmetry.

Botox as a Treatment Option: Botox (botulinum toxin) is often used to relax overactive muscles, which can help smooth out asymmetries and reduce the appearance of lines or bumps caused by muscle activity. In your case, Botox could potentially help by:

Reducing the activity of the overactive muscle, thereby smoothing out the bump and achieving a more symmetrical appearance.
Preventing excessive movement that might be contributing to the appearance of asymmetry or a "permanently angry" look.
Consultation with a Professional: It is important to consult with a qualified dermatologist or cosmetic specialist who can evaluate your specific condition. They will be able to assess the muscle activity and determine the most appropriate treatment plan. They might use a combination of Botox and other techniques, depending on the underlying cause of the bump and asymmetry.

Other Considerations: If the bump persists or if you experience any other symptoms, it might be worthwhile to investigate other potential causes, such as cysts or other skin conditions, to ensure that Botox is the right solution.

A thorough evaluation by a professional will provide you with the best guidance tailored to your unique situation.

Camille Cash, MD · Answer

If the bump that concerns you is more noticeable when you furrow your brow then Botox to that area can help soften the appearance.  Visit with an experienced injector for treatment.  Botox injections are done in the office with final results seen after two weeks.

F34, bump above the eyebrow - which muscle could this be and will Botox smooth out that area? (Photos)

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F34, bump above the eyebrow - which muscle could this be and will Botox smooth out that area? (Photos)

Answers (3)

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