Treatment of glabellar frown lines using silicone implants

The presence of deep glabellar frown lines will make even a young patient appear old and angry. This is particularly true when the sole sign of aging is prominent wrinkling between the eyes. Previous attempts at correction including direct excision, autologous fat transfers, collagen injections, and coronal lift have resulted only in transient improvement or noticeable scars and considerable morbidity. The current technique is a safe, effective, and simple alternative to soften the frown lines and decrease glabellar area deficiencies. Twenty-five patients have been treated with good results by using a shield-shaped silicone implant. The muscles do not adhere to the implant, resulting in significant improvement in skin creases, both at rest and with facial animation. Complications are minimal with a rapid return of patients to their normal activities. This simple technique softens and corrects a noticeable deficiency with a high degree of patient satisfaction and minimal morbidity.