I have protruding brow ridges with low volume in between which creates a vertical shadow on my forehead. I would have it filled but I'm worried about the vein that goes through this area. (Two questions: - Could filling between the brow ridges risk compressing on that vein and hinder blood flow? (assuming no intravascular injection) - If safe, could filling around and above the vein diminish its appearance? Any other treatment options would be worth mentioning
Answer: Forehead bone contouring IF you don’t like the bone contour over the brows then you have two options 1) fillers 2) Surgery. Fillers have the risk of intravascular injection but it should be very low if done well. Fillers won’t make the vein go away. You do have to maintain the fillers as they dissolve over time. For people who want permanent solution, I have always treated this with bone contouring. You have an incision in the hair and the bone is shaved and set back so it’s a little smoother.Again it’s all about what your desired goals are. Schedule a consult with a forehead specialist to discuss the details. Best wishes
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Answer: Forehead bone contouring IF you don’t like the bone contour over the brows then you have two options 1) fillers 2) Surgery. Fillers have the risk of intravascular injection but it should be very low if done well. Fillers won’t make the vein go away. You do have to maintain the fillers as they dissolve over time. For people who want permanent solution, I have always treated this with bone contouring. You have an incision in the hair and the bone is shaved and set back so it’s a little smoother.Again it’s all about what your desired goals are. Schedule a consult with a forehead specialist to discuss the details. Best wishes
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April 3, 2019
Answer: Filler- Between The Brows Hi there, Thanks for the picture and your clear explanation of your goals. Generally in my practice, I would recommend a combination of a muscle relaxer like Botox Cosmetic and a filler like one of the five from the Juvederm family of filler that matches your skin texture. Once corrected, people will no longer think that you are chronically angry and you will be more approachable! It sounds like you have done your research and understand that filler injections carry varying risks depending on the area being injected. Incidentally, the area between the brows which in medical terminology is called the glabellar area, is one of the more difficult areas to correct . Because it carries a high risk for vascular accidents. I use a vein finder, called Accuvein to accurately map the vessels that I need to avoid. Even with the right tools, it takes years of experience to get this area corrected safely. I hope my answer helps you with your preliminary research. Once you are ready to go forward, choose a highly experienced injector who uses a vein finder and start with a consultation and a treatment plan. Best of luck to you, Dr B
Helpful 3 people found this helpful
April 3, 2019
Answer: Filler- Between The Brows Hi there, Thanks for the picture and your clear explanation of your goals. Generally in my practice, I would recommend a combination of a muscle relaxer like Botox Cosmetic and a filler like one of the five from the Juvederm family of filler that matches your skin texture. Once corrected, people will no longer think that you are chronically angry and you will be more approachable! It sounds like you have done your research and understand that filler injections carry varying risks depending on the area being injected. Incidentally, the area between the brows which in medical terminology is called the glabellar area, is one of the more difficult areas to correct . Because it carries a high risk for vascular accidents. I use a vein finder, called Accuvein to accurately map the vessels that I need to avoid. Even with the right tools, it takes years of experience to get this area corrected safely. I hope my answer helps you with your preliminary research. Once you are ready to go forward, choose a highly experienced injector who uses a vein finder and start with a consultation and a treatment plan. Best of luck to you, Dr B
Helpful 3 people found this helpful