I have an extremely loose scalp, because of this i also i have what appears to be excess fat in the spot in just above my nose and just underneath my forhead. Because of this fat it makes me have the appearnce that im angry all the time when im not. Ive spoken to a few doctors with two different opionions. The first told me he could remove the fat with a small canula and the other doctor told me i would need a brow lift. Im fine with where my brows are its inbetween my brows thats the problem
Answer: Is this fat between my brows, or do I need a #browlift or #botox? It is highly unlikely that this is fat - that simply is not a location where there is typically an anatomic fat deposit. More likely is you have thick, hyperactive male muscles in the glabella - the area between the eyebrows - which often respond will to Botox. In some cases, surgeons will actually remove these muscles as part of a brow lifting procedure, with the idea being that since these muscles contribute to a frowning, angry look and may pull downward slightly on the forehead, releasing/relaxing/removing them can open up that area and allow more upward positioning of the forehead soft tissues. I don't love removing these muscles as I'm not sure every patient who is a candidate really wants to have functioning, normal anatomic muscles excised from their bodies just to have cosmetic enhancement. I'd start with Botox - 25 to 30 units may be necessary - specific to the corrugator and procerus muscles and stay away from your mid-forehead frontalis muscle (the muscle responsible for raising eyebrows and giving rise to horizontal lines). Later you can consider a minimally invasive brow lift approach potentially.
Helpful 1 person found this helpful
Answer: Is this fat between my brows, or do I need a #browlift or #botox? It is highly unlikely that this is fat - that simply is not a location where there is typically an anatomic fat deposit. More likely is you have thick, hyperactive male muscles in the glabella - the area between the eyebrows - which often respond will to Botox. In some cases, surgeons will actually remove these muscles as part of a brow lifting procedure, with the idea being that since these muscles contribute to a frowning, angry look and may pull downward slightly on the forehead, releasing/relaxing/removing them can open up that area and allow more upward positioning of the forehead soft tissues. I don't love removing these muscles as I'm not sure every patient who is a candidate really wants to have functioning, normal anatomic muscles excised from their bodies just to have cosmetic enhancement. I'd start with Botox - 25 to 30 units may be necessary - specific to the corrugator and procerus muscles and stay away from your mid-forehead frontalis muscle (the muscle responsible for raising eyebrows and giving rise to horizontal lines). Later you can consider a minimally invasive brow lift approach potentially.
Helpful 1 person found this helpful
November 16, 2017
Answer: Brow treatment options It doesn't seem to be a fat problem to me. Botox in the procerus and corrugator muscle will likely help and may be enough. If this doesn't fix the problem adequately then a brow lift focusing on the central forehead would address this problem and could be tailored to have a minimal effect on the brow position. Be sure to get an evaluation by a board certified plastic surgeon.
Helpful 1 person found this helpful
November 16, 2017
Answer: Brow treatment options It doesn't seem to be a fat problem to me. Botox in the procerus and corrugator muscle will likely help and may be enough. If this doesn't fix the problem adequately then a brow lift focusing on the central forehead would address this problem and could be tailored to have a minimal effect on the brow position. Be sure to get an evaluation by a board certified plastic surgeon.
Helpful 1 person found this helpful
