Glabellar furrows - what surgical options will improve this? (Photo)

Thank you for your question and photo.
This is a really tough question. Anatomically, you develop those vertical creases because of action of the corrugator muscles. The photo you provided, however looks to show those creases are present at rest (unless I am mistaken in interpretting the photo). Botox will typically best treat dynamic rhytids, or wrinkles that appear with movement. They can sometimes lessen the static rhytids, ie the creases at rest, however that can take some time.
I agree a browlift would not make a difference as this looks to change the position of the brows themseleves, but typically doesn't have long term effect on these rhytids. And I feel excision of the muscle may be a bit of an extreme measure and could potentially lead to worse apperance of the area.
Another option would be to see if you are a candidate for a deeper peel or laser resurfacing to soften these lines.
Hope this helps and I wish you the best of luck!Kyle Kimura, MD

A consultation will be necessary, but an endoscopic forehead procedure, done well with a good "release" of the muscles, can diminish the frown lines and move the brows into an advantageous position.

Unfortunately, the photograph does not show the whole forehead. However, a brow lift can be done to dissect down to the eyebrows. The eyebrows are below the orbital rim and they should be at or above the level of the orbital rim.

Best Wishes,

Gary Horndeski, M.D.