I understand nerves in the forehead are often cut as part of migraine mitigation and brow lifts. I don't need a full brow lift, only the wrinkle control. I love the effects of Botox but they keep giving me more and more and it lasts less and less time, maybe two weeks or so now. I've tried different doctors, nurses, amounts, and the different brands. When I am completely frozen my eyebrows do not droop so I don't think they would with cutting the nerves. Who does this? What is it called? Cost?
July 11, 2017
Answer: Looking for an alternative to Botox for managing wrinkles on my forehead The corrugator muscles and the frontalis muscles of the forehead can be softened, but not paralyzed otherwise you have a frozen forehead, and look like you had a stroke. Softening of the corrugator muscles between the eyebrows helps with the depressor action of the eyebrows and the vertical lines between them. Softening the frontalis muscle of the forehead helps with the horizontal lines. These muscles are softened at the time of a forehead lift. For more information and many before-and-after examples, please see the link and the video below
Helpful
July 11, 2017
Answer: Looking for an alternative to Botox for managing wrinkles on my forehead The corrugator muscles and the frontalis muscles of the forehead can be softened, but not paralyzed otherwise you have a frozen forehead, and look like you had a stroke. Softening of the corrugator muscles between the eyebrows helps with the depressor action of the eyebrows and the vertical lines between them. Softening the frontalis muscle of the forehead helps with the horizontal lines. These muscles are softened at the time of a forehead lift. For more information and many before-and-after examples, please see the link and the video below
Helpful
July 11, 2017
Answer: Alternative to Botox for managing wrinkles on the forehead. The nerves that are sometimes cut are to the corrugators, which cause the frown lines. No one cuts the nerves to the frontalis muscles, which lifts the brows. The frontalis muscle is responsible for the horizontal wrinkles across the forehead. A non-surgical injury to the nerves can be done with radio-frequency devices (Thermi-Rase). I don't know of anyone in Colo Spgs doing this, and my understanding is its only partial effective. Through an upper eyelid approach the corrugator muscles can be partially removed, which yields about a 50-60% improvement to the frown lines. Nothing works better than botulinum toxin neuromodulators (Xeomin, Botox, Dysport). Another option that you might consider is to to try some Zytaze before your next injections. In many patients it can potentiate the effects to be more powerful and last longer. It is also not very expensive relative to the costs of getting "Botox." Another issue is that your injectors may be placing the injections in a suboptimal manner and/or dosing. I get a fair number of poor wrinkle blocker responders that come to my office and with optimal dosing they do better. Without an in-person consultation it is hard to give any additional specifics. I practice in Colo Spgs if you wish to come in for a consultation. I also have published on neuromodulator injections and taught at national symposia on wrinkle blocker injecting techniques. Unfortunately there are a few small percentage of patients that don't respond well to wrinkle blockers, but this number in my experience of 20 years is very small. Best regards.
Helpful
July 11, 2017
Answer: Alternative to Botox for managing wrinkles on the forehead. The nerves that are sometimes cut are to the corrugators, which cause the frown lines. No one cuts the nerves to the frontalis muscles, which lifts the brows. The frontalis muscle is responsible for the horizontal wrinkles across the forehead. A non-surgical injury to the nerves can be done with radio-frequency devices (Thermi-Rase). I don't know of anyone in Colo Spgs doing this, and my understanding is its only partial effective. Through an upper eyelid approach the corrugator muscles can be partially removed, which yields about a 50-60% improvement to the frown lines. Nothing works better than botulinum toxin neuromodulators (Xeomin, Botox, Dysport). Another option that you might consider is to to try some Zytaze before your next injections. In many patients it can potentiate the effects to be more powerful and last longer. It is also not very expensive relative to the costs of getting "Botox." Another issue is that your injectors may be placing the injections in a suboptimal manner and/or dosing. I get a fair number of poor wrinkle blocker responders that come to my office and with optimal dosing they do better. Without an in-person consultation it is hard to give any additional specifics. I practice in Colo Spgs if you wish to come in for a consultation. I also have published on neuromodulator injections and taught at national symposia on wrinkle blocker injecting techniques. Unfortunately there are a few small percentage of patients that don't respond well to wrinkle blockers, but this number in my experience of 20 years is very small. Best regards.
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