Forehead Volume Loss Dent. How can this be corrected? (Photos)

Question

I went to my dermatologist last year for a body check and brought to their attention a dent that was more noticeable across my forehead (diagonal, beginning in the top left and coming down to the middle of my forehead). They thought it could be morphea and sent me to a specialist. This dent was noticeable in pictures dating back to 2017. It inflates with a vein below it. When the vein is puffed up the dent is gone. I'm seeking a doctor experienced with forehead filler and correcting this.

Joshua T Halka, MD · Answer

Hello,
If after further workup regarding this problem shows no underlying disease that needs treatment, filler would be a good option. I recently took care of a patient with a similar issue that was from a skull fracture suffered during a car crash. Hers was much worse than yours and after a surgical procedure to improve the dent to roughly where yours is, she responded very well to filler placement and was very happy. She will likely undergo fat grafting in the future to permanently fill the area. That is what I would recommend for you. Try filler and if it works well for you, have fat grafting performed so you don't have to keep paying for filler and keep getting poked every year or two. 
Hope this helps!
-Joshua Halka MD

Mahmood Siddique, DO · Answer

Forehead dents or volume loss can often be corrected with hyaluronic acid fillers or collagen-stimulating fillers, depending on the depth and cause.
Since your dent disappears when the underlying vein is more prominent, this suggests it's related to volume deficiency or soft tissue changes rather than a fixed scar or deep skin condition.
In experienced hands, careful filler placement can:
Restore smooth contour
Minimize shadowing in photos
Improve overall symmetry
Because the forehead is a high-risk area for vascular complications, it’s essential to see a practitioner who is very skilled in forehead anatomy and filler techniques.
If morphea or another skin condition is still a consideration, it's best to ensure it’s stable and cleared by a specialist before proceeding with filler.

Nelson Lee Novick, MD · Answer

I routinely treat all kinds of depressions and indentations of the forehead using a low viscosity, malleable, cohesive HA filler in order to elevate and smooth them.. You would be wise to make sure to consult with a board certified, experienced, cosmetic dermatologist filler injector since the forehead is not an area for novice injectors accsustomed to only treating simple smile lines with ordinary Juvederm or plain Restylane. Hope this helps and best of luck.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Eric M. Joseph, MD · Answer

Without a photo showing your condition, it is difficult to comment on the feasibility of microdroplet Silikon-1000 injections for permanent correction of a forehead indentation. If you're indentation is bony, Fillers may be helpful for correction. Please consider re-asking your question with pictures of your forehead. I hope this is helpful. Sincerely, Dr Joseph

Forehead Volume Loss Dent. How can this be corrected? (Photos)

Answers (6)

Answer: Need to come in to consult

Answer: Need to come in to consult

Answer: Microdroplet Silikon-1000 injections may be considered for permanent filling of a forehead indentation.

Answer: Microdroplet Silikon-1000 injections may be considered for permanent filling of a forehead indentation.

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Forehead Volume Loss Dent. How can this be corrected? (Photos)

Answers (6)

Answer: Need to come in to consult

Answer: Need to come in to consult

Answer: Microdroplet Silikon-1000 injections may be considered for permanent filling of a forehead indentation.

Answer: Microdroplet Silikon-1000 injections may be considered for permanent filling of a forehead indentation.

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.