What is the best way to treat this scrunch? (Photo)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

While we do check for the efficacy of Botox treatments, asking patients to contract, muscles or facial expression, we generally do not make facial aesthetic assessments in a dynamic state or while patient contract facial muscles.
Your facial contour is a combination of facial, skeletal structure with soft tissue coverage. In your case, it also includes the impact caused by the contraction of muscles, a facial expression.
I suggest having a few in person, consultations with local board-certified plastic surgeons in your area.
Best,
Mats Hagstrom, MD