Can Botox or Dysport cause a permanent dent to form in the muscles on my forehead? (Photos)

Thank you for sharing your question and photographs.  Although Botox does not make a permanent indentation in the face, it can cause muscle atrophy.  Combined with perhaps a side-sleeper this can create deeper lateral lines in the forehead.  If this is what has occurred I would stop Botox treatments until the muscle thickens and this should improve your result.  Talk to your injector as they know you, and your treatments, the best.  Hope this helps.

Thank you for your question, volume and contouring of the face and temples can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Implants or fat are alternatives. I recommend getting a formal evaluation with a facial sculpting expert to go over your desired results and recommendations. Best, Dr. Emer

I am not aware of botox causing permanent dentsc, in your case, after looking at the photo I suspect your dents may have something to do with the placement of the botox. I would advice you see an experienced injector and have a through examination.

Please take pictures while relaxed and then while animating to see the muscle movement. Botox will not cause depression but you can have depression at the border of the active and relaxed muscles. If there is dents while you relaxed, then fillers or fat grafting can help.

You do have some atrophy most likely from the injections and filler such as Radiesse will help the appearance and  no more Botox. See an experienced board certified dermatologist