How can I get rid of this protruding procerus? (Photo)

Question

No matter how much Botox or filler it just stays like this . What can I do? It doesn’t seem like any injector knows how to help me

Nima Shemirani, MD · Answer

Hi @laurenbiran. Thank you for sharing your photos. I recommend trying smooth PDO threads if Botox is not working for you.

Best of luck,

Dr. Nima

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there,
      Injecting this area with Botox should help to relax the procerus muscle. It also will allow this muscle to atrophy over time, making the area appear flatter with less protrusion. If regular use of Botox in this area does not seem to help with the bulge there, then I would recommend consulting with a physician who does procerus removal. Hope this helps.
Sarah RN BSN

Robert T. Buchanan, MD (retired) · Answer

There are only two ways to reduce muscle mass, paralyze it and allow it to atrophy and surgically remove all or part of it. Botox can paralyze the muscle, but you have to determine when the muscle starts recovery and then treat it several weeks sooner continually thereafter for at least 1.5 years. Surgery is simple and can be done through the upper eyelid. See a Plastic Surgeon with extensive experience In both.

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