What Can Be Done For My Deep Forehead Crease?

Q: Dr. Eppley,  I have a forehead issue that has been bothering me since I was like 14 years old. I know I need more than just one thing done to my forehead but my finances won’t allow me to do everything so I just try to do one step at a time. What do you suggest? I hate taking pics of myself but here are some for your review.

A: Thank you for sending your pictures. I am assuming that you are referring to/bothered by the deep horizontal crease that goes across your forehead. I doubt that forehead crease is caused by an underlying bone issue but rather is an indentation into the soft tissues over the bone. The one and only thing you can do is to have the crease released and injected with your fat. How well the fat  injections would survive and how much improvement would be obtained is uncertain but this is the safest and most natural approach to a facial skin indentation problem. You will never be able to eliminate it but fat injection will be able to reduced the depth of it. Given that a line is never going to be able to be completely eliminated, another possible approach is to excise (cut out) the groove and close it so that it is at least smoother and not indented.

Dr. Barry Eppley

Indianapolis, Indiana