Treatment face
Brow Lift in the UK
- Correct sagging and rejuvenate the upper face
- Lift and reposition the brows
- Create a more youthful, refreshed appearance
- Improve facial harmony
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Brow lift surgery is a procedure that elevates and repositions the brows, helping to improve the appearance of the upper face. It is commonly performed to address concerns such as heavy or drooping brows, forehead lines or a tired-looking expression that can develop due to factors such as ageing or genetics.
Mr Paul Wilson is an esteemed expert in facial surgery, known for his meticulous technique and patient-centred approach. Procedures are conducted at Northwood Hospital and at Paul Wilson Aesthetics, you will be cared for through personalised consultations and exceptional outcomes delivered with care and professionalism.
About
What is a brow lift?
As we age, the skin gradually loses elasticity, and the tissues supporting the brows can weaken. Combined with the effects of gravity and changes in the shape of the skull, this may cause the brows to drop or sit lower over time. Lifestyle factors such as sun exposure and smoking can accelerate this process. A lowered brow position may create a tired, stern or heavy appearance and is often associated with forehead lines and frown lines between the eyebrows.
A brow lift is a surgical procedure designed to raise and reposition the brows to restore balance to the upper face. By addressing brow position, a brow lift restores a youthful, refreshed look, smoothing wrinkles, improving the appearance of the upper eyelids and overall facial aesthetics.
Types
Types of brow lift
Brow lift surgery is a highly customisable procedure, tailored to each individual’s facial anatomy and aesthetic goals. Depending on the patient’s needs, Mr Wilson may recommend one of the following techniques:
Endoscopic Brow Lift
An endoscopic brow lift is a minimally invasive technique which involves small incisions hidden within the hairline. It is well-suited for patients with a lower hairline and mild to moderate brow drooping who want subtle lifting, minimal scarring and a quicker recovery.
Coronal Brow Lift
A coronal brow lift involves an incision made across the scalp, concealed within the hairline. This technique is typically reserved for patients with more significant brow sagging, as it allows for more comprehensive lifting and smoothing.
Temporal (Lateral) Brow Lift
A temporal or lateral brow lift focuses on lifting the outer portion of the eyebrows. It addresses heaviness at the outer brow or hooding of the upper eyelids, creating a more open and refreshed eye area. Mr Wilson recommends pairing this procedure with a deep plane facelift to smooth off the bunching which can occur around the cheekbone as the facial soft tissues are elevated.
Direct Brow Lift
A direct brow lift is used for pronounced brow drooping, particularly when precise correction is required. The incision is made just above the eyebrow and, while more visible, can often be hidden effectively or camouflaged with microblading. This procedure is quick, can be performed under local anaesthetic and is particularly effective for brow asymmetries and altering the shape of the eyebrows.
benefits
What are the benefits of a brow lift?
A brow lift may offer a number of benefits, including:
- Lifting sagging brows to create a more open and refreshed upper face
- Smoothing forehead lines and reducing a tired or stern expression
- Corrects drooping brows that may interfere with the line of sight
- Long-lasting results when supported by appropriate care
- Increased confidence
- A more youthful appearance
candidates
Who is a good candidate for a brow lift?
A brow lift may be suitable for individuals who:
- Are in good overall health
- Are non-smokers, or willing to stop smoking before and after surgery
- Have realistic expectations about results and recovery
- Are concerned about sagging or drooping brows
- Feel that a heavy or low brow creates a tired, stern or aged appearance
- Feel that their brow position affects facial balance, or in some cases, vision
- Are considering an upper eyelid blepharoplasty as the cause of lateral hooding is due to brow ptosis (drooping of the brow)
What to expect
What to expect during a brow lift?
Consultation
During your consultation, Mr Wilson will assess your upper facial anatomy, including brow position, skin quality and overall facial balance. He will discuss your concerns and aesthetic goals and review your medical history to help determine the most appropriate treatment approach.
As brow lifts are highly customisable procedures, the surgical plan is tailored to your individual anatomy and desired outcome. Mr Wilson will explain the recommended technique, outline what to expect during recovery and answer any questions you may have. This consultation is your opportunity to ask any questions before proceeding with the procedure.
Anaesthesia and Procedure Time
Brow lift surgery may be performed under general anaesthetic or local anaesthetic with sedation, depending on the technique used.
The surgery typically takes around 1 hour, though it may take up to 2 hours depending on the type of brow lift performed and the extent of correction required. Mr Wilson will confirm the expected procedure time during your consultation.
Surgery
Brow lift surgery involves repositioning the brows to a more youthful position, addressing excess skin and smoothing the forehead to improve the appearance of the upper face. As brow lifts are highly customisable, the surgical technique used will depend on your individual anatomy and aesthetic goals.
Techniques may include an endoscopic, coronal, temporal (lateral) or direct brow lift.
Closure
Once the brow has been adjusted, the incisions are carefully closed using fine sutures. Attention is given throughout the procedure to minimise scarring and support a smooth healing process.
Recovery
Recovery and results of a brow lift
Recovery following brow lift surgery varies between individuals.
What to expect
After surgery, it is normal to experience some swelling, bruising and mild discomfort in the treated area. These effects are usually most noticeable during the first few days and typically subside within 10 to 14 days. Keeping the head elevated and limiting facial movements during the early recovery period can help reduce swelling and support healing.
With modern surgical techniques, scarring is minimal and is usually well concealed within the hairline or natural facial contours. As swelling settles, improvements in brow position and upper facial appearance become more apparent.
Activity and movement
Most patients can return to work and normal daily activities within about 2 weeks, depending on individual recovery and the nature of their role. Strenuous exercise, heavy lifting and activities that significantly raise your heart rate should be avoided for 4 to 6 weeks, or until advised by your surgeon.
Follow-up care and long-term results
Follow-up appointments will be scheduled to monitor healing and ensure recovery is progressing as expected. Final results continue to refine over the weeks following surgery as swelling fully resolves, with outcomes becoming increasingly apparent over time.
Risks & complications
Risks and potential complications of a brow lift
As with any surgical procedure, a brow lift carries some risks and potential complications. These may include:
- Infection
- Bleeding or haematoma (blood collection under the skin)
- Delayed wound healing
- Swelling or fluid build-up (seroma)
- Temporary changes in sensation around the forehead or scalp
- Scarring or asymmetry along the hairline
- Adverse reaction to anaesthesia
- Recurrence over time
Your surgeon will discuss all potential risks during your consultation, ensuring you are fully informed before deciding to proceed.
The cost of a brow lift in the UK depends on the technique used, the complexity of the procedure and individual factors such as brow position, skin quality and the extent of correction required. These considerations can influence the overall cost of treatment.
Mr Wilson will provide you with a personalised quote during your consultation, ensuring you have a full understanding of the costs before proceeding.
FAQ
Frequently Asked Questions
Is a brow lift safe?
A brow lift is generally a safe procedure when performed by a qualified and experienced surgeon such as Mr Wilson. Modern surgical techniques minimise risk and ensure precision, resulting in natural-looking outcomes. As with any surgery, there are potential risks, but these are uncommon when proper precautions are followed.
A thorough consultation and pre-operative assessment help ensure the procedure is tailored to the patient’s needs and medical history. Choosing a reputable surgeon with a track record of success is essential to achieving optimal results and minimising complications.
What anaesthetic is used for a brow lift?
Brow lifts are typically performed under general anaesthetic, ensuring patients are completely comfortable and unaware.
In some cases, local anaesthetic with sedation may be used, particularly for less invasive techniques like endoscopic or temporal brow lift. The choice of anaesthetic depends on the type of procedure and the patient’s preferences, which are discussed during the consultation.
How long does a brow lift take?
The duration of a brow lift depends on the specific technique used and the complexity of the case. On average, the surgery takes between 1 and 2 hours. Minimally invasive techniques, such as the endoscopic brow lift, are usually quicker than traditional methods like the coronal brow lift.
During the consultation, Mr Wilson will provide an estimate based on your individual needs and chosen procedures. Additional treatments, such as combining a brow lift with eyelid surgery, may extend the overall time.
Are the results of a brow lift permanent?
While a brow lift provides long-lasting results, it doesn’t halt the natural ageing process. Patients can expect the rejuvenated appearance to last 10-15 years or longer, depending on factors such as skin quality, lifestyle and genetics.
Over time, minor sagging may occur due to ageing, but the improvements achieved through surgery remain noticeable. Maintaining a healthy lifestyle, protecting the skin from sun damage and following post-operative care instructions can help. Some patients opt for non-surgical touch-ups, such as wrinkle reduction injections, to maintain their look.
Can I drive after a brow lift?
Patients should not drive immediately after a brow lift, especially on the day of surgery. The effects of anaesthesia and sedatives can impair coordination and reaction times, making it unsafe to operate a vehicle.
It’s recommended to arrange for someone to drive you home and provide support during the initial recovery period. Most patients can resume driving within a week, depending on their comfort level and healing process. Patients should consult Mr Wilson for specific guidance, as he may advise waiting longer if swelling or limited head movement could interfere with safe driving.
How does a brow lift work?
A brow lift works by repositioning the tissues and muscles that support the eyebrows to a higher, more youthful position. During the procedure, Mr Wilson carefully lifts the brow and addresses excess skin and underlying tissue that contribute to sagging or heaviness across the upper face.
Depending on the technique used, small incisions may be placed within the hairline or natural contours to minimise visible scarring. By restoring the brow to a more natural position, a brow lift helps soften forehead lines, reduce a tired or stern expression and improve overall upper facial balance.
Schedule your consultation
Book a consultation with Paul Wilson Aesthetics
Patients choose Paul Wilson Aesthetics not only for the team’s surgical expertise, but also for their thoughtful, honest and patient-centred approach to aesthetic care. To get started, book a consultation where our team will discuss your concerns, outline your goals and determine if a brow lift is the right option for you.
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Open Preservation Rhinoplasty | Before & After
This patient presented for a consultation with both functional and aesthetic concerns.
She had experienced several previous nasal injuries, including a horse-riding accident, a netball incident, and a facial injury. Although she had undergone a septoplasty in 2022, she was still experiencing intermittent breathing difficulties, shifting between the right and left sides.
Aesthetically, her primary concerns were a dorsal hump and the droopiness of her nasal tip.
On assessment, her nose was reasonably straight, with a dorsal hump created by a combination of prominent nasal bones and increased septal height. There was also slight nostril asymmetry and some external valve collapse on the right side, meaning the outer wall of the nostril could collapse slightly during sharp, deep breathing.
A CT scan revealed a relatively straight septum, with only a small posterior deviation, clear sinuses, and normal-sized turbinates.
An open preservation rhinoplasty was performed.
The plan was to refine the dorsal hump, create a gentle curve to the nose, improve the tip position, and achieve as much symmetry as possible while respecting the patient`s existing anatomy.
Rhinoplasty planning is never about chasing perfection. The aim is to make a considered improvement that looks balanced, functions well, and remains in keeping with the rest of the face.
The result shown here is part of that process, with healing continuing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A rhinoplasty consultation is not just about examining the nose.
It is about understanding the patient, their anatomy, their breathing, and their reasons for considering surgery.
In this video, Mr Wilson explains what happens during a rhinoplasty consultation at Paul Wilson Aesthetics.
Patients are seen personally by Mr Wilson at Northwood Hospital in Bristol. The consultation includes a full medical history, a discussion about aesthetic concerns, breathing and functional symptoms, previous injuries or surgery, and the support available at home after the procedure.
The nose is then carefully assessed, as rhinoplasty always addresses both form and function.
Two-dimensional photographs are taken for medical records, and 3D Vectra imaging may also be used to aid in planning the procedure. This allows Mr Wilson and the patient to visually discuss possible changes and ensure expectations are aligned before surgery.
The aim is not to promise a precise, screen-generated result.
It is to understand what the patient hopes to achieve, what is surgically attainable, and how to meticulously plan the operation.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Open Septorhinoplasty | Before & After
This patient had previously undergone rhinoplasty and otoplasty at the age of 23, which included the reduction of a dorsal hump.
Over time, he began to notice increasing droopiness of the nasal tip. He had also broken his nose as a child during gymnastics, although his breathing was otherwise good.
On assessment, he presented with a long, straight nose and a dependent, droopy, and slightly asymmetric tip. There was a mild deviation of the nose to the left, but no remaining bony hump. The septum appeared straight.
One of the key findings was the acute angle between the base of the nose and the upper lip. Simply lifting the tip helped to improve the appearance of the nose and also made it appear straighter.
In this case, an open septorhinoplasty was performed under general anaesthetic.
Revision rhinoplasty requires careful planning, particularly when the nose has been previously operated on. The existing structure, scar tissue, tip support, and previous surgical changes all need to be considered before any further refinement is made.
The aim was to improve tip position and support, address the asymmetry, and create a more balanced nasal profile while working with the patient`s existing anatomy.
The result shown here is part of that process, with healing continuing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A bump on the bridge of the nose can change the entire facial profile.
For many patients, a dorsal hump is the feature they notice most in side-profile photos or from certain angles. It may be part of the natural nasal structure, or it may appear more pronounced after trauma or injury.
However, a dorsal hump is never treated as just a "bump".
The bridge, tip, septum, nasal bones, and facial proportions all need to be assessed together before any surgical plan is made.
At Paul Wilson Aesthetics, rhinoplasty planning focuses on refining the nasal profile in a way that remains balanced with the individual face.
Depending on the anatomy, this may involve preservation rhinoplasty or structural rhinoplasty.
The aim is not a perfect nose.
It is a considered, proportionate result that suits the patient.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #dorsalhump #rhinoplastybristol #preservationrhinoplasty #northwoodhospital
When rhinoplasty does not go as expected, subsequent operations are rarely simple.
Revision rhinoplasty often involves navigating scar tissue, altered anatomy, reduced cartilage support, and the outcomes of previous surgery.
In this reel, Mr Wilson explains why patients seek him out for revision rhinoplasty and why this type of surgery demands meticulous planning, extensive experience, and candid discussions.
Additional support may sometimes be required, utilising cartilage from the ear or rib, fascia, or fat grafting.
This also underscores the importance of aftercare. Should concerns arise post-surgery, patients need assurance that they will receive proper review, support, and care.
Revision rhinoplasty is not merely about re-shaping the nose.
It involves comprehending previous interventions, assessing current possibilities, and meticulously planning the subsequent stage.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #revisionrhinoplasty #rhinoplastysurgery #bristolplasticsurgeon #northwoodhospital
A blocked nose is not always "just congestion".
A deviated septum can make one side of the nose feel constantly blocked, affect airflow, and make breathing feel uneven.
The septum is the internal wall of bone and cartilage that separates the two nasal passages. When it sits off-centre, one side may become narrower, which can make breathing more difficult.
It is not always visible from the outside.
This is why assessment matters. The nose needs to be examined for both structure and function, especially when symptoms are linked with previous injury, nasal asymmetry, or ongoing obstruction.
Treatment may involve septoplasty to improve airflow, or septorhinoplasty when breathing concerns and external nasal shape need to be addressed together.
The aim is to understand what is causing the obstruction and choose the most suitable approach for the individual patient.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Dorsal Preservation Rhinoplasty | Before & After
This young patient desired refinement of her nasal profile and tip, aiming for a result that remained balanced with her facial features.
Her primary concerns included a prominent dorsum and a bulbous nasal tip.
In this case, an open tip rhinoplasty was performed, utilising piezo-electric surgery for surface reduction of the dorsum. A septal projection graft was also employed to support and define the nasal tip.
Piezo-electric surgery facilitates highly precise work on the nasal bones. This is particularly beneficial when reshaping the bridge of the nose, as it permits controlled refinement while preserving crucial surrounding structures.
The tip also necessitated meticulous planning. A bulbous tip is not merely reduced; it requires reshaping and support to ensure the final result remains stable as the nose heals.
This is where dorsal preservation rhinoplasty and tip definition must work in conjunction. The objective is not to create an entirely different nose, but to refine the existing structure in a manner that complements the individual`s face.
The result displayed here represents an stage of that process, with healing progressing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #dorsalpreservationrhinoplasty #rhinoplastybristol #piezoelectricsurgery #northwoodhospital
Rhinoplasty is not a single technique.
It is a series of decisions.
In this reel, Mr Wilson explains the difference between structural rhinoplasty and preservation rhinoplasty, and why preservation techniques have become such a valuable option in suitable primary cases.
The principle is simple: where possible, preserve the natural bridge of the nose rather than dismantling and rebuilding it.
For the right patient, this can allow refinement of the nasal profile while maintaining more of the existing nasal structure.
However, suitability is crucial.
If the nose is very crooked, has been previously broken, or the patient is concerned about the frontal view, a structural or hybrid approach may be more appropriate.
That is why consultation and assessment are so important.
The technique should fit the patient, not the other way around.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A second rhinoplasty is not simply a repeat of the first.
Revision rhinoplasty often means working with a nose that has already healed, scarred, and changed after previous surgery.
Sometimes the concern is visible; sometimes it is functional; often, it is both.
The nose may need more support, better definition, improved symmetry, or correction of breathing issues.
In some cases, grafting may be required to rebuild or strengthen areas that no longer have adequate support.
This is why secondary rhinoplasty needs time, experience, and a very clear plan.
The goal is not to chase perfection.
It is to make the next operation as careful, realistic, and considered as possible.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #revisionrhinoplasty #secondaryrhinoplasty #rhinoplastysurgery #northwoodhospital
Preservation Rhinoplasty with Septoplasty | Before & After
This patient presented with a previously fractured septum, leading to breathing difficulties, a dorsal hump, and a bulbous nasal tip.
In such cases, rhinoplasty extends beyond merely altering the external appearance of the nose; the internal structure is equally crucial.
The procedure performed was a preservation rhinoplasty with septoplasty. The objective was to enhance the shape of the nose while simultaneously addressing the septum, which had been impacting her breathing.
A preservation approach involves meticulously working with the existing nasal structure rather than simply excising tissue. The bridge, tip, septum, and overall support of the nose all require integrated consideration.
What has been particularly gratifying in this case is the post-operative feedback from the patient. She expressed continued satisfaction with her result, consistently recommends Mr Wilson, and feels the surgery made a significant difference to her. She also noted that while she occasionally experiences some breathing difficulty, she was informed that her nose had been considerably improved from its initial state.
Such feedback is always valued, as rhinoplasty is a protracted process. The outcome encompasses not only the day of surgery but also the planning, healing, trust, and long-term results.
Patient images and feedback shared with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #preservationrhinoplasty #septoplasty #rhinoplastybristol #northwoodhospital
Mommy Makeover | Mastopexy + Full Abdominoplasty
After two pregnancies, this patient was left with skin laxity and a change in shape to both her breasts and tummy — despite returning to a stable, healthy weight. She was happy with her breast volume but troubled by the drooping and excess skin, and by the loose skin and stretch marks across her abdomen.
We planned a combined approach:
🔹 Mastopexy (breast uplift) — excess skin removed and the nipple repositioned higher to lift and reshape the breast, while keeping her own natural volume, exactly as she wanted. This uses an “anchor” pattern scar.
🔹 Full abdominoplasty (tummy tuck) — removal of the loose skin and stretch marks below the belly button, with repair of the separated tummy muscles (diastasis recti) that so commonly follow pregnancy.
Because she’s naturally slim and athletic, no liposuction was needed — tightening the muscle separation and removing the skin overhang simply revealed the toned, defined abdomen that was already there. She’s especially delighted with her new core definition. 💪
Every patient and every result is individual. Surgery carries risks, and a full consultation is essential to understand whether a procedure is right for you.
📍 Surgery by Paul Wilson @ Northwood Hospital, Bristol Consultations via the link in bio.
#MommyMakeover #Abdominoplasty #TummyTuck #Mastopexy #BreastUplift PlasticSurgery CosmeticSurgery BristolSurgeon PaulWilsonAesthetics NorthwoodHospital PostPregnancyBody DiastasisRecti
Breast Augmentation
A natural increase in volume — restoring shape after hypomastia
Hypomastia is the medical term for naturally underdeveloped breast tissue. It’s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile Mentor micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient’s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
