What to do to fix dent in middle of forehead and eyebrows? (Photos)

Question

I appear to have a protruding brow bone, but the center of my forehead appears to lack tissue which casts a dent in most lighting. Could this be fixed, to smooth out my face, in a non-invasive way? Whenever I raise my eyebrows slightly, I have a noticeable dent in between my eyebrows. I am unsure if I would need to have a higher nose bridge or if a combination of botox/fillers could smooth this section out. Also, how much would the total procedure cost?

Andrew Campbell, MD · Answer

It looks like a combination of filler and Botox could improve that area. The cost is typically in the hundreds of dollars, not thousands, and the result will be temporary, but should last for months in the case of Botox, and possibly years in the case of the filler.Andrew Campbell, M.D.

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers

Larry C. Leverett, MD, FACS · Answer

In a word, BOTOX. The lines are muscles that are contracting and Botox relaxes those muscles. If there are depressions that are present at rest (when making no expressions), then those are treated with injectable fillers. Long term, if the forehead begins to drop, the brow lift procedure may address the droopiness as well as providing long term resolution of these thick muscle contractions.

Michael A. Zadeh, MD, FACS · Answer

Hello Lucille. An in-person consultation and evaluation would be best to visualize the muscle movement in action. A combination of Botox and Fillers can be used to improve the area. I would start with the Botox first and then the Fillers if needed. Please make sure you see an experienced injector. Best wishes.

Philip K. Robb Jr., MD, FACS · Answer

Hello and thanks so much for your question-

It looks like the "dent" you're referring to is actually some musculature in the glabella area. If you were my patient, I would love to get a great exam and see if it's more noticeable upon raising your forehead.

Botox would work great if that's the case- if it's just a large supraorbital ridge- that can be smoothed by filler.

Hope this helps and God Bless!

Dr. Robb

Jason Emer, MD · Answer

You're on the right track. Botox works well in this area however only works on movement lines and will not help a deep crease if it is there at rest. Thus, fillers will be needed in combination for best results. Cost will vary, but see an expert for a formal evaluation. If you want a surgical approach the bone can be shaved.  I suggest an evaluation.  Dr. Emer.

Hardik Soni, MD · Answer

Botox works great in this area, but it works only on wrinkles that have movement. To correct the deeper lines you would need a filler. I recommend having a consultation with an expert injector to discuss your desires and concerns.

Kristin J. Tarbet, MD, FACS · Answer

Treatment of your forehead with Neuromodulators like xeomin or botox would be a good start. If it is not to your satisfaction, filler would also help.

Reza Tirgari, MD · Answer

I agree that a combination of Botox and fillers would do the trick.  The best option would be to have it examined by a qualified physician to ensure that the right products are used.

Manjula Jegasothy, MD · Answer

A combination of Botox Cosmetic® and a thinner-viscosity filler such as Belotero® or Restylane® can be a great option as a more complete treatment than Botox Cosmetic® alone for deep forehead wrinkles.

Alex Eshaghian, MD, PhD · Answer

Thank you for your
question LucilleA. Botox is a
purified protein used to address wrinkles associated with facial expression. It can be used to address wrinkles on the forehead. Pricing depends on the region and office. Please consult with
a doctor for specific recommendations. Good luck!