I have a horizontal glabellar crease between my eyes. What procedure can correct this and give me permanent results? (Photo)

The only surgical option that may give you permanent results that I have seen work involves resection of the corregator and procerus muscles through an upper blepharoplasty incision.  It is a difficult operation with significant bruising and swelling and as such is not performed by many surgeons.  Check in your area to find someone with experience with this technique.  Best of luck.

Relaxing the muscles in the area will definitely soften the crease but augmenting this area would probably be a more permanent solution. You have some options: Radiesse works well in that area and can be long lasting. This is probably the easiest option, but it needs to be done by an expert preferably with a blunt cannula. Fat grafting. should work as well but again same precautions apply here. Cartilage grafting would require a rhinoplasty approach and it would be more complicated. Your next and probably best option is an endoscopic muscle resection in the area and placement of a fat graft or cartilage graft directly in the crease. Good luck.

Hello jay.90,Thanks for your question.As you continue to lose bone as you age, that crease will eventually come back even if surgically corrected. This means that there is no such thing as a permanent improvement or correction.  The closest thing you can have done is a radix augmentation with an implant or with your own cartilage.  I prefer to use Medpor (ePTFE) implants or ear cartilage as my 2 first choices.The radix is the area of transition from the brow to the top of the nose, and it will crease in time for everyone. When you have more projection to your forehead, it can happen in young people like you also.This is a procedure that can be done in the office under local anesthesia using either an incision in the radix area, or via an incision inside the nose.Another secondary option would be to lift your brows up to tighten that skin and reduce the muscle function in the area that furrows your eyebrows.  This is a bigger undertaking and is usually done under general anesthesia in a surgery center.We would be happy to see you at our office in Cherry Creek for a consultation.Take care,Dr. Shah

Endoscopic
Forehead ‘Muscleplasty’ is similar to endoscopic brow lifting, however, the
forehead and the brows are only minimally elevated or repositioned. Instead,
the underlying brow and forehead muscles are contoured with a laser to soften
the wrinkles, deep lines or creases that have formed. These lines are often
associated with a tired and angry look. This is essentially the surgical
equivalent of Botox, Xeomin and Dysport. The muscles are surgically weakened to
diminish the frown and brow lines just like chemical denervation with Botox,
Xeomin and Dysport. Whereas Injectable treatments last for three months, the
surgical approach lasts for many years.I suggest you consult a board certified facial plastic surgeon
to receive the highest quality knowledge, treatment, care and skill available.

A consultation provides you the opportunity to relay your
concerns and desired outcome to the surgeon while the surgeon can assess your
health profile and discuss his/her pertinent advice.

He is correct. It is unlikely that a browlift would efface
this transverse wrinkle. Furthermore, it would necessarily elevate your medial
brow. A bad look for anyone, especially males. Leave it alone.