I'm looking for advice on how to treat my deep brow furrow, any suggestions? (Photos)

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.

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!

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

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.

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 

You are a great candidate for removal of the frowning muscle and replacement with your own fat to slightly elevate the eyebrows and make your forehead smoother. Your eyebrows are too low, you are compensating by using your forehead muscles to open your eyes and that is why you are getting the horizontal lines in the forehead. Otherwise, you will be spending a significant amount money during the lifetime on filler and Botox.

You will need botox/dysport regardless but the choice comes down to what is the best filler.: a temporary injectable filler or a permanent implant.  That combination will make it look so much better.

Thanks for your question.  I believe you’re referring to the “#11” line on your right side, just adjacent to your eyebrow.  I agree that it is quite deep, though it’s always tough to make an assessment from photos alone.  I would consider starting with neuromodulator (e.g. Botox) to the glabella (muscles between your eyebrows) to see what kind of change that would make.  It may very well do nothing.  You could also consider filler to the area (must be done by a very experience injector as this is a traditionally risky area to inject, even in the best of hands), though based on the photo it’s doubtful this would make a significant difference.  The other option would be directly excise the furrow.  You’d be left with a straight-line scar in the area, but that would likely be less noticeable than the deep furrow.  You would need to Botox before surgery and maintain Botox to that area for a full year to optimize scar healing.  Hope that helps!

To refresh your look and eliminate frown lines as well as deep wrinkles between the eyebrows, forehead, and near the eyes, Botox/Dysport injections are the safest and most proven minimally invasive option. After a thorough consultation we will examine your facial musculature and precisely determine the location and quantity of Botox required to give you the most consistent results. Be sure to trust your face to a specialist and best of luck to you.

There are a number of treatment options that can be employed for heavy furrows in the glabellar area (between the eyebrows).  The most common and safest initial treatment would be to start with botox.  This is the most common area treated with botox. However, it is likely that this will not completely erase or improve those lines. Some people with be satified with just botox, others will request more. Filler can be carefully injected into this area but I would strongly recommend you see someone with experience and who is conservative here because it can be a dangerous area to inject. There are some potential surgical treatments that could also be considered. A conservative brow and forehead lift may be an option depending on how the brow naturally rests and what your goals are.  Men typically do not need/want a noticeable brow lift, but some techniques can be used to gently and naturally raise the brow and also disrupt the muscles in the area of the furrows to soften them.  Fat can also be used as a filler in this area, but again must be done by someone with experience. It looks unnatural to add lots of volume to this area so staying conservative is always best.  Good luck!