Procedure: Botox Cosmetic in Glabellar Muscles (Muscles between the brows)
Provider: Monica Bonakdar, MD
Patient Information: 47 Year Old Female
Description: This is a 47 year old female with over active muscles between her brows and on her forehead who is treated with Botox Cosmetic. Over active muscles fold the overlying skin with each contraction and eventually breaks down the collagen in the skin fold which leads to formation of static expression lines. Close examination of the after photo reveals that even though the hyper expressions have been eliminated, there are several horizontal lines in the forehead and a vertical frown line between the brows. Static lines that remain after botox treatment are due to damage of the overlying skin and need further consideration. If the skin damage has caused reduction of skin thickness as in this patient's glabellar area (between her brows), I recommend filling this line with a filler. If the skin damage is early like her forehead lines, repeat Botox treatments every 3 to 4 months will allow the skin to rebuild its missing collagen and repair this early damage in the next 12 months.
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