From the Division of Otolaryngology–Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, Calif, and the VA Palo Alto Health Care System, Palo Alto, Calif.
Glabellar furrows are caused by hyperdynamic activity of the corrugator supercilii muscles. A minimally invasive, percutaneous technique for eliminating glabellar furrows is described. An insulated, bipolar needle is inserted vertically through the eyebrow skin to entrap the corrugator nerve plexus. To confirm proper positioning, a stimulating current is delivered to the needle during observation of corrugator supercilii muscle response. Radiofrequency energy is then delivered to the needle, thereby ablating the intervening nerve tissue. This technique is in the early stage of optimization and is being evaluated in an ongoing Stanford University Human Subjects protocol, Stanford, Calif. The preliminary results are reported herein.
Utley DS, Goode RL. Radiofrequency Ablation of the Nerve to the Corrugator Muscle for Elimination of Glabellar Furrowing. JAMA Facial Plast Surg. 1999;1(1):46-48. doi:10.1001/archfaci.1.1.46