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If you’ve noticed vertical lines forming between your eyebrows, you may be developing frown lines. These common wrinkles typically appear as vertical creases between the brows and often become more noticeable when concentrating, frowning, squinting or making other facial expressions.
For many people, frown lines develop gradually as part of the natural ageing process. Others may notice them earlier due to genetics, frequent sun exposure, repeated facial expressions or changes in skin quality. Their appearance varies from person to person, ranging from fine lines visible only during movement to deeper creases that remain apparent even when the face is at rest.
At Paul Wilson Aesthetics, frown lines treatment begins with a detailed assessment of your skin quality, facial muscle activity and overall facial balance to determine whether wrinkle reduction injections are the most appropriate treatment option for your concerns.
About
Frown lines are the vertical lines that develop between the eyebrows. Also known as glabellar lines or “11 lines”, they form primarily because of repeated contraction of the muscles that draw the brows together during facial expressions such as frowning, concentrating and squinting. Over time, this repeated movement, combined with the natural ageing process, gradually creates visible lines in the overlying skin.
Frown lines can present in different ways. Some people notice them only during facial expressions, while others develop wrinkles that remain visible even when the face is relaxed. They may also occur alongside thinning skin, reduced elasticity and other age-related changes affecting the upper face.
Unlike forehead lines, which run horizontally across the forehead, frown lines develop specifically between the brows and are primarily dynamic wrinkles, meaning they are caused by repeated muscle activity. As collagen and elastin decline with age, these dynamic lines can gradually become static wrinkles that remain visible even when the facial muscles are at rest.
Causes
Frown lines usually develop due to a combination of repeated muscle activity, age-related skin changes and environmental factors affecting the area between the eyebrows.
Ageing is one of the main reasons frown lines become more noticeable. Over time, collagen and elastin production decline, skin elasticity reduces, and the skin becomes thinner and less resilient.
As these structural changes occur, the skin becomes less resilient. Lines that once appeared only when frowning or concentrating can gradually deepen and remain visible even when the face is relaxed.
The muscles between the eyebrows contract whenever you frown, concentrate or squint. Repeated contraction over many years causes the skin to fold in the same areas, gradually forming expression lines that can deepen and become more persistent.
Ultraviolet (UV) exposure accelerates the breakdown of collagen and elastin, contributing to premature skin ageing and the development of wrinkles. Combined with environmental factors such as pollution, this can make frown lines appear earlier or become more pronounced.
Not everyone develops frown lines at the same rate. Your genes influence many characteristics that affect wrinkle formation, including your skin’s natural thickness and elasticity, your facial structure, and how strongly the muscles between your eyebrows contract. As a result, some people notice frown lines much earlier than others.
Daily habits can also influence how quickly frown lines become noticeable. Regular sun exposure, smoking, dehydration, stress and poor sleep may all contribute to changes in skin quality over time. Although these factors are not the direct cause of frown lines, they can accelerate visible signs of ageing and make existing lines appear more pronounced.
Treatment
Treatment may be considered when frown lines become deeper, remain visible even when the face is relaxed, or create more prominent creases between the eyebrows.
As frown lines are primarily caused by repeated contraction of the muscles between the brows, topical skincare products are unlikely to significantly improve established dynamic wrinkles. Many people seek treatment when the lines begin to persist at rest or become more noticeable during everyday facial expressions.
A professional assessment allows Mr Paul Wilson to evaluate the factors contributing to your frown lines, including skin quality, muscle activity and overall facial harmony, and to advise whether wrinkle reduction injections are suitable for you.
Options
At Paul Wilson Aesthetics, frown lines are treated with wrinkle reduction injections. This non-surgical treatment targets the muscles that create the vertical lines between the eyebrows, helping soften dynamic wrinkles while maintaining natural facial movement.
Wrinkle-reduction injections target the muscles that create frown lines between the eyebrows. By temporarily reducing muscle activity, they can soften the appearance of dynamic wrinkles and help stop repeated facial movements from deepening the lines over time.
Treatment involves a series of carefully placed injections into the glabellar area using a very fine needle. Following your consultation and assessment, the procedure itself usually takes only a few minutes. Most patients report only mild discomfort, and because no anaesthetic is typically required, they can usually return to their normal routine immediately afterwards.
Every treatment plan is tailored to the individual. The number and placement of injections are determined by factors such as your facial anatomy, muscle activity and the severity of your frown lines. The aim is to soften wrinkles between the brows while preserving natural facial expression, creating a refreshed yet natural-looking result.
EXPECT
Results following frown line treatment differ from person to person and are influenced by factors such as the severity of the lines, skin quality, muscle activity, and your body’s individual response to treatment.
For suitable patients, wrinkle reduction injections may reduce the appearance of frown lines, creating a smoother appearance between the eyebrows without compromising natural facial expression. Improvements are often noticeable within a few days, with the full result typically developing after around two weeks.
The effects are temporary and generally last for three to four months, although this varies between individuals. As the treated muscles gradually regain their normal activity, further treatments may be considered if you wish to maintain your results.
Surgeon
Mr Paul Wilson is a Consultant Plastic Surgeon with more than 35 years of surgical experience and over 16 years as a Consultant Plastic Surgeon. He specialises in facial, breast and body aesthetic surgery, with a particular interest in rhinoplasty, facial rejuvenation and complex revision surgery.
In both his NHS and private practice, Mr Wilson is known for his patient-focused approach, careful surgical planning, and commitment to achieving balanced, natural-looking results tailored to each individual.
Choose Us
At Paul Wilson Aesthetics, your care is grounded in safety, expertise and surgical integrity. Surgeries are performed by Mr Paul Wilson, an accredited Consultant Plastic and Reconstructive Surgeon with dual qualifications in medicine and dentistry.
His background in complex reconstructive surgery ensures a meticulous, anatomically driven approach, where patient safety and functional outcomes are always prioritised. Every treatment plan is personalised and carefully planned using advanced imaging technology to provide a clear, realistic understanding of what can be achieved.
From your initial consultation through to recovery, you are supported with a transparent, considered approach that focuses on realistic expectations rather than overpromising outcomes. Mr Wilson’s aesthetic philosophy centres on restoring and refining rather than altering, ensuring results that feel balanced and authentically you.
Supported by a dedicated team, you can expect a seamless, attentive patient experience where your concerns are heard, your questions are answered, and your care is tailored at every stage of your journey.
FAQ
Frown lines often begin as dynamic wrinkles that appear only during facial expressions such as frowning or concentrating. Over time, repeated muscle contractions and age-related changes in the skin can cause these lines to become static wrinkles that remain visible even when your face is relaxed.
Frown lines can appear at almost any age, although they are more commonly noticed from the late twenties or thirties onwards. The timing varies between individuals and is influenced by factors such as genetics, sun exposure, facial expressions and overall skin quality.
Once frown lines have become established, they are unlikely to disappear without treatment. While a consistent skincare routine and daily sun protection can support healthy skin, they cannot address the repeated muscle activity that causes dynamic frown lines.
Frown lines are the vertical creases that form between the eyebrows, whereas forehead lines run horizontally across the forehead. Although both are expression lines, they are created by different facial muscles and may be treated differently depending on your individual concerns.
Stress does not directly cause frown lines, but it may increase how often you furrow your brows or tense the muscles between your eyebrows. Over time, repeated facial expressions, combined with the natural ageing process, can contribute to the development of these lines.
Schedule your consultation
Patients choose Paul Wilson Aesthetics for a combination of surgical expertise, honest guidance and a highly personalised approach to care. To get started, book a consultation with Mr Wilson at Northwood Hospital, Bristol, or the London Welbeck Hospital, where he will assess your concerns, discuss your goals and determine whether wrinkle reduction injections are the most appropriate option for you.
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Discover behind-the-scenes moments, patient transformations, expert tips, and the latest in surgical treatments – all in one place.
An abdominoplasty is about more than removing excess skin.
Where rectus diastasis is present, the abdominal wall can be tightened by bringing the separated tissues back towards the midline. This creates a firmer internal foundation and can help improve the shape and support of the abdomen.
The procedure may also include removing excess skin and fat, reshaping the abdominal contour and repositioning the belly button where appropriate.
Every abdominoplasty is planned around the patient’s individual anatomy, concerns and goals. Not every patient will require the same elements of surgery.
Images shared with patient consent. Individual suitability, recovery and results vary. A consultation is required to discuss the most appropriate treatment for you.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#Abdominoplasty #TummyTuck #RectusDiastasis #paulwilsonaesthetics
“Can surgery make me look like my filter?”
It’s a question that comes up more often than you might think.
Bringing a filtered or AI edited image to a consultation can be helpful because it shows me what you are drawn to. The difficulty is that these images often change several things at once, including the eyes, nose, brows, jawline and skin. They do not take account of real anatomy or how the face moves.
Surgery works with living tissue, so a filtered image cannot be treated as an exact blueprint. It can, however, be a useful starting point for an honest conversation about what you would like to change and what may be achieved safely and naturally.
The aim should be a result that still looks like you.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#plasticsurgery #AestheticSurgery #PatientEducation #paulwilsonaesthetics
A patient journey following VASER liposuction to the neck.
These photographs show the progression from careful pre-operative planning and marking, through the early post-operative stage, to three weeks after surgery.
VASER liposuction uses ultrasound-assisted technology to target and remove localised areas of fat with precision. This can make it a suitable option for carefully selected patients seeking greater definition beneath the chin and along the neck and jawline.
At three weeks, healing is still at an early stage and some swelling may remain. The result will continue to settle and refine over the coming weeks and months. Our patient is already very pleased with her progress and the outcome so far.
Thank you to our lovely patient for kindly allowing us to share her journey.
Individual suitability, recovery and results vary. A consultation is required to discuss the most appropriate treatment for you.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#VASERLiposuction #NeckLiposuction #liposuction #PatientJourney #PaulWilsonAesthetics
A heartfelt patient review, shared in her own words. ✨
At just three days post-op, our patient describes the early changes she could already see, how emotional the experience felt and the care she received at Northwood Hospital.❤️🏥
Swipe to read her full review.
Recovery and results are individual, and this patient is still at a very early stage with swelling yet to settle.
Shared with our patient’s kind permission.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#PatientReview #Northwood_hospital #PaulWilsonAesthetics #Vaser
Three years on from breast reduction surgery ✨
Our patient has kindly allowed us to share her journey and these photographs, showing how she feels today following her procedure. It is wonderful to see her looking so happy and confident.
Breast reduction surgery can help alleviate the physical discomfort associated with disproportionately large breasts, while creating a shape that feels more comfortable and in proportion.
Thank you to our patient for allowing us to share her experience.
Every patient and outcome is individual. A full consultation is required to discuss suitability, potential risks and expected results.
Shared with our patient’s kind permission.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastReduction #breastsurgery #patientjourney #paulwilsonaesthetics
A very enjoyable day at the joint BAAPS & ESAPS 2026 Meeting in London! 🇬🇧
These meetings are always a valuable opportunity to learn, exchange ideas and catch up with colleagues and industry partners.
It was good to spend time with the teams from VASER, MACOM and Silimed, as well as catching up with a fellow consultant friend from Truro, Cornwall.
Looking forward to the rest of the scientific programme over the next couple of days! 🩺✨
#plasticsurgery #plasticsurgeons #paulwilsonaesthetics
We do not always have the opportunity to capture the first time a patient sees the result of their surgery, but when we do, it can be incredibly special.
This patient underwent forehead reduction surgery, and this was the moment she saw her new hairline for the first time. The happiness in her reaction says everything.
Moments like this remind us that surgery can mean far more to a patient than the physical change alone.
This was an early postoperative reveal and the patients healing continued for her over the following months.
Shared with our patient’s kind permission.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#hairlinelowering #foreheadreduction
#patientjourney
#paulwilsonaesthetics
Not every question is easy to ask.
Some can feel personal, awkward or even a little embarrassing, but they are often the questions that matter most.
A few honest answers to things patients sometimes hesitate to say out loud.
There is no such thing as the wrong question in a consultation. It is important to understand what surgery involves, what recovery may really be like and how it could affect your everyday life.
Clear, straightforward answers allow patients to consider their options properly and make decisions in their own time.
If you are considering surgery but are not yet ready for an in-person appointment, we also offer introductory virtual consultations. This can be a helpful first step and an opportunity to talk through your initial questions.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#patienteducation #plasticsurgery #plasticsurgeon #paulwilsonaesthetics
One result, seen from different angles.
With septo-rhinoplasty, it is important to consider how the nose sits within the whole face, not only how it looks from the side.
In this case, surgery addressed the dorsal hump and tip projection while maintaining a result that remained in keeping with the patient’s natural features.
The profile shows the change most clearly, while the oblique views demonstrate how the new shape complements this lovely patient’s natural features.
Swipe to see the result from each angle.
Photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#rhinoplasty #septorhinoplasty #septoplasty #paulwilsonaesthetics
Weight loss affects every body differently.
For some people, the biggest change is around the face and neck. For others, it may be the upper arms, breasts, abdomen or thighs. Sometimes it is one area; sometimes several.
Surgery after significant weight loss is never one-size-fits-all. Depending on your anatomy and concerns, options may include a facelift and neck lift, brachioplasty, thigh lift, abdominoplasty or breast surgery. VASER may also be considered for targeted body contouring where appropriate.
The aim is to address the changes that weight loss can leave behind and create a treatment plan that feels right for you.
Swipe through to explore some of the areas that can be affected.
All photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#surgeryafterweightloss #weightlosssuccess #glp1 #weightlosssurgery #paulwilsonaesthetics
This lovely 30-year-old patient came to see me hoping to move from an AA cup towards natural B/C cup proportions.
Her priority was to add shape and volume while keeping the result balanced with her slim frame.
We used Vectra 3D imaging during the planning process and selected 295cc high-profile Silimed True Texture Natural-Biodiesign implants.
The photographs show her before surgery and at 12 months, once the implants had settled and the result had matured.
Implant selection is about much more than volume alone. Chest width, existing breast tissue, body proportions and the patient’s preferred look all need to be considered carefully.
Every patient and every result is different. A consultation is needed to discuss what may be suitable for you.
Photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAugmentation #BreastImplants #PaulWilsonAesthetics
Thinking about breast augmentation? Your consultation with Mr Paul Wilson is the first step.
Mr Wilson will talk you through your goals, expectations and the options available to you. Every patient’s breast anatomy is different, so the choice of implant needs to be tailored to your individual shape, proportions and desired result. You will have the opportunity to discuss different implant types, sizes and profiles, as well as what to expect from surgery and recovery.
Vectra 3D imaging will also be used during your consultation to help visualise how different implant sizes and shapes may look on your individual frame. It’s a useful tool for discussing your options and ensuring your treatment plan is tailored to your anatomy and goals.
It’s also a chance to ask questions, understand your options and feel fully informed before making any decision—there’s no pressure to decide on the day.
To book a consultation, please contact us using the details below:
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#breastaugmentation #paulwilsonaesthetics #northwoodhospital #londonwelbeckhospital