Is is Possible to Permanently Get Rid of the Deep Vertical Lines Between the Eybrows?

Question

Quite a while ago I saw a tv program where a Dr. in Canada severed the muscle between the eybrows. Is that an option?

Michael A. Persky, MD · Answer

Hi Java,

	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.

	Dr. P

Young R. Cho, MD, PhD · Answer

Thank you for your question. The frown lines between the brows can be address two different ways:
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.

David Shafer, MD, FACS · Answer

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.

Karan Chopra, MD · Answer

is indeed possible to remove bumps on the forehead. These bumps are commonly attributed to conditions like lipomas (fatty tissue) or osteomas (bone growths). In some cases, a bump could result from a previous injury healing with a callus, which forms a noticeable elevation.

A lipoma usually requires a carefully placed incision directly over the bump for removal. This incision typically heals very well. On the other hand, an osteoma or bony growth can often be addressed with an incision concealed within the hairline.

The primary concern is the potential for recurrence, where the bump returns if not completely removed. Ensuring thorough removal is crucial to mitigate this risk.

I hope this information offers you some clarity. If you're considering treatment, I encourage you to consult with a qualified surgeon for a personalized assessment and recommendation. If you're seeking expertise and compassionate care, I'm here to assist. Your consultation is a pivotal step towards addressing your concerns and achieving your desired results.

If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com

Philip Young, MD · Answer

Brow lift with muscle excision and / or fat injections can be a solution for permanent removal of vertical lines. First of all there is nothing that is permanent. Permanent, to me, suggests infinity which is impossible. But longer lasting results, instead of the results that you can achieve with botox is possible. There are ways to carry out browlifts where you can excise the muscle in between your eyebrows to decrease your ability to frown in this area. Fat injections all throughout the forehead is another option that can be done alone or in conjunction with a browlift and muscle excision.

Thanks for reading, Dr Young

Thanks for reading, Dr Young

William Portuese, MD · Answer

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.

Steven Wallach, MD · Answer

The corrugator muscles which cause the glabella creases can be divided and removed during a brow lift.

Aaron Stone, MD · Answer

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.

Robin T.W. Yuan, MD · Answer

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.

Is is Possible to Permanently Get Rid of the Deep Vertical Lines Between the Eybrows?

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