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The corrugators create creases on either side of the midline but not in the midline. This most likely represents the frontalis muscle which could be resected to eliminate the crease.Best Wishes,Gary Horndeski, M.D.
Corrugator resection during brow lift significantly weakens, but does not completely eliminate the corrugator muscle. Similarly, it will make the crease between the brows better, but not completely make it go away. Even after corrugator resection, you may still need some neuromodulators to completely paralyze that area.
You're going to need corrugator resection, frontalis resection, and a fascia graft placed underneath the area where the large vertical wrinkle is, since there's dermal atrophy here. This needs to be performed through coronal approach brow lift procedure.
Dear Brave,If you've had that wrinkle since your 20's and you've adequately tried chemodenervation (Botox), then corrugator resection is probably not going to do much either. The operative word here is "adequately." A long standing, deep crease like yours would take many Botox treatments performed regularly over a long period of time, e.g. a year or more, to see a difference. The question then becomes did you, or your practitioner, see a decrease in corrugator muscle activity after Botox and you just didn't continue it on a regular basis for a long enough period of time?
Generally in endoscopic Browlift forehead skin and muscle elevates at the same time as a one unit with brows. But there can be some modifications possible based on patient’s preferences. We can change dissected areas or vectors of lifting to achieve desired outcomes.
Irregular Trichophytic Browlift to permanently set brow position without raising the hairline. Yes, this is done with light general anesthesia! Make sure you see a very experienced surgeon for this and see his results with the hair pulled back.
Hi from Istanbul! Having both procedures together will give you a more refreshed eye area. An endoscopic brow lift or a brow lift performed from the scalp area would be sufficient for you. Additionally, removing excess skin from the eyelids and tightening the upper eyelid muscles will provide a...