How can I get rid of a forehead "dent" after Botox injections (post-mini-forehead lift with fat injections)? (Photos)

Question

Last year, I had a successful mini-forehead lift with fat injections. After 8 months I got Botox (2 sessions 3 months apart) for expression lines in forehead above the eyebrows. Last month, I developed a "dent" in the forehead's mid-section. My aesthetic nurse said the Botox may have caused muscle atrophy there. How can I get rid of the "dent"? Should I stop getting Botox, to prevent more "dents" that will damage the good results of the mini-forehead lift/fat injections I had? Thanks.

Matthew Richardson, MD · Answer

It is very unlikely that Botox would cause any depressions in the forehead. These types of changes are possibly related to altering the underlying muscle or soft tissue of the forehead during a brow lift. The most likely cause of these types of changes in a patient that has had fat transfer to the forehead would be irregular resorption of fat in the forehead. Be sure to discuss any post-operative concerns with the surgeon who performed the procedure as a starting point. Fillers could be used to fill in a soft tissue defect if desired.All the best,

Andrew P. Trussler, MD · Answer

Unlikely a forehead dent would be caused by Botox and if it is then it should get better. Botox does cause temporary muscle atrophy which will resolve. The most likely cause is galeal scoring or muscle scoring from the browlift or non-take of fat if fat was injected there. The correction could be corrected with Botox and if it occurred after 2 months after Botox then it is likely browlift related.

Jason Emer, MD · Answer

It is highly unlikely that this was caused by Botox. You may have had an irritation or possible infection from the injection site. Please, see an expert. Best, Dr. Emer

Jonathan Kulbersh, MD · Answer

This isn't typical after Botox. Botox results generally resolve in 3-4 months. Fillers may give improvement. I recommend getting a consultation with a cosmetic dermatologist. Hope this helps.

Bruce K. Smith, MD · Answer

Irregularities can be caused by any procedure with scar tissue under the skin. Slight indentations or irregularities like this can usually be successfully treated with release of the scar (subcision, often done with the tip of a needle) and placement of filler or additional fat. Please select a surgeon board certified by the American Board of Plastic Surgery, preferably a member of the ASAPS, (American Society of Aesthetic Plastic Surgeons).

How can I get rid of a forehead "dent" after Botox injections (post-mini-forehead lift with fat injections)? (Photos)

Answers (8)

Answer: Dent after Botox? Dermal Filler Treatment

Answer: Dent after Botox? Dermal Filler Treatment

Answer: Dent after forehead lift, fat injections and Botox

Answer: Dent after forehead lift, fat injections and Botox

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How can I get rid of a forehead "dent" after Botox injections (post-mini-forehead lift with fat injections)? (Photos)

Answers (8)

Answer: Dent after Botox? Dermal Filler Treatment

Answer: Dent after Botox? Dermal Filler Treatment

Answer: Dent after forehead lift, fat injections and Botox

Answer: Dent after forehead lift, fat injections and Botox

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.