More Info on Excising Currogator Muscle Please?

Corrugator muscles work to cause frowning and vertical lines between the eyebrows in the area known as the glabella. These muscles are frequently treated with Botox injections to decrease their action. They can be treated surgically during a brow lift procedure. They can also be treated without lifting the brows. In my hands, this would be performed using an endoscopic approach very similar to an endoscopic brow lift approach. The most important thing to remember is that even if the muscles are treated surgically, the need for Botox might not be eliminated. These muscles are often weakened by surgery but tend to regrow and return to function over time. Keep in mind also that extremely aggressive muscle resection might improve the duration of surgical improvement in this area, but will also increase the risks of numbness, bleeding/bruising, and soft tissue scarring that could potentially be noticeable.All the best,

Excising the corrugator muscle is usually only done as part of a brow lift. Some surgeons do it as part of blepharoplasty. It is surgery and can cause irregular contour because you’re excising the muscle. If you just weaken the muscle often, the action of it will come back. In general using BOTOX is a much better approach as surgery may not be permanent and may cause further damage. BOTOX over time tends to decrease the lines and when combined with filler can give a very long lasting result.

A corrugator myectomy involves transecting the corrugator muscles through a coronal approach.  When the corrugator muscles are extremely hypertrophic and/or if dermal atrophy is present with the 2 vertical lines between the eyebrows, fascia grafts are placed between the muscle and the dermis to prevent the dermal atrophy from recurring.  This can be done without lifting the eyebrows.   A browlift is done under general anesthesia.  The cost  of a browlift  includes the operating room, anesthesia, and surgeon’s fee. For many examples and our current price list, please see the link and the video below

Botox is very effective in relieving the frown lines caued by the corrugator muscles, however, it is temporary, lasting about 3-4 months.

Excising the muscle can be performed through a forehead incision during a brow or forehead lift or it can be removed through an upper eyelid incision. The latter is usually done during an upper eyelid lift, called a blepharoplasty. I have also removed them successfully through the actual wrinkles. It is very difficult to remove all of the muscle, however. The muscle can be diminished to the point that the result is satisfactory in most cases.

A problem I have seen rarely, fortunately, is too much subcutaneous tissue being removed in an attempt to remove the corrugators, and this leaved a depression in the forehead just above the nose. The operating surgeon must know his anatomy to effectively remove only the muscle and not the surrounding tissues to avoid this.

When a patient gets "injection fatigue," a corrugator muscle excision is a good option in my opinion. If Botox is needed afterwards, it should be only rarely, if at all.

Weakening or denervation of the glabellar musculature can be achieved but cutting/excision of the muscle. While initially done through endoscopic approach, it is more effective when done directly through an upper eyelid incision. While some redeuced muscle action can be achieved on a permanent basis, it will not have the same effect as Botox injections which effectively treat a larger surface area of muscle.

Inevitably no matter how aggressive you are, the muscle function seems to want to come back. In addition mroe aggressive dissection can lead to potential complications such as contour deformities and skin necrosis. If BOTOX works, I would stick with that.

myectomy(excision of muscle) was a popular procedure prior to the widespread use of botox and dysport

it was common to excise the muscle only to find minute remaining fibers of muscle re-attatching and the wrinkle returned.  the procedure was then refined to place a sheet of gore-tex in the muscle bed to prevent fiber re-attatchment, but the muscle fibers still reformed the wrinkles

frequently the patients would develope thinning of the skin with a noticable defect.

a technique of muscle resection will be developed to overcome these problems but beware

Myectomy (excision of the muscle) has certain problematic factors which include reattachment of the muscles , thinning of the skin, which allows the wrinkles to be reformed. Botox or Dysport are great alternatives for this procedure as they are highly effective in treating the 11's and with continued injections you may see less need of frequency with very successful results, minimal downtime and no surgery. Best regards.

The easiest way to treat the corrugator muscle to eliminate or decrease the vertical forehead creases is to approach the muscle through an upper eyelid incision. However, this is not 100% successful because it  difficult to remove all fibers. Botox may still be necessary after this procedure. The most significant risk is the possibility of a depression and contour irregularity after muscle removal. Interruption of the muscle, rather than excision, is not as effective, but is safer.

The procedure is easily done through an upper eyelid incision and can be done with local or general anesthesia. Prices vary around the country so check with your local surgeons. Even with a resection of the muscle there may still be a few fibers left and you may not get as total a relief as you get with Botos.