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.