GFX by Dr. Gracia

Do you have glabellar furrowing (frown lines) and would like to reduce the appearance of those lines?  If so, you may be a candidate for the GFX procedure.  Patients that have had Botox and do not wish to further receiving injections, or that have been non-responsive to Botox injections, or those whom do not want a frozen appearance and do not want an invasive procedure may choose GFX to correct the frown lines between the eyes.

Several muscles including the main depressor muscles are what function the glabellar complex.  These groups of muscles are called the corrugator supercilli and the procerus.

Patients that have stronger corrugator muscles are considered corrugator dominant and those who have stronger musculature in the procerus region are considered procerus dominant.  By simply asking the patient to frown you can observe the glabellar region to view the difference.  Strong vertical lines are associated with corrugator dominance.  These lines are located between the eyes.  Large lines over the bridge of the nose are associated with patients that are procerus dominant.

The procedure and treatment will vary depending on each patient’s musculature and innervation patterns.  Those whom are corrugator dominant may require more treatments to the nerves while other patients that have more dominant procerus muscles may require additional treatment to the procerus muscle.  Normally, both corrugator and procerus dominant patients require treatment to the whole frowning complex.  During the procedure your doctor will make this determination.

To prep for the procedure the doctor will cleanse the areas that will be cut and then numb them with an injection.  The doctor may als mark areas on the face for reference during the procedure.  The doctor will then insert the GFX probe into the areas marked for treatment.  To locate the nerve branches to the frowning muscles the doctor will need to stimulate these with the probe.  This may cause the patient to have a tingling sensation.  Once he has identified proper probe position, he will treat a small area of the nerve with energy from the probe.  At this time during the procedure the patient may experience some discomfort that may last up to 35 seconds or so.  This process will be repeated until the doctor has located and treated all the nerves leading to the frowning muscles.  Each side of the face will have this procedure.  The patient’s nerve anatomy will determine how many times the energy is delivered to these nerves.  After this procedure the patient is able to return to normal activity, but requested to refrain from any strenuous activity for the first 48 hours.

The procedure will result with a more relaxed look to the brow rather than the “frozen appearance” some patients may have after Botox.  GFX is an alternative to Botox, though may not be the best choice for each patient.  If the GFX procedure is not right for you Botox injections could give you the result you are desiring.


Dr. Walter D. Gracia, M.D.

1204 5th Avenue

Fort Worth, Texas 76104

(817) 336-9450


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