How to mark the glabella in Harmy and what to expect
BeforeSimulation
- Artery
The glabella is the area between the eyebrows, where the expression lines that give a tired or angry look appear. In Harmy it is one of the nine marking points and has one particularity: the volume control is not in ml, because botulinum toxin is not measured that way. This page explains how to mark it and how to read the projection.
Why is the glabella control different?
In the other areas, the control is in ml, from 0.5 to 5 ml. In the glabella, the same control is a symbolic value that only indicates the intensity of the projection. The number is not a dose, not a toxin unit and should not appear in the quote as a dose. For the clinical content, see glabella and toxin in the glabella.
Step by step
- With the front-facing photo approved, open Tap the areas to treat.
- Tap the Glabella point or label. The point fills in and the label gets a gold border.
- Open the Plan and adjust the symbolic value with − and +.
- Choose the intensity: Subtle, Moderate or Pronounced.
- Tap Create projection and turn on Show procedures if you want to show the area.
What to expect from the projection
The projection shows a discreet smoothing of the area between the eyebrows, keeping the expression in the photo. For a good reading, photograph with a neutral expression and a relaxed forehead, without frowning. If the photo already shows a frown, the projection starts from that.
Safety in this area
The glabella is a high vascular risk zone, especially when filler is used. There are vessels such as the supratrochlear artery and communications with the circulation of the eye. Vascular occlusion is the most serious complication and requires quick recognition and immediate action. When hyaluronic acid is used, hyaluronidase must be on hand.
Common errors
| Situation | How to fix |
|---|---|
| Photo with a frowning forehead | Ask the patient to relax and retake the photo |
| Treating the value as a dose | Remember it is only a symbolic intensity |
| Expecting the actual effect of the toxin in the image | Explain that the projection is illustrative |
| Including the glabella in the quote as ml | Review the billing line of the quote |
To read this together with the upper third, see combining several areas in one Harmy projection.
How to talk about toxin in the projection
Patients tend to associate the glabella with "removing the wrinkle", and the projection helps to discuss expectations, not to make promises. Explain that the toxin acts on muscle contraction and that the effect, duration and dose depend on the assessment. Avoid talking about dose based on the app's symbolic value: it only controls the intensity of the image.
If the quote includes toxin, use the PDF's notes line to describe what is included and the follow-up visit, instead of turning the symbolic value into billed ml. For the upper third as a whole, see the page on forehead lines.
Frequently asked questions
How do I mark the glabella in Harmy?
On the marking screen, tap the point or the Glabella label. The area goes to the Plan, where you set the intensity value.
Is the glabella value in Harmy in ml?
No. Botulinum toxin is not measured in ml, so the glabella control is a symbolic value that indicates the intensity of the projection.
Is the glabella a high-risk area?
Yes, it is an area of high vascular risk, especially with filler. It requires anatomical knowledge, a qualified professional and a protocol for complications.
Does the projection show a relaxed forehead?
It shows a subtle, illustrative change in the marked area, keeping the expression in the photo. It does not predict the actual effect of the toxin.