Glabellar Implant for Deep Glabellar Furrows

Q: Dr. Eppley, I have  a deep vertical groove in the area between my eyebrows. I have tried Botox injections but it didn’t do a thing. I even tried injectable fillers but it also didn’t improve it. What do you think about a glabellar implant to help push it out and make it smoother? I have attached some pictures which show how deep the groove is between my eyes.

A: Thank you for sending your pictures. What you have is a very deep glabellar furrow on the left side as well as other less deep wrinkles lines on the right side. When a glabellar furrow gets this deep it will not respond to any neuromodulating agent (Botox) or injectable filler. It must be treated like a depressed scar, which in many ways it is without the traumatic injury history. In these deep glabellar furrows, which occur more frequently in men, I treat them directly by furrow excision, glabellar implant augmentation down at the bone level, muscle release and excision and geometric skin closure. This comprehensive approach to deep glabellar furrows is the most effective strategy that I have found to be effective. It is the only way to change a deep V-shaped skin and soft tissue groove betwee the eyes.

Dr. Barry Eppley

Indianapolis, Indiana