If you’re confused about frown line toxin or the difference between the glabella and the glabellar, you’re in the right place.

What does the glabellar complex do?

Muscles of the glabellar complex include the procerus, corrugator supercilii, depressor supercilii, and the medial part of the orbital orbicularis oculi. The procerus muscle generally causes horizontal lines, while the corrugator supercilii muscles produce more vertical lines. Over time, there is repeated pulling of the skin by these dynamic muscles. Combined with skin ageing, this contributes to the formation of more deeply etched static lines and furrows. These are often referred to as frown lines.

What treatment do patients ask for when they want their glabella treated?

Due to its central positioning, the glabella is a region the observer’s eyes are naturally drawn to when processing facial appearance. As lines in this area become more prominent, there are a number of concerns patients may raise:

– Worried they look like they are frowning

– Concerned they look angry all the time

– Troubled by the appearance of “number 11s” or “worry lines”.

What concerns does glabellar toxin address?

By managing the glabellar complex depressors with botox, the lines become less prominent. Additionally, as the region lifts a little, the eye area looks more open. This creates a more refreshed, awakened and rejuvenated appearance. The effect of glabellar line treatment is temporary, with results peaking at 4 weeks. Most of the muscles recover by 3-4 months, when repeat treatment may be considered.

What makes a good candidate for this treatment?

Worry lines can appear as early as in the twenties. As long as the treatment is not medically contraindicated, most patients will benefit from this treatment. This is because elevation of the brow will, at a minimum, create the illusion of a well-rested, open eye region.

If a patient has deep static lines, toxin treatments may improve the appearance of glabellar lines. However, they are unlikely to eradicate them, so other treatments may be considered as well.

When is glabellar line treatment contraindicated?

The usual toxin contraindications apply, for example, hypersensitivity, disorders involving defective neuromuscular transmission, infection or inflammation of local skin. Or, where patients have unrealistic expectations about the treatment.