Everything You Ever Wanted To Know About Lip Injections

Fillers in Dubai | 12 June 2019

Full lips have always been associated with youth and beauty. Because of this, lip enhancement is one of the most frequently requested procedures in a cosmetic practice. 

The objective in treating the upper lip is to artistically create a form that harmonizes with the patient’s unique facial features and takes into account the age and ethnic background of the patient. The goal in treating the lower lip is to create bulk and greater prominence and artistic projection of the vermilion. The physician must establish appropriate guidelines and patient expectations for augmentation relative to normal lip proportions in order to avoid a cartoon-like appearance.

Any physician performing lip augmentation should recognize that temporary fillers can cause permanent stimulatory effects in tissues.After 2 or 3 sessions of lip augmentation, full correction may be obtained and persist indefinitely. Patients may return for additional filler merely because a certain amount of time has elapsed since their last injection, but the physician must evaluate the proportions of the lips to truly determine if additional filler is warranted. It is helpful to have a hand mirror for the patient to observe her lip proportions as the doctor seeks to determine whether more filler is needed. It is also beneficial to show the patient her lips from the lateral view; digital photography is extremely useful in this regard.


It’s important to see your box of injectables opened in front of you and to be sure only your dermatologist or plastic surgeon is doing the injections. Avoid blood thinners, like aspirin and fish oil, for at least a day beforehand, which can increase bruising. If you opt for numbing cream, expect it to be placed on the lips for approximately 10 minutes. The lips absorb quickly and do not require lengthy topical anaesthesia. Then, the skin surface should be cleansed properly and then injections are performed. Your doctor should go very slowly, often pausing to show you the progress that he or she is making. There is a real balance and art to it, I find that you really need to go little by little, so you normally inject the top lip first, balance it out on the other side, then inject the bottom lip. It takes about 15 to 20 minutes. What you see is what you get, you’re not waiting for it to work, like Botox.

Some doctors will gently mould the filler with their fingers after it is injected by squeezing and patting it into place, while others aim to inject it exactly where they want it and avoid moulding, since it can increase bruising and swelling. Based on my extensive experience, there is no single stance on moulding – it’s a technique that some like, while others do it sparingly.

Your doctor should let you chime in along the way and help decide whether or not to add more or stop. I even recommend my patients go lighter than they think they may want, live with it for a week, and then decide whether or not to do more. “It’s best to start with baby steps.

After the injections, ice packs are applied. That evening, I suggest patients sleep on two pillows to decrease swelling. Use ice sparingly at home (getting the H.A. too cold or hot can prevent it from settling properly) and ask your doctor if additional anti-swelling measures are right for you, like oral antihistamines, pain relievers, or topical corticosteroids.

The entire procedure should take under 30 minutes.


It’s no secret that some lip augmentations look incredibly natural and some look not so incredibly natural. This is partially because of the size that you and your doctor select, but it goes deeper than that. The fact of the matter is that some doctors have a better feel for nuance and aesthetics than others.

It’s something you have to have an appreciation for, to get the proportions right for each person. There is a lot more artistry to injecting lips than just injecting a wrinkle or a line. That is another reason why the consultation is so important. I show actual before and afters of my patients, so that everyone has a realistic expectation for the type of filler I do.

Selecting where, and at what volume, to inject the lips is also an important decision to make in the consultation. The lips are supposed to be filled in a natural ratio, where the upper lip is approximately 2/3 the size of the lower lip.

That means that sometimes, only one lip needs to be filled, sometimes both, and often at different volumes, since not everyone’s pout is symmetrical. Where to inject is also a delicate matter. The lips can be injected into the skin surrounding the lips (to define the Cupid’s bow, for example), into the lips (for fullness), and into the lipline (for definition). It’s like sculpting.

Creating Philtrum Columns

Sculpted philtrum columns are in style today. As we age, these well-defined longitudinal pillars are lost, leading to a flattened, ill-defined, unattractive upper lip. If the patient still has discernible philtrum columns, the object is to further enhance them. If the philtrum columns have been completely effaced, it is imperative to re-create them. This is accomplished by superficial vertical injection of filler into each philtrum column. It is important to realize that the philtrum columns are not parallel to each other, but rather they form an inverted “V” that narrows as it approaches the nostril sills and columella of the nose.

Creating Cupid’s Bow

The pouty, Cupid’s bow appearance of the central portion of the upper lip is considered sexy, desirable, and very much in fashion today. 

Creating Lower Lip “Pillows” or Tubercles on Each Side of the Midline

Here I ask the patient to evert the lower lip. I deposit approximately ~0.1 cc of filler as a depot injection into the orbicularis oris muscle at the vermilion-mucosal junction on each side of the midline. The depot injection is about one third of the distance from the midline to the oral commissure. This is gently massaged to prevent superficial lumpiness. 

Supporting or Bolstering the Oral Commissures

Placing a small amount of filler in the most lateral aspect of the cutaneous lower lip so as to provide upward support to the commissures. Injectable neuromodulating agents (botulinum toxin A) placed into the depressor anguli oris muscles can be used as an adjunct to further elevate the commissures. This combines structural support with chemical neuromodulation to shape the oral commissures. 

Filling the Nasolabial Creases

Placing a small amount of filler in the upper portion of the nasolabial crease helps to evert the upper lip. Augmentation lateral to the nasolabial crease only serves to deepen the appearance of the crease.


Cool compresses and ice packs can be used to minimize swelling and bruising. Patients should be advised to avoid ASA, NSAIDs, and other medications associated with an increased risk of bleeding. If anti-HSV I medication was prescribed, it should be continued according to physician recommendation. Because HAs are hydrophilic, they attract water from the surrounding tissues and further augment the soft tissue volume beyond that expected from mere implantation. The significant swelling of the vermilion in the immediate post-operative period may be camouflaged by applying flesh-toned foundation or concealer to the entire vermilion. Lipstick can then be applied to a smaller portion of the vermilion than usual so as to not exaggerate the swelling that may be present.


There are a lot of difficult decisions you have to make when it comes to getting lip injections, but fortunately, picking the right filler isn’t one of them. Hyaluronic acid, in a few different forms, is both the industry standard for temporary lip injections and the only temporary lip filler approved by the FDA. 

They’re marketed under different brand names – Restylane Kisse, Neauvia Lips, Juvederm Volbella – but they’re all made from the same molecule, which is hyaluronic acid, as you may already know, naturally occurs in skin and is a top ingredient in hydrating skin-care products, since it plumps skin by capturing and holding onto water. Picking which of the formulas is best for you is really up to your doctor. Hyaluronic acid is not only the best option, but the only option for those new to the world of injections, since it will dissolve on its own and is well-tolerated, since it’s already in your body. There are irreversible fillers and implants, but those are not for beginners. 


Lips are one of the more uncomfortable places to inject filler. We have a lot of nerves in our lips, so I can do a combination of topical numbing cream and, sometimes, injectable numbing medications, so patients are comfortable. However, many of the H.A. injectables come with lidocaine (a numbing pain reliever) built right in, so some doctors opt out of additional measures.

One, or a combination of the above pain-reducing options, will normally temper the pain of the actual procedure, but you’re likely to experience pain later, since the skin is being stretched. The pain as mild to moderate and notes that it can last for a few days.


Any time there is a needle crossing the skin, there is a risk. Bruising, swelling, and pain – all of which can last up to days and in rare cases, even weeks – may occur. There is also the risk of infection. Naturally, this makes it very important to check in with your doctor post-treatment, especially if you’re feeling nervous about side effects.

While hyaluronic acid is a naturally occurring substance in your body, you can still have an allergic reaction to H.A. injectables, since there are often inactive ingredients (like carrying agents) and pain-reducing ingredients (like lidocaine) in the formula. Those prone to allergies or are just plain nervous can do a patch test on their forearm a few days before the procedure to be sure they won’t have an adverse reaction.

Injecting the lips can prompt cold sores for those who are prone to them, so he normally pretreats those patients with a round of anti-viral medication, like Valtrex.

There are also less common side effects that are important to consider. More rare side effects include nodules or palpable material within the lips – basically bumps of H.A. that don’t settle or feel natural. Extremely rarely, lip filler can be introduced into a blood vessel in the lip, which can have more significant consequences if not dealt with immediately and appropriately.


One of the great things about lip injections is that the results are instantaneous, so you’ll leave the office with fairly accurate (albeit swollen) results. For the first 24 to 48 hours, the filler is malleable and your skin is prone to swelling, which means be gentle! This is noted as the time that your injections need to “settle.” No facials, yoga, or exercise is recommended, which can alter the placement of the filler and increase swelling and bruising.

Lips often swell for one to three days after treatment, but this is highly variable and some patients will experience no swelling and some will have more dramatic swelling that will take longer to subside. Bruising can last approximately one week, but can be covered with makeup or lipstick, as needed. Some doctors will offer to treat more significant bruising with a laser treatment if necessary.

While the average length of time H.A. fillers will last is about six months, it varies for everyone, from around three months to a year.  H.A. lasts different lengths, depending on where you put it and how active that body part is. I find that if the labelling says six to 12 months, patients normally come back every three to six months.


Breast lift surgery – reshaping the breast and restoring a more youthful appearance

Cosmetic Surgery Dubai | 8 June 2019

Breast lift surgery (also known as Mastopexy, or breast reconstruction) helps to restore the elasticity of female breast tissue which can be stretched, most often through factors such as; weight loss, pregnancy and childbirth, breastfeeding or ageing. The improvement in self-esteem and confidence can be remarkable, making a breast lift one of the highest ranking cosmetic procedure in satisfaction. The procedure is designed to lift breasts that hang abnormally low over the chest, with the majority of their volume sitting at their base. It can be an effective way to enhance the breasts, without drastically changing their size. During the procedure, I will lift and reshape your breasts, giving them a firmer and more youthful appearance.

Additionally, I can re-position the nipples higher on the breast so the changes are proportionate and natural To ensure the best possible results, your surgeon may also recommend a breast enlargement or reduction to be performed alongside your breast lift if appropriate. This will be discussed at your initial consultation.

Lip fillers provide a quick and easy way to add extra volume and shape to lips

Fillers in Dubai | 3 June 2019

Full lips have always been associated with youth and beauty. Because of this, lip enhancement is one of the most frequently requested procedures in a cosmetic practice. 

The objective in treating the upper lip is to artistically create a form that harmonizes with the patient’s unique facial features and takes into account the age and ethnic background of the patient. The goal in treating the lower lip is to create bulk and greater prominence and artistic projection of the vermilion. The physician must establish appropriate guidelines and patient expectations for augmentation relative to normal lip proportions in order to avoid a cartoon-like appearance.

Any physician performing lip augmentation should recognize that temporary fillers can cause permanent stimulatory effects in tissues.After 2 or 3 sessions of lip augmentation, full correction may be obtained and persist indefinitely. Patients may return for additional filler merely because a certain amount of time has elapsed since their last injection, but the physician must evaluate the proportions of the lips to truly determine if additional filler is warranted. It is helpful to have a hand mirror for the patient to observe her lip proportions as the doctor seeks to determine whether more filler is needed. It is also beneficial to show the patient her lips from the lateral view; digital photography is extremely useful in this regard.

Blepharoplasty: The Aftercare Guide

Blepharoplasty Dubai | 30 May 2019

Blepharoplasty – the surgical procedure of removing excess skin and fat around the eyes to remove eye bags and correct hooded, or drooping eyelids – is one of the simplest and most straightforward plastic surgery procedures you can have. It is one of the most popular cosmetic treatments which improves the appearance of the upper eyelids, lower eyelids, or both. A Blepharoplasty procedure can take as little as 30 minutes, but just as any other treatment or surgery, you’ll need to ensure that you follow all the aftercare instructions and advice (how to care for your eyes, medications to apply or take) to allow for a swift and smooth recovery.

What to expect following your Blepharoplasty procedure

Before you leave your cosmetic clinic, your cosmetic surgeon will go through Blepharoplasty aftercare guidelines with you and answer any questions you may have. Patient advisors should contact you regularly to follow-up on your progress and you should also be given 24-hour emergency numbers, to keep your mind at ease knowing that you can get in touch with your clinic whenever you feel the need to. On the day of your procedure, it is suggested that a family member or friend pick you up from the clinic and stay with you for the first 24 to 48 hours, until you are settled in and feel comfortable about acting autonomously.

While you’re comfortable at home, it is recommended that you follow the below general guidelines:

– Avoid lying down flat. By keeping your head elevated, you can reduce some of the swelling while also being more comfortable. Use 3-4 pillows when sleeping. A 45-degree angle is best and a travel pillow will provide support for your neck. During the first week, make sure to sleep on your back.

– Try not to bend forward or over for the next three weeks as this can increase swelling.

– For the first 24 hours, try and eat only liquid, nutritious food so as to exert your face as little as possible.

– DRINK WATER. We can’t stress enough how important it is for you to stay hydrated.

– Don’t skip any of your medication. It’s in your own interest to take it exactly as prescribed. When your pain lessens, you can switch to over-the-counter medicine like ibuprofen or acetaminophen.

– Don’t remove any steri-strips. It might be slightly uncomfortable, but please try not to touch the crusting around your stitches.

– Quit smoking and alcohol for at least 6 weeks prior to surgery and 3 months after. That way you’ll be ensuring that your body’s healing ability is performing at full capacity.

– Contact lenses shouldn’t be worn for 2 weeks.

– Wait at least a week until you start driving again. Use common sense – if you have trouble seeing, don’t drive.

– Use an SPF 30 sunblock or higher, regardless of your activities or the weather as your skin will be sensitive.

– Don’t use any fragranced skincare products. If you feel the need to apply skincare products, do so cautiously and stay away from the incision areas to avoid infection.

– Don’t apply any makeup until at least a week after your stitches have been taken out and the wounds have sealed. It’s best to avoid applying it until your eyes have completely healed in order to avoid scarring and infection. Note that using new products will further lessen the risk of infection.

– Don’t do any exercise other than walking, which is necessary daily so as to prevent blood clot formation.

The healing process

Depending on your body, you will be advised to take around 1 week off work. It’s normal to experience some bruising and swelling during your initial healing process. This isn’t anything to be alarmed about, and your surgeon and aftercare advisor will talk you through how to control any discomfort. Very few of our patients report any pain experienced with the bruising. Despite it being a minimal procedure,  patients have expressed great joy at having opted for it. Women in particular, have been impressed at how much easier their morning routines are now that they can easily apply makeup, without having to deal with troublesome creases and folds. Most just tell of how much younger and more refreshed they feel thanks to these small tweaks.

What Are Dermal Fillers Used For?

Fillers in Dubai | 23 May 2019

Dermal fillers do not refer to a single production line, so there are differences in what parts of the face each and every one of them is meant to address. However, they all perform the same basic function at the end of the day – taking care of those lines and wrinkles that set in to depict aging on the face. For a more comprehensive list of where the known dermal fillers work on, we have:

– Nasolabial fold – those lines from the mouth to the nose

– Melomental fold – the lines from the mouth to the chin

– Lines occurring above the upper lip and

– Lines formed on the face due to frowns, among others.

– Besides the treatment of lines, though, dermal fillers have found application in other areas too.

For one, they are used to return volume to the cheekbones after they start sinking due to age. Furthermore, the lips have also started enjoying from the wide application of dermal fillers. Known to supply volume to thinner lips for a fuller feel, the level of safety they bring to this operation make them the ideal pick for many undergoing any of the procedures mentioned above.

What are the alternatives to tummy tuck?

Tummy Tuck Dubai | 20 May 2019

What are the alternatives to tummy tuck?

Although it’s not strictly an alternative, you might be able to have liposuction to reshape your abdomen. This is where your surgeon uses a special machine to suck out excess fat from under your skin. You can have it on its own instead of a tummy tuck, but it only removes fat, whereas a tummy tuck removes fat and skin. After liposuction, your skin will shrink back a little, if you’re younger and your skin is still quite elastic. But if you have loose skin or muscles before the operation, then liposuction alone won’t be effective. Liposuction might be helpful if you’re not generally overweight, but have localised areas of fat that you want to get rid of. If you have excess skin, liposuction alone won’t be effective. Liposuction may occasionally be an added part of a tummy tuck procedure. As with any medical procedure, liposuction can have side-effects and longer-term complications. Your surgeon will tell you about the potential risks and benefits of tummy tuck and any other treatment options available to you.

What happens during a tummy tuck?

Depending on how much fat and skin you’re having removed and the technique your surgeon is using, the operation can take between two and four hours. There are several types of tummy tuck. The one you have will depend on how much skin and fat you have removed. Your surgeon will discuss this with you and explain which type is most suitable for you and why. Occasionally, liposuction may also be done at the same time as your tummy tuck, but your surgeon will explain whether this is needed.

Standard tummy tuck

Your surgeon will make a cut in your abdomen from hip to hip along your pubic area (in women this is also called your bikini line). They’ll make another cut around your belly button to free it from the surrounding skin. Then the repair will tighten your abdominal muscles and remove excess fat and skin. The remaining skin is pulled down and a new hole is made for your belly button so that it is in the correct position. You’ll have a scar around your belly button and a long curved scar on your abdomen above your pubic area. Because of the normal pattern of pubic hair, the scar is generally higher in men than in women. You can usually hide these scars with your underwear or with swimwear such as a bikini or shorts, but this may not always be possible. This will differ from person to person and on the type of tummy tuck you have. Your surgeon will explain the scars you’re likely to have.

Mini tummy tuck

You can have a mini tummy tuck if you only need to have a small amount of skin or fat removed. Your surgeon will remove excess skin and fat from below your belly button and you usually have liposuction at the same time. Afterwards, you’ll have a curved scar on your abdomen above your pubic area. This may be slightly shorter than with a standard tummy tuck. Your belly button stays in the same place, but it may be a slightly different shape.

Blepharoplasty – Eyelid Lift Surgery & Recovery

Blepharoplasty Dubai | 17 May 2019

Eyelid Lift Surgery & Recovery

Cosmetic eyelid surgery is performed as an outpatient procedure, and typically lasts from 45 minutes to 2 hours, depending upon whether or not you are having another procedure performed at the same time. Depending on the extent of your eyelid surgery, you will be given general anesthesia or local anesthesia with IV sedation. Most trained, board certified cosmetic surgeons today use advanced techniques that eliminate the need to bandage the eyes after surgery, although you may be given an eye lubricant that somewhat blurs your vision at first. When preparing for your surgery, it is a good idea to have some of your favorite music or audiobooks on hand to listen to as you spend the first few days resting at home. During the first 1 to 2 weeks after eyelid surgery, patients commonly have some visible bruising and swelling, and your eyelids may feel unusually tight. However, most patients report feeling more soreness than pain. Using cold compresses and keeping your head elevated while you sleep can help alleviate discomfort.

Life After Eyelid Surgery

Most patients feel well enough to make short trips (do not drive yourself until your cosmetic surgeon gives you clearance to do so) after about a week, and return to their jobs 10-14 days after an eyelid lift. It’s always important to follow your cosmetic surgeon’s instructions after any procedure, and after eyelid surgery you will have to make a few special but relatively simple modifications to ensure your newly rejuvenated eyelids heal optimally. Expect your eyes to get tired more quickly than usual for the first few weeks, and it’s important to let them rest as needed. If your job requires you constantly to be at a computer, consider resuming work part-time initially, then gradually increasing your workload as you continue to recover.

You must protect your eyes from the sun and wind. Wear dark sunglasses with frames that provide plenty of coverage whenever you go outdoors, and follow your cosmetic surgeons’ instructions about applying sunscreen after eyelid surgery. You will have to avoid lifting, straining, and bending down to pick things up for up to 4 weeks after eyelid surgery. This can be an inconvenient restriction, but it is crucial that you do not induce sudden increases in blood pressure until your incisions have healed adequately.

Keeping Your Results Looking Their Best

With a healthy lifestyle and good skincare habits, the results of cosmetic eyelid surgery should last for years.  With the excess, sagging skin gone, your eyes will always look better refreshed and more youthful than they would have without an eyelid lift. Likewise, if you have lower eyelid surgery, those puffy eye bags will be gone. While nothing can stop the normal aging process, your results will age naturally with you.

You can keep your eyes looking more youthful by wearing sunscreen daily, becoming or remaining a non-smoker, and practicing good nutrition and health habits. Non-surgical treatments, such as Botox or filler injections or skin resurfacing, can also help you touch up your youthful appearance by smoothing wrinkles around the face and eyes. Your cosmetic surgeon can recommend the treatment options that will best meet your needs.


Dermal Fillers – What to Expect During Treatment

Fillers in Dubai | 16 May 2019

What to Expect During Treatment

Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will meet with your cosmetic surgeon to discuss your concerns and goals.

Pre-treatment consultation

During your consultation, your cosmetic surgeon will evaluate your area of concern and review your medical history. While the risks associated with dermal fillers are minimal, you need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions, or medications can jeopardize your safety or results. For instance, you need to tell your cosmetic surgeon if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, as these increase the likelihood of bruising.

Your injectable filler treatment

Just before the actual treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Your provider will then inject a precise amount of filler strategically beneath the skin. Depending on the product and the areas treated, you should be able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment, but your cosmetic surgeon may ask you to take the day off from exercise or other strenuous activity.

If you are having fat injections

Facial fat grafting is a surgical procedure and follows a different treatment protocol. Typically, fat grafting is performed as an outpatient procedure, using general anesthesia or local anesthesia with sedation. Up to 2 weeks of downtime may be required, depending on the extent of liposuction performed. Your cosmetic surgeon will go over what to expect with surgery and recovery during your consultation.


Preparing for a Tummy Tuck

Tummy Tuck Dubai | 14 May 2019

Your surgeon will explain how to prepare for your operation. For example, if you smoke you will be asked to stop up to eight weeks before your surgery. Smoking increases your risk of getting a chest and wound infection, which can significantly slow your recovery. Coughing from a chest infection will make recovery much more painful. Smoking also reduces the amount of blood that reaches your skin, which means your wounds may heal more slowly.

Your surgeon may also advise you to:

– lose excess weight – you should be as close to the ideal weight for your height as possible before your operation

– stop taking the contraceptive pill four to six weeks before your operation, to reduce the chances of a blood clot (thrombosis) – make sure you use an alternative method of contraception

You have tummy tuck surgery under a general anaesthetic. This means you’ll be asleep during the operation. Before a general anaesthetic, you are normally asked not to eat or drink for six hours beforehand. Your surgeon or anaesthetist will give you specific advice on what you may or may not eat or drink and for how long before the operation.

Your surgeon will make sure you understand what will happen before, during and after your operation. They’ll also explain what to expect when you wake up and what level of discomfort or pain you might have. This is your opportunity to ask any remaining questions you have about the risks, benefits and alternatives to the procedure. This will help you to be informed, so you can give your consent for the operation to go ahead. You’ll be asked to sign a consent form. Your surgeon may ask you to wear compression stockings from the time of your operation until you are fully up and about again. This helps to prevent blood clots forming in the veins in your legs.

Forehead and brow rejuvenation

Cosmetic Surgery Dubai | 12 May 2019

The brow lift is the method of choice for rejuvenative surgery of the upper third of the face. It can revitalise the entire forehead, smooth out frown lines and wrinkles, and restore the position of the eyebrows. A brow lift will also raise and tighten loose skin of the upper eyelid and open up the eyes. Although the forehead is much less prone to ageing and gravitational descent than the mid and lower third of the face, it is sometimes necessary to include the forehead in combination with eyelid surgeries or a facelift as part of a complete facial rejuvenation. Since the brow and forehead are close to the eyes, most concerns related to this zone stem from sagging brow tissues that in some way affect the eye area; either by drooping skin reducing the size of the eyes, heavy brows affecting their appearance or by physical impairment of upper eyelid function. The second most frequent concern relates to folds and frown lines in the central part of the forehead, which may communicate a heavy or fatigued appearance.

Reasons for lifting the forehead and brow tissues include reversal of the gradual age-related droop (ptosis) of soft tissue which is a natural process of facial ageing, though more pronounced in some individuals. Secondly, brow lifts can be used to adjust a congenitally low and heavy brow and correct asymmetry (due to conditions such as facial palsy where lack of muscle function will result in an asymmetric sagging of forehead soft tissue).

Forehead and brow rejuvenation

Forehead and brow rejuvenation is customised to suit individual features: lifting of the brow, repositioning of descended tissues, adjustment of skin, and modulation of the muscle function responsible for lines and creases. The forehead, brow and eyes are areas where gentle adjustments can lead to major improvements. A lift of just 4-6 mm is often sufficient to open up the eyes and restore the youthful position of the eyebrows. Forehead rejuvenation usually requires lifting the outer half of the brow, as the mid-section is anatomically more stable and less prone to gravitational descent. A delicate upwards curve of the brow is aesthetically appealing. The overall aim is to position the outer part (end point) of the brow slightly higher than the inner part (the start point) with a gentle arch in-between.