Which nonsurgical procedure would minimize the appearance of a horizontal crease between the eyes? (photo)

Question

Hi, I have a deep crease/wrinkle almost like a shadow type that runs horizontally between the eyes where the nose meets the forehead area. It’s visible when not frowning as well and gives off a more angry look. I have tried Botox and seen some improvement but it’s still fairly visible. Not sure what are realistic expectations and non surgical approaches that should minimise its appearance or better correct it.

Falguni Patel, MD, FACOG · Answer

Hi! the line you are noticing is part of the Glabella muscle. The best form of treatment for that concern is a toxin, to help relax the muscle and lift it, which would decrease the "angry look" you are referring to. It is best to stay consistent with your treatments, going every 3 months or so, as consistency will help to decrease the strength of the muscle over time.

Camille Cash, MD · Answer

This area can be improved with Botox which you stated you have tried.  It is a high risk area for fillers.  If you are only considering nonsurgical options you may want to consider Morpheus8.  This treatment combines RF technology with microneedling to improve overall skin tone and texture.  Three treatment sessions are recommended for optimal results.

Nelson Lee Novick, MD · Answer

Botox would soften the bulgy muscle above and an appropriate HA filler would elevate and smooth the residual crease. Just make sure to consult with an expert, board certified cosmetic dermatologist since this area of the face is not a zone to be left to the hands of an inexperienced, novice filler injector. Best of luck.

Daphney Gracia Antony, MBBS, DipDerm, MScSurg(Ed) · Answer

The lines you see are called Procerus creases, which are caused by overactivity of Procerus muscle that runs vertically here. While the glabellar complex muscles are treated in tandem, care has to be taken in your case to deliver optimum botox units specifically to Procerus. This is an extremely high-risk area for fillers so your best bet in addition to Botox is to add on high-intensity focused ultrasound (HIFU) lifting.
Wishing you the best,Dr. Daphney Gracia Antony

Which nonsurgical procedure would minimize the appearance of a horizontal crease between the eyes? (photo)

Answers (4)

Answer: Options for Procerus creases

Answer: Options for Procerus creases

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Everything you need to know about Botox

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

Which nonsurgical procedure would minimize the appearance of a horizontal crease between the eyes? (photo)

Answers (4)

Answer: Options for Procerus creases

Answer: Options for Procerus creases

Browse related questions

Recommended reading

Everything you need to know about Botox

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