Does My Forehead Have CVG?

Q: Dr. Eppley, I have secondary CVG which is being investigated for sudden onset of vertical folds in forehead. Doctors here have limited experience with this condition. Two questions: 1) do pictures attached look like secondary CVG? 2) Did the fat transfer procedure have lasting improvement for your patient with primary CVG? I would appreciate any information you could provide.

A: CVG typically occurs in the scalp while your vertical lines are limited to the non-hair bearing forehead . I have never seen CVG extend into the forehead. or, more importantly be limited to it. So whether is true CVG I can not say. More likely these sleep lines which are classically vertical in the forehead

Regardless of what it is can it be treated/improved? Injection fat grafting certainly will not be harmful but I am uncertain how effective it would be in terms of fat persistence. But it remains the most logical treatment approach.

Dr. Barry Eppley

World-Renowned Plastic Surgeon