The procerus muscle (or pyramidalis nasi) is a small pyramidal muscle in the
glabella. It is involved in
facial expression
Facial expression is the motion and positioning of the muscles beneath the skin of the face. These movements convey the emotional state of an individual to observers and are a form of nonverbal communication. They are a primary means of conveying ...
s such as
frowning and those associated with
attentional control
Attentional control, commonly referred to as concentration, refers to an individual's capacity to choose what they pay attention to and what they ignore. It is also known as endogeny, endogenous attention or executive functions, executive attenti ...
, and it indirectly helps shield the eyes from bright light. Because it contributes to wrinkle formation on the
nasal bridge, it is often targeted in non-surgical
facial rejuvenation treatments, such as
botulinum toxin
Botulinum toxin, or botulinum neurotoxin (commonly called botox), is a neurotoxic protein produced by the bacterium ''Clostridium botulinum'' and related species. It prevents the release of the neurotransmitter acetylcholine from axon en ...
injections.
''Procerus'' is
Latin
Latin ( or ) is a classical language belonging to the Italic languages, Italic branch of the Indo-European languages. Latin was originally spoken by the Latins (Italic tribe), Latins in Latium (now known as Lazio), the lower Tiber area aroun ...
, meaning tall or extended.
Structure
The procerus muscle arises by
tendinous fibers from the
fascia
A fascia (; : fasciae or fascias; adjective fascial; ) is a generic term for macroscopic membranous bodily structures. Fasciae are classified as superficial, visceral or deep, and further designated according to their anatomical location.
...
covering the lower part of the
nasal bone
The nasal bones are two small oblong bones, varying in size and form in different individuals; they are placed side by side at the middle and upper part of the face and by their junction, form the bridge of the upper one third of the nose.
Eac ...
and upper part of the
lateral nasal cartilage
The lateral nasal cartilage (upper lateral cartilage, lateral process of septal nasal cartilage) is situated below the inferior margin of the nasal bone, and is flattened, and triangular in shape.
Its anterior margin is thicker than the posterior ...
. It is inserted into the skin over the lower part of the
forehead
In human anatomy, the forehead is an area of the head bounded by three features, two of the skull and one of the scalp. The top of the forehead is marked by the hairline, the edge of the area where hair on the scalp grows. The bottom of the fo ...
between the two
eyebrows on either side of the midline, its fibers merging with those of the
frontalis muscle.
Nerve supply
The procerus muscle is supplied by the
temporal branch of the
facial nerve
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of ta ...
(VII).
It may also be supplied by other branches of the facial nerve, which can be varied,
including the
lower zygomatic branches. A supply from its buccal branch has also been described. Its contraction can produce transverse wrinkles.
Function
The procerus muscle helps to pull that part of the skin between the eyebrows downwards, which assists in flaring the
nostrils. It can also contribute to an expression of
anger
Anger, also known as wrath ( ; ) or rage (emotion), rage, is an intense emotional state involving a strong, uncomfortable and non-cooperative response to a perceived provocation, hurt, or threat.
A person experiencing anger will often experie ...
.
Clinical significance
Procerus sign
Dystonia
Dystonia is a neurology, neurological Hyperkinesia, hyperkinetic Movement disorders, movement disorder in which sustained or repetitive muscle contractions occur involuntarily, resulting in twisting and repetitive movements or abnormal fixed po ...
of the procerus muscle is involved in the
procerus sign, which is indicative of
progressive supranuclear palsy (PSP).
Denervation
The procerus muscle may be
denervated to reduce furrow lines around the
glabella caused by
frowning.
This may be for
cosmetic purposes. Surgery can be used to transect the
temporal branch of the
facial nerve
The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of ta ...
, although other branches of the facial nerve may also need to be cut.
Additional images
File:Procerus muscle animation small.gif, Procerus muscle (red).
References
{{Authority control
Muscles of the head and neck
Human head and neck
Facial muscles