Glabellar frown lines – The lines between the eyebrows can be improved by these Options by Dr. Philip Young of Bellevue | Seattle

Glabellar frown lines – The lines between the eyebrows can be improved by these Options by Dr. Philip Young of Bellevue | Seattle:

Youngvitalizer incision less browlift

Youngvitalizer incision less browlift

What are the options to improve those angry lines in between the eyebrows. Well I will talk about the lease invasive type to the most invasive types.  To begin with skin care is a good place to start.  I would always start with a good skin care line. I would suggest a alpha hydroxy toner, gentle cleanser, alpha and beta hydroxy acid lotion, a retinoid and regular superficial peels.  The goal is to decrease the number of days the skin takes to turnover from the usual 28 days to 10-12 days.  This will help to freshen the skin, lighten brown spots, and decrease fine wrinkles.

The next progression is botox. This neuromuscular agent will keep the muscles from working in between the eyebrows and decrease the dynamic wrinkles.  Over time as your skin remodels, your static wrinkles can improve with continual use of botox on a regular basis. The drawback is the repeated treatments that are neccessary. The positives is the low invasive nature.

The next level is fillers. Restylane, Juvederm, Perlane, Radiesse, can decrease the wrinkles by volumizing the glabella and the area in between the eyebrows.  Volume loss plays a large part in this area.  As this area deflates, more skin in relation to the area leads to more wrinkling.  Also, the decrease in volume places the skin closer to the muscles in this area and allows the muscle to place more influence on the skin and hence more dynamic wrinkling.

Fat injections  is the next level in volumizing this area.  This increases the invasiveness but fat injections can be a more permanent option to filling this area and rejuvenating the glabellar area.
Our more permanent solution is called the YoungVitalizer the breakthrough incision less facelift alternative.

A browlift can also help  by elevating the eyebrows and increasing the distance between the eyebrows.  Also during a browlift the muscles that make the wrinkles in this area can also be resected and taken away from the area.  This debulking of the glabellar muscles can also be done from the eyelid incisions.  Another way of decreasing the action from these muscles is to cut the nerve to them through an eyelid incision.

One issue when taking the muscles from the glabellar area is that it can increase the volume loss to this area and lead to more relative extra skin.  This can lead to more static wrinkling to this area and when the muscles come back more dynamic wrinkling that can occur.

In my opinion fat injections to the whole forehead, and in between the eyebrows is the most natural way of rejuvenating this whole region. Also the fat injections with their stem cells can lead to skin rejuvenation.  The other effect of the fat is to increase the distance of the muscles from the skin which can decrease the influence of the muscles on the skin which can allow the skin to remodel on its own and improve static wrinkles.  This occurs because the skin has little cells in the skin layers that always remodel skin on a minute by minute, daily basis.

To change the surface of the skin, a chemical peel, dermabrasion, dermasanding, and laser resurfacing can decrease the wrinkles in the glabellar area.  I always suggest volumizing before resurfacing and reshaping through reductive type of procedures like browlifts, eyelifts, and facelifts.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

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