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 and 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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Here is another beautifully balanced deep plane face and neck lift by the skilful @bramhallplasticsurgery.
The deep plane technique, as the name suggests, works at a deeper level, repositioning the underlying structures of the face and neck rather than simply tightening the skin. By addressing the deeper tissues, we can restore more natural proportions, refine the jawline, and create a smoother, more defined contour beneath the chin - especially when the patient moves or bends their neck forward.
To achieve this impressive improvement in the neck, even in flexion, Russell reduced the deep fat (from under the muscle), trimmed and shaped the salivary glands and reconstructed the muscles of the neck to create a rejuvenated result. This is a much more sophisticated procedure compared with a standard face and neck lift.
At just 2 months post-op, her result is already beautifully balanced. The jawline is sharper, the neck more sculpted, and everything sits in harmony with the rest of her features. Scars are settling well and will continue to soften over time.
She may choose to refine things further with laser resurfacing for skin quality and subtle volume restoration in the mid-face, but even at this stage, the transformation speaks for itself.
Thank you to our patient for allowing us to share her journey.
What do you think?
Thank you to this lovely patient for allowing us to share her beautiful result from the talented @bramhallplasticsurgery.
This patient is just 2.5 months after upper eyelid surgery, and already looking incredibly fresh and natural. The scars are settling very well and will continue to soften over the coming months.
The incisions are carefully placed within the natural eyelid crease, making them very difficult to see once healed. Excess skin has been removed to open up the eye area, while maintaining a soft, natural appearance.
A small amount of muscle was reduced at the outer part of the eyelid to address hooding, without affecting the central area. This helps preserve a youthful fullness above the eye. There has also been a conservative reduction of the lateral brow fat to further refine the contour. This highly tailored, bespoke approach to surgery is the attention to detail that lies at the heart of our clinic’s approach and philosophy.
As with many patients, her anatomy meant these changes developed earlier than expected. In the right cases, surgery at a younger age can deliver a subtle but very impactful improvement.
What do you think?
Happy Easter from our excited little bunnies 🐣🐰
Thank you to our lovely patient for allowing us to share these photos.
This is just 4 weeks after her first session (of three) with Juläine and we’re already starting to see a soft return of fullness and improvement in skin quality.
Juläine is not a traditional filler. It works by stimulating your body’s own collagen production, gradually restoring structure, firmness and elasticity from within.
This is just the beginning. As collagen continues to rebuild over the coming weeks and months, results will become more noticeable with improved support, smoother contours and a natural, refreshed appearance.
The patient is delighted with her progress so far. What do you think?
And this is why HA fillers have never gone out of fashion in our practice!
This lovely patient had all the classic signs of volume loss in her face and there is no other non-surgical treatment that can address this quite as quickly, effectively and non-invasively as HA filler. Of course, it needs to be carefully and sensitively applied.
This patient had a total of 10mls of HA as well as some wrinkle relaxing on the upper face. She is delighted with her restoration. What do you think?
Upper eyelid surgery isn’t just for ageing eyes! Some patients naturally have excess upper eyelid skin from a young age due to their anatomy, like this 29-year-old patient who had a congenital upper eyelid fold and recently underwent an upper blepharoplasty with the ever-talented @bramhallplasticsurgery.
The excess eyelid skin rested directly on her eyelashes, causing irritation and a persistent feeling of heaviness around the eyes which had been bothering her for several years. Upper eyelid surgery can address both functional symptoms and aesthetic concerns, helping patients achieve a lighter, more open eye appearance.
This patient is just 7 weeks after surgery. At this early stage of healing the scars are still maturing and in younger patients this process can take slightly longer. The incision is placed within the natural eyelid crease and as healing progresses the scar typically fades and becomes extremely difficult to see, often blending into the natural eyelid fold.
She`s delighted with the results so far, and we`re grateful to her for allowing us to share her results with you.
What do you think?
Thank you once again to another lovely patient who has allowed us to share her photos with you.
She came to see me wanting a refresh and was open to suggestions, surgical and non-surgical. Her biggest concern however was wrinkles and lines and skin texture problems.
Surgery doesn’t help with this and injectables are limited too - the gold standard here is laser resurfacing, which is what we went with. We did a full field ablation of the full face including her eyelids.
This is her a month or so later. You can see she is still a bit red, especially around the eyes where we went the deepest, but she is already loving life with her new skin.
What do you think?
The non-surgical facelift!
You might have heard us talking a lot recently about combination treatments, using different treatment modalities to create synergy in non-surgical rejuvenation. The reason this works so well is that the different layers of the face age in different ways.
We focus a lot on skin tightening, which is super important, but that’s only the outer layer of the face. Below that the fat, bone and muscle are all changing too.
This lovely lady was relatively new to aesthetics and wanted a more comprehensive rejuvenation without surgery. We decided to do the combination approach using @sofwave.uk to tighten the skin of the face and neck, whilst using HA to restore volume to the fat and bone.
This is her a few months later - her whole face looks tighter, softer, less tired - but in a way that looks completely natural. She is delighted with the result that still looks like her, just a really refreshed version.
What do you think?
HA Fillers are making a comeback! Here are my thoughts on the how and why 👀