McKeown Medical
167 Bath Street, Glasgow, G2 4SQ
Date posted — 21.10.24
The concept of an anti-wrinkle brow lift sounds appealing – but what is it? How does it work? Doesn’t everyone who gets anti-wrinkle injections want a brow lift?
In this article, I want to demystify the anti-wrinkle brow lift – delving into the science behind how it works, as well as explaining when I think it’s helpful and when I think it should be avoided.
I will also address common concerns and questions. These include the safety of the procedure, potential side effects, and the longevity of the results.
By the end of this article, you should have a comprehensive understanding of anti-wrinkle brow lifts and a good idea of whether or not it might be a good treatment option for you.
An anti-wrinkle brow lift is a non-surgical procedure that uses anti-wrinkle injections to lift the eyebrows. This treatment targets the muscles that pull the eyebrows down. Now, if we can remember all the way back to high school physics if we reduce the force being exerted by the depressor muscles (those that pull the eyebrows down), it means the relative force being exerted by the elevator muscles (those that pull the eyebrows up the way) is increased. This is the physics of how it works.
In real terms, to achieve an anti-wrinkle brow lift, we need to relax the frown muscles (between the eyebrows) and the muscles around the eyes because both of these muscle groups pull the eyebrows down when they contract. We need to leave the frontalis muscle – the main forehead muscle – at least partially intact because we are relying on that muscle to pull the eyebrows up.
Now, here is a big piece of context that you should be aware of. The anti-wrinkle brow lift is not a licensed use for the medication. That means it is ‘off-label’. Doctors perform this treatment thousands of times per day all over the world, and there is plenty of evidence to suggest that it is both safe and effective, but it has not been through the same level of rigorous clinical trials that other uses of the drug have been, and so you should always bear this in mind and talk to your doctor about any concerns you have.
This procedure differs significantly from a traditional brow lift, which is a surgical procedure. Surgical brow lifts involve making incisions to physically lift the skin and underlying tissues. In contrast, an anti-wrinkle brow lift achieves a similar effect without the need for incisions or anaesthetic.
Patients typically seek an anti-wrinkle brow lift to address drooping brows or if they have a little bit of excess skin in the upper eyelid. Excess skin in the upper eyelid is best treated using a blepharoplasty procedure, although if your excess skin is milder, then an anti-wrinkle brow lift may be a suitable alternative. Even if you have more significant excess skin but just don’t want to have a surgical procedure, then trying an anti-wrinkle brow lift is a reasonable alternative.
In the hands of a qualified aesthetic doctor, an anti-wrinkle brow lift can be a safe and effective part of a comprehensive facial rejuvenation strategy. It’s essential to consult with a professional to determine if this treatment is suitable for your specific needs and aesthetic goals.
Anti-wrinkle injections are a neurotoxic protein produced by the bacterium Clostridium botulinum. In aesthetic medicine, it’s used in small, controlled doses to relax specific muscles. When injected into the muscles that pull the eyebrows down, anti-wrinkle injections cause these muscles to relax, allowing the eyebrows to lift.
The anatomy of the forehead and brow area is complex, with several muscles working together to create facial expressions. The primary muscles targeted during an anti-wrinkle brow lift are the corrugator supercilii, procerus, and orbicularis oculi muscles. These muscles are responsible for pulling the eyebrows down and creating wrinkles in the forehead and between the eyebrows.
By carefully injecting anti-wrinkle into these muscles, a skilled practitioner can achieve a subtle lift of the eyebrows. This lift can help to smooth out wrinkles and create a more youthful appearance. However, the exact placement and dosage of anti-wrinkle injections will depend on the individual’s unique facial structure and goals.
The short answer to this question is ‘no’. The anti-wrinkle brow lift may be a suitable option for you if you have heavy eyebrows that sit in a low position on your forehead or if you have a little excess skin in the upper eyelid. However, with advancing age not everyone changes in the same way.
Somewhat counterintuitively, many people’s eyebrows actually get higher as they get older. Next time you visit a nursing home, take a look at the position of the eyebrows on the foreheads of senior citizens. They are often much higher, and so raising the eyebrows is only aesthetically indicated if you are ageing in a way that causes the eyebrows to move lower. If your eyebrows are already in a normal position and you raise them, it can create an unnatural surprised look that is a tell-tale sign of having work done – so the anti-wrinkle brow lift needs to be used with caution!
One of the primary benefits of an anti-wrinkle brow lift is its minimally invasive nature. Unlike surgical brow lifts, which involve incisions and a recovery period, anti-wrinkle is administered through small injections. This makes it a less daunting option for many patients, particularly those who are apprehensive about undergoing surgery.
The procedure is typically quick and often completed within 15 minutes. This short procedure time, coupled with the minimal downtime, makes anti-wrinkle brow lifts an attractive option for busy individuals. Patients can return to their normal activities immediately after the procedure, making it an easier choice.
Moreover, the minimally invasive nature of anti-wrinkle reduces the risk of complications associated with surgical procedures, such as infection or scarring.
Lastly, the minimally invasive nature of anti-wrinkle allows for a more gradual approach to facial rejuvenation. This can result in a more natural-looking outcome, as changes can be made subtly over time rather than all at once, as with surgery. This gradual approach can also help patients feel more in control of their aesthetic journey.
An anti-wrinkle brow lift begins with a thorough consultation with a qualified aesthetic medicine practitioner. This consultation is crucial to discuss your aesthetic goals, assess your facial structure, and determine the most effective treatment plan. It’s also an opportunity to ask any questions you may have about the procedure.
During the procedure, the doctor will use a fine needle to inject anti-wrinkle into specific muscles in your forehead and brow area. These injections are strategically placed to relax the muscles that pull the brows down, allowing the muscles that lift the brows to function unopposed. This results in a subtle lift of the brows and a smoother forehead.
The procedure is typically quick and often completed within 15 minutes. While some patients report a slight pinching sensation during the injections, most find the procedure to be relatively comfortable.
After the procedure, you may notice some redness and swelling at the injection sites. These little ‘bumps’ go down very quickly, usually within about 15-20 minutes, so they are gone by the time you get back to the car.
The full effects of an anti-wrinkle brow lift are typically visible within 7 to 14 days after the procedure. During this time, you’ll notice a gradual lifting of the brows and a reduction in wrinkles. The results can last between 3 to 6 months, depending on individual factors such as how your body metabolizes the drug. Regular maintenance treatments are recommended to sustain the lift effect.
Anti-wrinkle treatments have a well-established safety profile when administered by a trained professional. It has been used in medicine for over 30 years. However, like any medical procedure, it does come with potential side effects.
Most side effects of an anti-wrinkle brow lift are minor and temporary. They may include:
These side effects typically resolve on their own without the need for additional treatment. If you develop a droopy eyelid, it can take up to six weeks for it to wear off.
An anti-wrinkle brow lift can create a more youthful and alert appearance. However, it’s important to have realistic expectations. The results are subtle and aim to enhance your natural features rather than drastically alter your appearance.
Anti-wrinkle brow lifts can be performed on their own or as part of a more comprehensive facial rejuvenation strategy. For example, anti-wrinkle injections work very well in the upper part of the face and around the eyes, where muscle hyperactivity is one of the main causes of ageing below the eyes. However, volume loss is one of the biggest factors, so injectable dermal fillers are a popular combination for a more comprehensive rejuvenation.
Many patients who choose to address the signs of ageing with injectables like anti-wrinkle and dermal fillers will also find it helpful to add in some laser skin rejuvenation treatments like BBL or Halo laser to improve skin quality.
Choosing the right practitioner is a critical step in your anti-wrinkle brow lift journey. Having a detailed understanding of anatomy, physiology, and pharmacology means your experienced doctor has an intuitive understanding of how to achieve the best result for you – not just a ‘point and shoot’ or ‘painting by numbers’ approach.
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One of Dr Kavita’s breast reduction patients sent this gorgeous bouquet of flowers after her follow up - simply because she felt so grateful for her result and the care our team provided.
Moments like this remind us why we do what we do and why ‘how’ we do it is so important. Surgery has traditionally been a very male-dominated world, but Kavita brings something different - exceptional technical skill combined with empathy, warmth and a genuine understanding of women’s bodies and aesthetics.
There can be a lot of pressure on women in surgery to abandon their femininity to fit in. Kavita hasn’t done that. She’s succeeded by being completely herself.
And that’s exactly why our patients love her (and why we do too).
We’re very proud to have her as part of the McKeown Medical team.
This patient came to the clinic thinking she needed a facelift to get what she wanted. We do facelifts - lots of them. But for this patient, her biggest issue wasn’t loose skin.
It was skin quality, which is something we see a lot of, so we suggested she fix that first. This is the result. Fully ablative resurfacing isn’t easy, but for the right patient, it can be life-changing.
The patient is delighted with her results. What do you think?
Another gorgeous result for another gorgeous patient by the very talented @bramhallplasticsurgery.
This patient is 2 months post-op and loving life with her new eyelids. As well as looking better, she can see better because the weight of the excess skin has been removed. The patient is delighted.
What do you think?
Last week marked a huge milestone for us at McKeown Medical.
Our first full lists of major surgical procedures - something we’ve been carefully building towards for several years - and I couldn’t be prouder of this team.
Led by Dr Kavita, we treated patients for breast augmentation (using both implants and fat transfer), breast reduction, uplift surgery and intimate female procedures, with every case approached thoughtfully, calmly and with meticulous care.
What meant the most to me wasn’t just the surgery itself - it was the experience our patients had.
Thanks to Dr Rob and his modern anaesthetic techniques, patients were comfortable, clear-headed and walking around within an hour of surgery - no nausea, no vomiting, just smooth recoveries.
Our wonderful nursing team cared for everyone before and after, and Lorraine kept the entire day running like clockwork behind the scenes.
Moments like this remind me why we’ve taken our time to grow these services properly. We could have rushed this process, but we’ve taken our time to get it right. I never wanted to simply add surgery to the clinic - I wanted to rethink how patients experience the surgical process.
We’re only just getting started, and I’m incredibly excited about what this means for the patients across Scotland and beyond who choose to trust us with their care.
As all of our patients know, the neck is the one part of the anatomy we always struggle to treat without surgery.
This patient underwent CoolSculpting to reduce some of the excess fatty tissue under her chin, followed by @sofwave.uk to tighten the skin. This is still early days for her, but we can see she is already well on her way to a great result.
When it comes to the neck, combination treatments are usually the answer to the best results.
What do you think?
We have an exciting new addition to the clinic - Visia skin analysis.
We’ve had a growing focus in the clinic on skin quality and skin health over the years with more and more investment in lasers and devices that improve skin quality as the foundation of what we do in aesthetic medicine.
The Visia is a great tool for helping us to analyse the skin and track progress of treatments over time. As well as doing a thorough analysis of all the components of sun damage and skin health, it also gives us an estimate of our ’true age’, which is a reflection of the condition of our skin compared with average for our age.
This is one of my own analysis images. It got my ’true age’ pretty much spot on with my chronological age, which is perhaps surprising given that I spent most of the 90s lying under a sun bed. What was interesting is that I scored really well on superficial pigment and redness, which is consistent with the fact that I love BBL and have a treatment a few times per year. I scored less well on deeper pigment and texture issues, which I guess is consistent with the fact that I’ve not had a Halo laser for nearly 4 years now. So I guess I will be booking another Halo for myself very soon!!!
We`re offering the Visia skin analysis free as part of our laser consultation process. If you`re interested in laser treatment, come in for a consultation with Dr Sharon and you’ll have your analysis done as part of planning your treatment strategy.
You’ll also be scanned again after your course of treatment so we can track your progress.
What do you think of this new addition to the practice?
I am very humbled to share these incredible reviews from our patients.
We are very fortunate to have a team who LOVE their work and will always go the extra mile to ensure our incredible patients are properly taken care of at every step of their journey with us.
We couldn’t do what we do without our incredible (and growing!) team and I am so proud of every one of them.
We have some very exciting developments on the horizon, so keep watching this space!
Laser eye rejuvenation! Thank you to our lovely patient for allowing us to share her photos, just one week after her laser eyelid rejuvenation.
Crepe skin, loose skin, wrinkles are all common signs of ageing around the eye which do not respond well to surgery. The optimal treatment for these problems is laser resurfacing - which is exactly what this patient had.
We’ve been performing these treatments in the clinic for several years, although I’ve recently modified the technique to achieve incredible results with less downtime.
What do you think?
Here’s another fantastic result from our phenomenally talented plastic surgeon, @bramhallplasticsurgery .
As we age, the eyebrows naturally descend which allows excess skin to fall into the upper eyelids. The two main surgical options to address this are a brow lift, an upper eyelid lift (upper blepharoplasty) or both, but for many patients the most appropriate option is also the simplest: to leave the brows exactly where they are and address the excess skin at the eyelids alone.
Upper blepharoplasty is a straightforward procedure with scars hidden in the natural eyelid crease, making them very hard to see once healed. Brow lifts are usually more involved, often require a general anaesthetic, and tend to create a more noticeable change to the face.
The aim with upper eyelid surgery is subtle improvement - looking fresher and more rested, without it being obvious that you’ve had anything done.
This 42-year-old gentleman had a bilateral upper blepharoplasty under local anaesthetic and is shown here six months after surgery.
What do you think?