Brow Lift or BOTOX® Cosmetic? | Mr. Gwanmesia Skip to main content

Brow Lift or BOTOX® Cosmetic?

When most people think of reversing facial aging, they assume that a facelift will provide them with the results they want. However, facelift surgery only targets a localized area around the lower face, including the jowls and neck. For people who have aging indicators that occur across the forehead and around the eyes, other techniques are used. Depending on the extent of your aging issues, we can utilize either a surgical or non-surgical procedure to transform your appearance. So, brow lift or BOTOX® Cosmetic injections, which is right for you?

Endoscopic browlift and facelift patient by Dr. Gwanmesia

BOTOX® Cosmetic for Non-Surgical Enhancement

We recommend BOTOX® Cosmetic for patients who have wrinkles around the forehead and eyes, but whose overall skin elasticity is still good. Injectables are a useful treatment because these lines are often caused by the collagen loss in the tissue. Wrinkles of the upper face usually result from repetitive muscle movements, which is why BOTOX® Cosmetic is an effective treatment. This injectable temporarily restricts the contraction of muscles, helping to soften and smooth unwanted lines.

Brow Lift for Dramatic Correction

While non-surgical solutions are ideal for surface issues, a surgical brow lift should be considered for people with more aggressive signs of aging. In addition to wrinkles, brow lift candidates may experience:

  • Heavy, sagging brows
  • Vertical lines between the eyebrows
  • Excess skin around the eyes

Because of your facial muscle laxity, surgical correction may be needed for these issues. With a brow lift, we can elevate your drooping forehead and brow muscles, remove any excess skin, and smooth the remaining tissues for a youthful look. Surgical correction is more dramatic than non-surgical, and the results last for years, rather than months.

Understanding Your Needs

You should never self-diagnose your aging issues. Often, people don’t see the muscle laxity that is causing their aging. If sagging is left untreated, your results may not appear as attractive as you desire or last as long. You should always schedule a consultation with a facial specialist for a detailed facial evaluation. During your consultation, your surgeon will determine the cause of your aging and recommend a tailored treatment plan that addresses your needs.


Dr Ivo Gwanmesia

Dr Ivo Gwanmesia is one of Harley Street’s most experienced and renowned craniofacial plastic surgeons. With over a decade of professional experience, he has transformed the lives of countless patients from all over the UK & abroad.

Due to his vast and hands-on training in the UK and the US, Dr Ivo now specialises in more than a dozen different aesthetic, craniofacial and transgender procedures. Some of them include face, neck, and brow lifts, upper and lower blepharoplasty, breast reduction & breast uplift as well as facial feminisation surgery, to name a few.

Dr Gwanmesia has also conducted pioneering research, which led to the development of a new technique for the reconstruction of the middle vault of the nose, known as the ‘Fulcrum Spreader Graft’. He was also part of a study comparing the efficacy of the Sheen Spreader Graft and the Fulcrum Spreader Graft. The study has since been published on PubMed and the Journal of the American Society of Plastic Surgeons.