Dent in my forehead, possible caused by overgrown or bulging procerus muscle. Thoughts?

Question

I’ve injected Botox religiously every three months for the past two years, have injected Restylane, and recently did PDO threads and Ulthera (9 months ago). However, I still have this dent in my forehead that I believe is caused by an overgrown or bulging Procerus muscle. I’m in the Los Angeles area if anyone is willing to take a look : )

Jason Emer, MD · Answer

Volume and contouring of the face and temples can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. I recommend getting a formal evaluation with a facial sculpting expert to go over your desired results and recommendations. Best, Dr. Emer

Johnson C. Lee, MD · Answer

Thank you for photos. It is possible to have an irregular or bulging procerus muscle. If this is the case, botox in the area can help reduce its size and bring down the volume. Another possibility is dermal and tissue atrophy in that area which can be genetic. For either cause, filler can also be used to smooth the area and fat grafting can be used for more permanent results. Hope this helps!
Johnson C. Lee, MD

Board-Certified Plastic Surgeon

Steven F. Weiner, MD · Answer

To treat persistent static lines in glabella even after consistent use of Botox requires filler, not threads. Threads are way, way, overhyped and will do minimal improvements, particularly for this area. I would place filler in this area very judiciously. I use Refyne for this. You must go to a very experienced injector for this.This is an area of much higher risk of vascular occlusion and blindness. Always use an HA filler for this area. I would also treat the procerus muscle with 2 different injection points to relax it maximally.

Dent in my forehead, possible caused by overgrown or bulging procerus muscle. Thoughts?

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Answers (3)

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