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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.
To accommodate our regional patients prior to the upcoming seasonal break, Mr Wilson will be hosting his final clinic dates of the year in Bristol, Plymouth and Newport.
These dates are primarily designated for scheduled post-operative reviews and pre-arranged consultations, with limited availability for additional appointments.
To arrange an appointment or confirm specific times, please contact our clinic coordinator team via the link in our bio, direct message or the details below.
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #newport #devon #bristol
You’ve heard of a tummy tuck, but what about a reverse tummy tuck?
This patient had a breast lift with implants (augmentation mastopexy), alongside a reverse abdominoplasty—a combination of breast and abdominal surgery often known as a “mummy makeover”.
A reverse abdominoplasty addresses loose skin above the belly button. The skin is lifted upwards, with excess skin removed through incisions along the folds beneath the breasts.
She’s very pleased with her results, and so am I. For some patients, the difference goes beyond what we see in the photographs. Feeling more comfortable in their body and in the clothes they wear can make a real difference to everyday life.
Individual results vary. All surgery carries risks, which are discussed at consultation.
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#mummymakeover #abdominoplasty #breastaugmentation #mastopexy #paulwilsonaesthetics
Breast reduction or breast lift? What’s the difference?
It’s a question that often comes up when someone is unhappy with the shape or position of their breasts.
A breast lift, or mastopexy, removes excess skin and reshapes the breast tissue to lift the breasts and reposition the nipples. A breast reduction also removes breast tissue to make the breasts smaller, usually with a lift as part of the procedure.
The right choice depends on more than appearance. We discuss whether you want to be smaller, how the weight of your breasts affects you, and what you hope to achieve.
These photographs show this patient’s mastopexy result from the front and side.
At consultation, we can talk through which approach suits your anatomy and goals, including the scars and recovery involved.
Individual results vary.
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#PaulWilsonAesthetics #Mastopexy #BreastLift #BreastReduction
What haunts a plastic surgeon? Sometimes, it is a few familiar words.
“My partner thinks I should have it done.”
“This will fix everything.”
“Just one more little change…”
And occasionally:
“Of course I’ll rest… I’ve just got the school run and the house to clean.”
This Halloween, we’re opening the book on the conversations behind these familiar phrases. Whose decision is it? What do you hope surgery will change? When is it time to pause? And have you really made room for recovery?
Each deserves time, honesty and understanding.
You don’t need to arrive at a consultation with perfect answers. Bring your questions, your expectations and anything you feel unsure about.
Nothing to hide. Everything to discuss.
Wishing you a lovely Halloween weekend.
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#patienteducation #PatientCare #plasticsurgeon #paulwilsonaesthetics
Swipe to see the before & after in motion →
The art of subtlety ✨
Revisiting this preservation rhinoplasty result.
This lovely patient wanted to soften the dorsal hump on her bridge while maintaining a natural appearance in harmony with her features.
Preservation rhinoplasty aims to retain as much of the nose’s existing anatomy as possible. In suitable patients, the bridge can be lowered by modifying the supporting structures beneath it, rather than removing the hump directly from above.
The aim: a subtle refinement that respects the individual character of the face.
Procedure: Preservation rhinoplasty
Anaesthetic: General
Hospital stay: One night
Every nose is unique. The surgical approach is tailored to each patient’s anatomy and goals.
Individual results and recovery vary.
Photo shared with patients kind consent .
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#preservationrhinoplasty #rhinoplasty #paulwilsonaesthetics
Your surgical team is here to protect you, never to judge you.
An open, honest conversation about your health, medications and lifestyle is an important part of preparing for surgery and planning your recovery.
Whether it’s smoking, weight-loss injections (GLP-1s), HRT or difficulties wearing your prescribed compression garment, please tell us. These details help us tailor your care, reduce avoidable risks and support your recovery.
Even if something feels uncomfortable to mention, we’re here to listen and help.
If you have questions about preparing for surgery or your aftercare, my team at Paul Wilson Aesthetics is here to guide you every step of the way.
🔗 Tap the link in our bio to learn more or to book a confidential consultation.
📍 Consultations: Bristol • Plymouth • Newport • London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#patienteducation #patientcare #paulwilsonaesthetics
It was a pleasure to catch up with my lovely patient this week, 16 months after her deep plane facelift and neck lift with me.
This reel follows her journey from before surgery to six weeks post-op, and then to her recent review.
Early results are only part of the story. At six weeks, healing is still underway. As swelling settles and the tissues heal, the result can continue to soften and refine.
We are both delighted with how her result has settled.
Every patient’s recovery is different. These photographs show one patient’s experience;
Healing takes time, and patience is an important part of the process. Results evolve over months as swelling settles and tissues soften. Giving yourself that time allows you to appreciate how your result settles, beyond the early stages of recovery.
Photos shared with patients kind consent.
📍 Consultations: Bristol • Plymouth • Newport • London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
🌐 paulwilsonaesthetics.co.uk
💳 0% finance options available.
#DeepPlaneFacelift #Facelift #NeckLift #FaceliftRecovery #paulwilsonaesthetics
I’m pleased to announce that I will be offering monthly specialist consultations at The Erme Clinic in Plymouth, beginning on Friday 27 November.
This new clinic will make it easier for patients across Devon and Cornwall to meet with me closer to home and discuss options for face, breast and body surgery.
Each appointment will be a full, personal consultation, allowing time to discuss your concerns, explore the appropriate options and ask any questions you may have.
Consultations will take place in Plymouth, with surgery undertaken at Northwood Hospital in Bristol.
At Paul Wilson Aesthetics, patients receive consultant-led care throughout their surgical journey, with comprehensive support and aftercare from our experienced dedicated team.
All surgery is subject to a full consultation and individual assessment.
My team and I look forward to welcoming you to our Plymouth clinic.
For more details or to arrange a consultation, please contact our team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
🌐 paulwilsonaesthetics.co.uk
💳 0% finance options available for selected procedures, subject to status, eligibility and terms.
#Plymouth #Devon #Cornwall #PlasticSurgery #paulwilsonaesthetics
OPEN RHINOPLASTY
Before and immediately after an open rhinoplasty I performed at Northwood Hospital, Bristol .
Our aim was to reduce the height of the nasal bridge and address a slight deviation, improving the symmetry of the patient’s nose while maintaining breathing function.
The after photograph was taken immediately following surgery in theatre. Swelling is present at this stage, and the result will continue to develop as healing progresses.
Both the patient and I are pleased with how healing is progressing and the results so far.✨
Individual results vary.
Photos shared with patients kind consent.
For more details, contact our team:
📱 Enquiries: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
#OpenRhinoplasty #Rhinoplasty #rhino #PaulWilsonAesthetics
As we approach our first birthday since opening Northwood Hospital, it’s wonderful to receive feedback like this from a patient who underwent a deep plane facelift and neck lift with me. ✨
Choosing to have surgery is a big decision, so knowing that she felt supported and well cared for throughout her experience means a great deal to me and the whole team.
Thank you for taking the time to share your experience with us.
Swipe to read more of our patients review 🤍
For more details, contact our team.
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
#patientfeedback #deepplanefacelift #paulwilsonaesthetics #patientcare
“What if I regret it?” is a completely understandable question when considering permanent surgery.
Careful planning is an important part of hairline lowering surgery. The position and shape of the new hairline need to suit the patient’s facial proportions, existing hairline and hair density.
Our lovely patient is shown before surgery and 12 months afterwards. The aim was to create a softer, lower hairline that still looked natural and individual to her.
For more information about hairline lowering surgery with Mr Paul Wilson at Northwood Hospital, Bristol,please contact our team:
📱 Enquiries: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
Photos shared with patients kind consent.
#HairlineLowering #HairlineLoweringSurgery #PaulWilsonAesthetics #foreheadreduction
ANNOUNCEMENT
More flexibility when planning your surgery.
We are pleased to announce that Paul Wilson Aesthetics has partnered with Chrysalis Finance, giving eligible patients the option to spread the cost of their surgery through monthly payments.
Finance options are now available for surgery with Paul Wilson at Northwood Hospital, Bristol and The London Welbeck Hospital.
For more details, contact our team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
Subject to status, eligibility and terms.
#PaulWilsonAesthetics #northwood_hospital #LondonWelbeckHospital #PlasticSurgery
WATERMANS BAY LIMITED trading as Paul Wilson Aesthetics is an Appointed Representative of Chrysalis Finance Limited, which is authorised and regulated by the Financial Conduct Authority. WATERMANS BAY LIMITED is a credit broker, not a lender. The provider of a payment scheme which is not offered through or by Chrysalis Finance Limited may not be so authorised and regulated.