What treatment for hypertrophic corrugator muscles? (Photo)

Question

I've done countless internet searches trying to find pictures that are similar to my condition but have always failed. I *think* I might have hypertrophic corrugator muscles but as I said, I can find very little information about this condition and no pictures. Would Botox be an appropriate treatment... or are there any alternative treatments? I'm terrified of Botox and prefer more natural solutions in general...

Alejandro Nogueira, MD · Answer

Yes, you have hypertrophic corrugators at a quite young age, which is uncommon and obviously caused by your genetical inheritance (more members of your family may suffer this condition).Treatmet is specific and not as easy as many surgeons think; it is done through a tradicional upper blepharoplasty incision, and there are two tricky elements about the procedure:-it is not enough to transect the muscle, since doing just so leads commonly to reattachment and a functional return, with a new deformity; a portion of the muscle has to be removed in order to weaken it overtime and impede recurrence of your concerning deformity-extreme care has to be taken not to damage the trochlear sensitive nerve which pierces the belly of the corrugator, a paramount importance surgical landmark to be considered and understoodWith toxins (botox and others) you'll get a temporary relief of 5-6 months, with effect decay with every repeated injection treatments, up to total resistance (antibodies formed) in some patients, the only radical and permanent solution is the above mentioned and very well known and widely described corrugators treatment, on which I have solid experience. As you may see... the easy way is just merely inject toxins, few surgeons are familiarized with the corrugators surgery, though many are (mayself as well) with the toxin injection.Feel free to request any additional information.

Monika Soni, MD · Answer

Thank you for your question. Yes, Botox or another neuromodulator like, Dysport is your best option. From your photo it appears that you have very active corrugator muscles that contribute to your frown in your glabella. With repeated treatments these muscles will eventually atrophy. Please have a consultation with an expert injector to determine the best treatment options best for you. Best of Luck!

Hardik Soni, MD · Answer

Thank you for your question. Yes, Botox or another neuromodulator like, Dysport is your best option. From your photo it appears that you have very active corrugator muscles that contribute to your frown in your glabella. With repeated treatments these muscles will eventually atrophy. Please have a consultation with an expert injector to determine the best treatment options best for you. Best of Luck!

Michael H. Gold, MD · Answer

Thanks for your question and we always recommend that you have a consultation with a board certified dermatologist or plastic surgeon in your area to learn the best treatment options for you.  You will undoubtedly hear that Botox, Dysport, and Xeomin are the best options here.  And with an experienced expert injector, this should not be a problem or a concern in correcting.  Good luck.

Steven F. Weiner, MD · Answer

The mainstay of therapy is Botox or Dysport. This is the most effective and least invasive methods to treat this. About 3 treatments over the course of about 9 months will be needed to start to see atrophy of the muscles. Another treatment is Thermi Rase, which thermally cuts the nerves to the muscles. Results will last a couple years.

What treatment for hypertrophic corrugator muscles? (Photo)

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What treatment for hypertrophic corrugator muscles? (Photo)

Answers (10)

Answer: What treatment for hypertrophic corrugator muscles?

Answer: What treatment for hypertrophic corrugator muscles?

Answer: Hypertrophic corrugator muscles

Answer: Hypertrophic corrugator muscles

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Everything you need to know about Botox

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