I have a vertical line indentation from forehead and I would like to permanently git rid of it forever... I know botox us a quick fix but looking for permanent... Any suggestion.. Thanks
May 30, 2017
Answer: Fat injections would work if no muscle action involved Dino, Although you may want a permanent fix at this time, without a physical exam, a plastic surgeon can exclude ultherapy as offering no pertinent help, but cannot predict if fat injections will work for forehead indentations. It sounds like there is vertical-like muscle action (from probably the corrugators) involved, as Botox is suggested to work ,but only temporarily, to control the vertical indentations. Botox, although is not obviously a permanent solution, it is usually recommended first to control or reduce the muscular action. Regular sequential treatment before muscular action is grossly apparent will produce significant atrophy to the muscle to render it barely functional after a while. Then, when there is no longer any muscle bulk or action contributing to the deformity, if there is still residual fixed bony irregularity to the forehead, fat injections or Radiesse have worked well to produce lasting smooth forehead contours with a natural feel when healed. Even though Radiesse is said to last about 1.5 years, as it dissipates it gets partially replaced by collagen, so there is often sufficient residual benefit for a longer period of time. A touch up may be required after a couple of years. With fat there is also loss from absorption, and multiple fat injections may also be required. Other alternatives include permanent fillers or actual computer contoured forehead plates but there are more risks associated with these alternatives. Best to consult a board certified plastic surgeon, especially one with fellowship training in craniomaxillofacial surgery, to review your history, physical exam, maybe obtain some radiologic studies to clarify your individual anatomy. Then your plastic surgeon would be optimally informed to discuss your options, with the risks and benefits that work for you. Best of luck.
Helpful
May 30, 2017
Answer: Fat injections would work if no muscle action involved Dino, Although you may want a permanent fix at this time, without a physical exam, a plastic surgeon can exclude ultherapy as offering no pertinent help, but cannot predict if fat injections will work for forehead indentations. It sounds like there is vertical-like muscle action (from probably the corrugators) involved, as Botox is suggested to work ,but only temporarily, to control the vertical indentations. Botox, although is not obviously a permanent solution, it is usually recommended first to control or reduce the muscular action. Regular sequential treatment before muscular action is grossly apparent will produce significant atrophy to the muscle to render it barely functional after a while. Then, when there is no longer any muscle bulk or action contributing to the deformity, if there is still residual fixed bony irregularity to the forehead, fat injections or Radiesse have worked well to produce lasting smooth forehead contours with a natural feel when healed. Even though Radiesse is said to last about 1.5 years, as it dissipates it gets partially replaced by collagen, so there is often sufficient residual benefit for a longer period of time. A touch up may be required after a couple of years. With fat there is also loss from absorption, and multiple fat injections may also be required. Other alternatives include permanent fillers or actual computer contoured forehead plates but there are more risks associated with these alternatives. Best to consult a board certified plastic surgeon, especially one with fellowship training in craniomaxillofacial surgery, to review your history, physical exam, maybe obtain some radiologic studies to clarify your individual anatomy. Then your plastic surgeon would be optimally informed to discuss your options, with the risks and benefits that work for you. Best of luck.
Helpful