What is this vertical ridge in the center of my forehead? After Botox I still can't get rid of it. (photo)
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Doctor Answers 13
Ridge in Frontalis
The forehead ridge you are seeing is a product of your natural frontalis anatomy. There are several anatomical variations to the frontalis muscle - the ridge you are seeing is secondary to a space between the fibers of your frontalis muscle or from a deficiency in the fat or bone in the area. I strongly advice against any filler injections to this area - you have lots of blood vessels here and injecting a filler can lead to blindness should any filler be inadvertently injected into a vessel.
Thanks for your question!
- Dr. Krishnan
Vertical ridge in the center of my forehead -- Botox and filler
It appears as though the indentation is worse when frowning.
An expert injector should be able to give you an accurate treatment plan.
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Ridge in forehead after corrugator Botox
But you need an exam to be sure.
If your injector is not a physician, consult a Board Certified Plastic Surgeon to determine the cause and do Botox and/or fillers as indicated by the exam.
More botox and/or an HA filler
Soft filler would be good option for forehead dent
Ridge on Forehead
Dermal Fillers In The Forehead.
Dermal Fillers in the forehead
First all injections into this area (and others) should use a "retrograde" technique. If you ask your injector if they use this technique and they don't know what to say, that's a bad sign. Injecting as you remove a needle from the skin helps to avoid injecting the product into blood vessels. In most cases, occlusion (blockage of blood vessels) occurs when pushing the product out of the needle at the same time that the needle is being moved forward into the skin.
Second, only soft Hyaluronic acid products should be used in the forehead and we prefer Restylane. Finally, for anyone injecting into this area, they should have a healthy supply of Hyaluronidase (Vitrase) on hand. It's a good idea to have Vitrase around at all times anyway, but particularly important when injecting into the forehead. Find an injector that's comfortable with this area and ask the right questions during the consultation.
To view an example of before and after pictures for a patient that we treated with Botox and Restylane for deep forehead lines, check the link below.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.