My glabellar muscles are always contracted. Is there an alternative treatment to botox?

Botox over time will atrophy the glabella muscle  helping those frown lines look less noticeable.  Botox does wear off in 3 months.  A surgical treatment would be to remove some of the glabella muscle, thereby weakening the muscles.

Thank you for your question. Outside of wrinkle relaxers like Botox, there is no other medication or treatment that can help provide relief from your contracted glabellar muscles. You can try and train yourself away from furrowing your brow through application of a breath-rite nasal strip to your glabella which can provide a form of biofeedback to remind you when you are contracting, but this may take a lot of training to achieve. Though I understand your apprehension to using a temporary medicine like Botox, it does work well, and is minimally invasive. I hope this helps.

Botox/Dysport is a great solution to your problem and if you don't like it--it wears off.  If you want a permanent fix, you may wish to have surgery or radiofrequency treatments to remove or weaken these muscles.  I would proceed with a lot of caution if you are doing a permanent treatment.  This does not constitute official medical advice.  Good luck.

Botox is by the far the best way to treat this glabella area.  The alternative is to cut the glabella muscle surgically.  Please consult an experienced physician for the best cosmetic results.

Dear jkreighbaum:At this time, treatment for "glabella" muscle complex spasm include:Botox and similar injectable muscle relaxers such as Dysport or XeominSurgical resection of the muscle(s) required to return balance to the spastic muscle bundles.meditation and hypnosis and biofeedback exercisesNot yet commonly available options to include:cryotherapy of the muscleneurectomy of the nerve to the muscletopical muscle relaxantsPlease consult with a Board Certified Plastic Surgeon, ENT Facial Surgeon or neurologist (particularly if pain control is an issue). I wish you the best!

There are surgical options available for this issue, but safe and reliable results can be obtained with Botox or another neuromodulator. I would actually suggest that you FIRST experiment with solving this problem with Botox because it's results are not permanent. This way you can learn if altering this area is going to be something you would want to change permanently. 

There are cryo-destructive approaches and new radiofrequency treatments that are supposed to destroy the nerve. I actually still think injection neuromodulation is the best option, because although not permanent, if done regularly over time, often "re-trains" these overactive muscles and you do see long lasting improvement. It works best if started younger rather than older in my experience. Finally, you should try it at least once to see if you like the look before you choose a permanent option.

If you're planning to have a blepharoplasty, you can have those muscles excised and weakened at surgery. 

the muscle can be removed surgically, though it tends to come back, especially in people who contract it all the time.... and you then need botox again.  I have long and extensive experience in this area.  Surgery works completely and permanently in a minority of people. The best results here are from botox or dysport