Quite a while ago I saw a tv program where a Dr. in Canada severed the muscle between the eybrows. Is that an option?
Is is Possible to Permanently Get Rid of the Deep Vertical Lines Between the Eybrows?
Doctor Answers 8
Brow lift with muscle excision and / or fat injections for permanent removal of vertical lines
Thanks for reading, Dr Young
Permanent way to get rid of deep lines between the eyebrows
It is possible to get rid of the deep vertical lines between the eyebrows temporarily with Botox. If that is not an acceptable alternative, then a brow lift can be performed whereby the muscles are softened and divided and removed. If the lines are rather severe, we also place fascia grafts between the dermis and the muscle to prevent any reattachment of the muscle to the dermis which also alleviates the deep line and depression. This is usually done through a coronal approach to have better and more controlled access to this area.
Permanent Treatment of Glabellar Lines
The corrugator and procerus muscles that cause the vertical "11" llines between the brows can be severed surgically to prevent the formation of the deep lines. Three problems, one is that surgery is necessary, two is that they may grow back together, but third and most significant for me is that patients often look very unnatural after this procedure. A combination of a neuromodulator (Botox, Dysport, or Xeomin) with a hyaluronic acid (Restylane/Juvederm) act synergistically to make the lines "go away and stay away" in most patients. Good luck and be well.
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The corrugator muscles which cause the glabella creases can be divided and removed during a brow lift.
Glabellar lines -vertical lines between the eyebrows
Glabellar frown lines are vertical lines between the eyebrows. They are created by the actions of muscles that insert on the skin along the inner end of the eyebrows. When minor they can be temporarily diminished by botox injections or permanently addressed by removal of the muscles that create them. If ignored until they are very deep no procedure directly on the muscle itself will suffice. In such cases you will also need a filler to efface the lines. You have to be careful using fillers here because due to the artery anatomy in this area there is a risk of injecting directly into those arteries and killing the overlying skin.
Permanent removal of frown lines
The frown lines can be static (present at rest) or dynamic (present when animating). The former is usually a sequelae of the latter. Botox temporarily weakens the muscles that produce the dynamic frown lines. Over a period of time , the static lines can improve. The muscles can also be surgically removed or permanently disabled and this will erase the dynamic frown lines. If there are residual static frown lines, these will gradually improve or can be filled with a variety of fillers to permanently soften these lines.
Erasing the lines between your eyebrows.
Botox Cosmetic is a great temporary treatment for the lines in your forehead. If you are long for a more longterm treatment, then an open or endoscopic (video camera) forehead surgery can be used to remove the muscles which cause the lines. If there is a great amount of dermal atrophy, then you may need a dermal fat graft or other graft to help support the dermal creases. Good luck.
Vertical frown lines
1) Botox or Dysport can be used to soften the deepening of the frown lines when making a frown expression. The treatment may even soften the lines that are present at rest. The effects typically last 3-4 months depending on the dose.
2) Restylane or Juvederm can be used to soften the frown lines that are present even when you don't make an expression. This can last for a year or more when used in conjuction with Botox.
For someone who has concerns with both the static lines (without expression) and the dynamic lines (with expression), then using both products would work well together.
I often find that patients who return after a Botox or Dysport treatment in the frown areas complaining it didn't work, is due to the confusion between the static and dynamic frown lines. They continue to see the static lines even though the dynamic lines have softened considerably.
As far as surgical options, if you get cut the corrugator muscles that create the frown line, then you can permanently reduce your ability to frown. I would recommend that you visit with a board certified plastic surgeon to discuss these options in more detail.