Dimple on top of forehead - can it be treated with Botox? (photo)

Question

HI AM I CORRECT THAT THIS CAN BE TREATED WITH BOTOX? IT DEEPENS AS I FROWN BUT IT STILL SHOWS ON A RESTING FACE AND ON CERTAIN LIGHTS IF BOTOX HELPS, HOW MAY UNITS WILL IT NEED? ARE THERE ANY OTHER ALTERNATE TREATMENT? (NOT FILLERS)

Jason Emer, MD · Answer

Neuromodulators (such as Botox, Dysport, Xeomin, and Jeuveau) and soft tissue fillers like Belotero can improve the appearance of the forehead by reducing lines, wrinkles and folds. Deeper lines and wrinkles need a combination approach with Botox, fillers, lasers, and microneedling/PRP. I recommend getting a formal evaluation with a cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer

Nelson Lee Novick, MD · Answer

Subcision, which I have been performing for twenty-eight years,  works well for elevating & smoothing all kinds of indentations. Botox in this region, so close to the browline, might result in some unwanted lowering of the brow and so only minimal microdroplets should be used, if at all.  Subcision can be performed without the addition of filler. Hope this helps. Best of luck.

Douglas Taranow, DO, FACOS · Answer

Your forehead dent looks like a combination of a muscle effect and loss of subcutaneous tissue.  I feel that both Botox and a filler would solve your issues.  
I would try Botox alone first.  If still unsatisfied after 2 weeks, go back for the filler.
Best wishes.
Dr. Taranow

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question.  The answer depends on whether the area in question is tethered to the underlying tissue or just skin that is dimpled in .  You could always try Botox to see if it helps and the good thing is, it wears off after a few months, so you are not making a long term commitment if you don't think it helped.  The forehead can take anywhere from 8 units to soften, up to 20 in some pateints with very strong frontalis muscles and a high forehead.  Ask your dermatologist about microneedling and laser procedures as well.  Please see an expert, and best of luck.

Alicia D. Zalka, MD (retired) · Answer

In my experience, "dimples" that appear on the forehead which are clearly the result of facial muscle movement can be well addressed with Botox injections. The amount used will depend on the surrounding skin and need for keeping balance of the muscle contractions. Your photo is difficult to judge, yet I would pursue an in person consultation with a dermatologist or plastic surgeon.

Dimple on top of forehead - can it be treated with Botox? (photo)

Answers (5)

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