Corrugator Muscle Excision

This surgery has become exceedingly popular as the use of Botox has increased. In some ways it can be considered the permanent solution to Botox. Patients routinely present with the complaints of hearing friends say “You look angry” or “Why are you mad?” when, in fact, they are not. It is very understandable that patients notice this facial feature and are even more aware with the wide usage of Botox, and want something done. I can help you with this.

There are other features that draw attention to the glabellar region such as the presence of one or two deep lines between the eyebrows, the eyebrows being pulled down toward the nose, the angry look, and the frowning look. The anatomy of the area mostly centers on the glabellar muscles and their function. They attach from the edge of the eyebrows to the bone on the sides of the forehead. As they contract the wrinkles and furrows are created. This is often an isolated event but may be associated with other eyelid and forehead functions so that there are other different anatomic features here that might need to be addressed prior to your surgery. I will coordinate the features of your anatomy with your expectations, formulate a plan with you, and guide you through this. There is a very specific technique to remove this muscle, and it essentially cures this problem. Surgery involves a relatively short procedure under a light general anesthetic, performed where I do surgery, which is in a hospital setting. The surgery is safe and predictable. There is very little bruising or swelling and all the stitches are dissolvable. You can return to work in as little as 1-2 days, and to some physical exercise within the first week.

The surgical options include removing the muscle through a brow lift incision or, more commonly, through the upper eyelid incision used for an eye lift. The muscle is identified and removed on each side. I have this expertise in glabellar muscle removal and spend a great deal of time discussing your anatomy, listening to your expectations, and interpreting for you what your anatomy and tissues will allow me to do in a safe and predictable way. In addition, I consider your body as a whole and I build a system into every facial surgery that, initially, allows you to recover much quicker and, secondly, it serves to preserve your surgical results. This system includes a special diet, special attention to blood clotting, vitamins, supplements, skin products, physical training and knowing what to avoid. Together, all of this allows me to create results that are consistently very beautiful, quick to heal, exceptionally natural, and with minimal incisions, especially in the face; an area of such major importance. I am delighted to surgically provide you with such profound yet natural facial image changes, and ones that have consistently so pleased my patients and changed their lives.

Please also see the article Periorbital Rejuvenation and other articles in the Articles Section of the website.

For before and after images of this procedure click here

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