McKeown Medical
167 Bath Street, Glasgow, G2 4SQ
Date posted — 21.10.24
The eyes are often described as the window to the soul. They are also often one of the first parts of the face to show signs of ageing, conferring a tired or worried look. It’s little wonder, therefore, that there is a lot of interest in treatments that help to reduce signs of ageing around the eyes.
One of the most common signs of ageing around the eyes is wrinkles at the sides of the eyes, known colloquially as ‘crow feet‘ or more technically as ‘lateral canthal rhytids’. These lines are usually caused by repetitive movement of the underlying orbicularis oculi muscle. Treating these lines using anti-wrinkle injections, which act to reduce the underlying muscle activity, is, therefore, one of the most popular treatments for eye wrinkles.
It is derived from a bacterium called Clostridium botulinum. Contrary to popular opinion, you are not being injected with harmful bacteria. Nor are you even being injected with a full toxin – the drug is simply derived from the toxin produced by the bacteria, similar to the way many other types of drugs are manufactured.
When injected in small doses, the drug blocks the nerve endings from stimulating the muscles to contract – causing the muscle to relax, usually for a few months at a time.
The anti-wrinkle procedure is relatively straightforward. It involves injecting small amounts of diluted drug into targeted facial muscles. In order to achieve the best results, you should make sure you are treated by an experienced doctor who intuitively understands the balance of anatomy, physiology and pharmacology to allow them to tailor the advice and treatment to your own unique circumstances to achieve the best results.
You can usually start to see the results of the treatment within a few days, although it typically takes up to two weeks to see the full results.
Before your anti-wrinkle treatment, it’s important that your doctor takes a full medical history, including what medications you take, any allergies you may have and how you have reacted to previous cosmetic procedures. By having a detailed understanding of your background, your doctor can make the most appropriate recommendations to ensure you achieve optimal results.
After the treatment, it is quite normal to see some immediate redness and swelling at the injection site. This normally resolves within a few minutes – typically by the time you get back to the car. It is much less common to develop any bruising. If this happens, it can usually be camouflaged with some make-up and will go away like any normal bruise.
It is quite common to develop a headache following treatment – this can affect up to 1 in 10 patients. If you develop a headache, you can take over-the-counter pain medication like paracetamol (or Tylenol if you are in the US).
Much less commonly, you can develop drooping of the eyelid or eyebrow. This usually affects around 1 in 3000 patients and is usually associated with the treatment of the frown muscles. If you are only being treated with anti-wrinkle injections around the eyes, then you should be safe from this side effect.
Crow’s feet and frown lines often occur together, along with drooping of the brow and eyelids. It is common to combine the treatment of wrinkles around the eyes with the treatment of frown lines in the same session. By employing this combination approach, it is possible to achieve a subtle brow lift, which many patients benefit from.
It’s crucial to have realistic expectations about the results of anti-wrinkle treatments. Whilst it is usually possible to reduce the appearance of lines and wrinkles, no one can guarantee that you will necessarily look any younger. Most people find that they look the same, just a little more rested.
Repeat treatments are necessary to maintain the results. The effects of each session typically last between three to six months.
The success of any cosmetic treatment largely depends on the skill and experience of the doctor performing the procedure. Make sure you always see an experienced doctor, not just for the technical aspects of performing the procedure – but for the right advice on which treatment is the best one for your needs. Practising medicine involves both art and science, which always improves with experience, so make sure you get the best advice possible for your own circumstances.
                
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		Laser season continues!
Thank you to this lovely patient who has kindly allowed us to share her results. She was particularly concerned about the fine lines and creases around her mouth, and underwent full-field laser resurfacing to target the deeper layers of the skin.
This is just two months after treatment and you can already see a significant improvement in the fine lines and overall skin texture. She’s still a little red and got some more healing to do, but she is already very happy with the improvement. This patient was a bit anxious about having the treatment done, so chose to have it under sedation which means she slept throughout and woke up when it was over! 
What do you think?
	
		
	
		It’s been six months since we launched the new toxin Relfydess in the clinic so, how is it going? 
We’ve undertaken a survey of all of the patients we treated with the new toxin in the first month, who are now around six months since their first treatment, to find out more about what they thought of the results over the longer term - whether it kicked in faster, whether it looked better and whether they felt it lasted longer than the previous toxin. 
Here are the results, and the feedback so far is really encouraging with the majority of patients reporting that it kicked in faster, looked better and lasted longer. 
If you’d like to see more detail and analysis of these results, check out the link to the blog post in our profile.
	
		
	
		Aesthetic interventions are never far from the headlines and this week the media have been focused on comments made by the make up artist Bobbi Brown about her view of cosmetic procedures. I was on BBC Radio Scotland today talking about the issue. 
My own view is that we should all age in the way we feel comfortable with - if you are happy with grey hair and wrinkles, then I absolutely admire you just as much as  I admire those who feel differently and want a little help to keep the signs of ageing at bay. There is no right and wrong and there is no room for moral superiority. Just you be you! 
Have a listen to the debate and let me know what you think in the comments!
	
		
	
		I’ve been back in the clinic for a week and we are right into laser season! 
Thank you so much to this lovely patient who has allowed us to share her pictures with you. She was concerned about sun damage and deep lines and wrinkles on her face, especially on her forehead, on her cheeks and around her mouth. She opted for full laser resurfacing which is unrivalled for repairing this level of damage to the skin, but does come with slightly more downtime compared to other laser treatments. 
These after pictures are six weeks after this patient’s initial treatment, and while she’s still a little pink (little enough that light make up will cover it!), you can see the she already has beautifully refreshed skin and her deep lines have been significantly reduced. 
The true results for full laser resurfacing are usually seen after six months so we’ll share some pictures of this patient then so you can see the final result, but she’s absolutely delighted with the improvement so far! 
What do you think?
	
		
	
		We often talk about the deep plane facelift being the gold standard technique for facelift, and we’re proud to have the talented @bramhallplasticsurgery performing it in the clinic. 
Here’s Russell explaining how the deep plane facelift offers longer lasting and more natural results than other techniques. By lifting and repositioning the deeper facial structures rather than just tightening the skin, this advanced approach creates a result that looks natural, moves naturally, and continues to age beautifully over time.
If you have any questions about the deep plane facelift just send us a message, or you can see more about the procedure at the link in our profile.
	
		
	
		Our 5ml protocol is designed for patients looking for a general refresh - perfect at the earlier stages of the aging process or a gentle start for those further into the process. 
This lovely patient came to us with concerns about her nose to mouth lines, some lost volume in her cheeks and her jowls. We used the 5ml protocol to give her an overall  rejuvenation which gives her a really natural result that we can build on in the future. 
You can a see video of this patient’s treatment at the link in our profile. 
What do you think?
	
		
	
		This patient had deep lines and folds in her face which she wanted to address as naturally as possible, so went for our signature volumetric facelift - a fully non-surgical approach but can have significant results.
With this, we want to restore natural lift, structure and definition to her face and by carefully rebuilding volume where it’s been lost, we softened her folds and lines while maintaining a completely natural expression.
The patient is delighted is really pleased with her result so far - what do you think?
	
		
	
		Here`s another fabulous result from our amazing consultant vascular surgeon, Dr Alex Vesey. 
This patient was bothered by visible varicose veins around her knee. After treatment with foam sclerotherapy the veins have been cleared, leaving behind smoother, and healthier-looking skin.
If you have varicose veins that have been bothering you, now is a great time to have them treated. We use the minimally-invasive techniques to treat both the cosmetic and medical aspects of varicose veins, and can offer effective treatments with little to no downtime. 
If you’d like to know more about how we can help with varicose veins, check the link in our profile.
	
		
	
		Thank you to this lovely patient for allowing us to share her results. 
She wanted some help with her jowls, so we used some filler to restore structure in her cheeks, chin and jaw. She was delighted with the immediate improvement. 
What do you think?
If you`d like to know more about how we can address jowls, visit the link in our profile.