More Info on Excising Currogator Muscle Please?

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

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,

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.