Hi! I am 35, and have had a deep furrow between my eyes for years now, and never really minded it. However, recently it's gotten worse, and I am thinking about doing something about it. I'd never considered having cosmetic surgery before but it's really bothering me. I don't even need it to disappear completely; I'd be happy if it became less noticeable. I was wondering what you would recommend? Botox, brow lift, or something else? Thanks!
Answer: Botox or endoscopic brow lift I would try a neuromodulator such as Botox that cause the deep lines and furrows caused by several muscles: the corrugater (corrugated the brow), depressor supercillii, and procerus muscle. Your natural facial movements stimulate these muscles to cause the “frown” lines. Botulinum toxin products create points of muscle paralysis of these muscles. However, your lines are deep and it may take a surgical modification of these muscles that can be performed through small incisions and an endoscope. An endoscopic browlift can or does not need to lift the brow. It may just be used for modification of these “scrunching” muscles.
Helpful
Answer: Botox or endoscopic brow lift I would try a neuromodulator such as Botox that cause the deep lines and furrows caused by several muscles: the corrugater (corrugated the brow), depressor supercillii, and procerus muscle. Your natural facial movements stimulate these muscles to cause the “frown” lines. Botulinum toxin products create points of muscle paralysis of these muscles. However, your lines are deep and it may take a surgical modification of these muscles that can be performed through small incisions and an endoscope. An endoscopic browlift can or does not need to lift the brow. It may just be used for modification of these “scrunching” muscles.
Helpful
April 14, 2019
Answer: Deep Furrows Between the Brows Thank you for your question. It is a straightforward question. The deep furrows are from repeated contraction of a pair of muscles called the Corrugators. When they contract they not only pull the brow down, but also bring the brows closer together toward the midline of the face. This results in the skin folding. The simplest way to correct this is to prevent the motion. Dysport or Botox are known as neurtoxins, and they block the signal from the nerve to muscle that causes the contraction, thereby relaxing the area between the brows known as the Glabella, and significantly improving the deep furrows. This is the best and safest first step in correcting your furrows.I hope this helps!
Helpful
April 14, 2019
Answer: Deep Furrows Between the Brows Thank you for your question. It is a straightforward question. The deep furrows are from repeated contraction of a pair of muscles called the Corrugators. When they contract they not only pull the brow down, but also bring the brows closer together toward the midline of the face. This results in the skin folding. The simplest way to correct this is to prevent the motion. Dysport or Botox are known as neurtoxins, and they block the signal from the nerve to muscle that causes the contraction, thereby relaxing the area between the brows known as the Glabella, and significantly improving the deep furrows. This is the best and safest first step in correcting your furrows.I hope this helps!
Helpful
April 11, 2019
Answer: Glabellar Lines / 11 Lines / Frown Lines -- Neuromodulators (Botox, Dysport, Xeomin), Fillers, Lasers, Microneedling/PRP For glabellar lines (or frown lines / ""11"" lines), we inject Botox into the muscle, causing the muscle to weaken and improving the appearance of the lines. Botox works by binding to receptors that send nerve signals for muscles to contract. Since your body makes new receptors and neurotransmitters all the time, it needs to be maintained otherwise the wrinkles will slowly return as the muscle regains function over time. Botox takes 2 to 4 weeks to start working and lasts for up to 6 months. For deeper glabella lines or strong 11s, I use a combination of Botox with fillers, lasers and microneedling/PRP. I suggest getting a formal evaluation with an experienced cosmetic dermatologist and expert in lasers and fillers. Best, Dr. Emer
Helpful
April 11, 2019
Answer: Glabellar Lines / 11 Lines / Frown Lines -- Neuromodulators (Botox, Dysport, Xeomin), Fillers, Lasers, Microneedling/PRP For glabellar lines (or frown lines / ""11"" lines), we inject Botox into the muscle, causing the muscle to weaken and improving the appearance of the lines. Botox works by binding to receptors that send nerve signals for muscles to contract. Since your body makes new receptors and neurotransmitters all the time, it needs to be maintained otherwise the wrinkles will slowly return as the muscle regains function over time. Botox takes 2 to 4 weeks to start working and lasts for up to 6 months. For deeper glabella lines or strong 11s, I use a combination of Botox with fillers, lasers and microneedling/PRP. I suggest getting a formal evaluation with an experienced cosmetic dermatologist and expert in lasers and fillers. Best, Dr. Emer
Helpful
April 8, 2019
Answer: Treatment options for deep brow furrow I would say the simplest solution to improving the deep furrows between your eyebrows would be to use Botox to relax the muscle causing them and a filler to help raise the indentations. There are a variety of fillers that could be used for this purpose.
Helpful
April 8, 2019
Answer: Treatment options for deep brow furrow I would say the simplest solution to improving the deep furrows between your eyebrows would be to use Botox to relax the muscle causing them and a filler to help raise the indentations. There are a variety of fillers that could be used for this purpose.
Helpful
April 7, 2019
Answer: Easy answer is "botox" but... The easy answer is to do botox to the space between your eyebrows to weaken the vertical lines. However, you also have a deep horizontal line in your forehead. This is a compensatory mechanism to raise your eyebrows. The most important underlying anatomic problem that has yet to be discussed is your upper eyelids. Based on your photos, you have significant ptosis (droop) of your upper eyelids. Addressing the upper eyelid ptosis will go a long way towards decreasing the drive to elevate your eyebrows. Doing botox to the glabella and forehead alone, without addressing this problem could be problematic and significantly decrease your visual field. From a surgical standpoint, you would benefit from both upper eyelid ptosis repair and a brow lift. Non surgical approach is botox, but you have to be careful not to treat the horizontal lines unless your eyelid ptosis is fixed.An oculofacial plastic surgeon (Oculoplastic surgeon) would be a great option for consultation.Good luck
Helpful
April 7, 2019
Answer: Easy answer is "botox" but... The easy answer is to do botox to the space between your eyebrows to weaken the vertical lines. However, you also have a deep horizontal line in your forehead. This is a compensatory mechanism to raise your eyebrows. The most important underlying anatomic problem that has yet to be discussed is your upper eyelids. Based on your photos, you have significant ptosis (droop) of your upper eyelids. Addressing the upper eyelid ptosis will go a long way towards decreasing the drive to elevate your eyebrows. Doing botox to the glabella and forehead alone, without addressing this problem could be problematic and significantly decrease your visual field. From a surgical standpoint, you would benefit from both upper eyelid ptosis repair and a brow lift. Non surgical approach is botox, but you have to be careful not to treat the horizontal lines unless your eyelid ptosis is fixed.An oculofacial plastic surgeon (Oculoplastic surgeon) would be a great option for consultation.Good luck
Helpful