How to address this irregular forehead? (photos)

Thanks for sharing a photo. That's a very interesting finding, the vertical crease that runs the entire height of your forehead. I don't believe I've ever seen that before. The bone and muscles of the forehead are typically pretty smooth, and when contracted, the muscles cause horizontal lines, not vertical ones. A detailed exam by a plastic surgeon would the first step in evaluating this. I agree, I don't think Botox and fillers are the long-term answer. But you also look young, so I don't know how aggressive you want to pursue a surgical option. I wish you the best! See a board certified PS.

Thank you for your question. If you did not experience trauma to that area in the past, then you should perhaps have your medical doctor rule out the forehead indentation as a manifestation of an autoimmune disease (e.g coup de sabre/ scleroderma).  Otherwise, the forehead indentation can best be treated with fat grafting or sculptra.  In my experience, these two modalities produce the most consistent result for volume augmentation of the forehead and temple areas and it can be longer lasting than injecting fillers.  Good luck!

These are best treated with volume and botox to help the volume remain.  Please see an expert who treats a lot of this area.  Best, Dr. Emer.

It sounds like your initial approach was a good one.I would differentiate to determine which was more effective Botox or filler's.One option is using longer-lasting fillers.Radiesse it's a much better option than any of the hylouronic acid-based fillers such as Juvaderm.there are even longer lasting fillers such as artefill.fat transfer has the potential of giving permanent results.It is however fickle and can be unpredictable.When working with fat transfer to correct precise volume deficits in the face such as what you have it's better to be conservative and plan on doing a few treatments six months apart.That will minimize the chance of having problems such as a lumpy four head and give you when your surgeon time to fine-tune your result for a lifetime of good aesthetic outcomes.if Botox makes a substantial improvement then continuing Botox is the way to go.There are surgical procedures that can mimic long term Botox effects by surgically weakening the muscles that are injected with Botox.you should interview multiple providers.Specifically look for providers who can prove they have ample experience with full facial fat transfer including the forehead.Most facial fat transfer is done in the mid cheek area giving diffuse volume.This is quite different then the very precise type treatment you're looking for.Best of luck,Mats Hagstrom M.D.

Thank you for the question and photo and an examination is really needed to see what might be the best way to treat your problem.  So go on some complimentary consultations with experts in your areaDr Corbin

Thank you for your question and the photograph. I think that you've gotten some good advice from the other surgeons but I would point out to you that I avoid the use of fillers near the eyebrow area especially not fat since there have been reports of visual loss from retrograde injection of fat into small blood vessels causing partial blindness! I don't think that this is a risk with Juvaderm and possibly the other fillers but needs to be researched carefully before you proceed. Just my advice. Good luck and enjoy your results.Jon A Perlman, MD FACSCertified, American Board of Plastic SurgeryAssoc. Clinical Professor of Plastic Surgery UCLA Medical CenterBeverly Hills, Ca