Introduction: Sarah’s Story
When Sarah (name changed for privacy) first visited Mesglo London’s Marylebone clinic, her primary concern was simple yet significant: “I look tired even when I’m not.” At 45, this marketing executive and Marylebone resident had begun noticing changes in her upper face that affected not just her appearance, but her confidence in professional settings.
“I wasn’t looking for a dramatic change,” Sarah explains. “I just wanted to look as energetic and focused as I actually feel. People had started asking if I was tired or stressed, even on days when I felt perfectly rested.”
This case study follows Sarah’s journey through the Chemical Brow Lift process at Mesglo London, from her initial consultation through treatment and recovery, to her final results. Her experience illustrates the transformative potential of this non-surgical procedure when performed with precision and an understanding of facial anatomy.
Patient Background: Life in London at 45
Sarah represents a typical Mesglo London patient: a professional woman in her mid-forties who maintains an active lifestyle despite London’s demanding pace. As a marketing executive working in central London, her appearance plays a role in her professional confidence.
Key Patient Characteristics:
•Age: 45 years
•Occupation: Marketing executive
•Lifestyle: Active, with regular exercise and a healthy diet
•Skincare Routine: Consistent with professional-grade products
•Previous Treatments: Basic facials only, no previous injectable treatments
•Sun Exposure History: Moderate, with consistent SPF use in recent years
•Stress Levels: Moderate to high due to professional demands
•Sleep Patterns: Somewhat irregular due to work schedule
Primary Concerns:
Sarah’s specific concerns included:
1.Hooded Upper Eyelids: Increasing heaviness creating a tired appearance
2.Brow Asymmetry: Left brow slightly lower than right
3.Forehead Lines: Horizontal lines becoming more prominent
4.Compensatory Behaviors: Unconsciously raising eyebrows to counteract hooding
5.Impact on Appearance: Looking tired or stern when feeling neutral or positive
“I found myself raising my eyebrows in photos just to look more awake,” Sarah noted during her consultation. “I was becoming increasingly self-conscious about my appearance in video calls and meetings.”
The Initial Consultation: Assessment and Planning
Sarah’s journey began with a comprehensive consultation at Mesglo London’s Marylebone clinic. This crucial first step established her concerns, expectations, and the most appropriate treatment approach.
Facial Assessment Process:
The consultation included a detailed facial analysis focusing on:
| Assessment Area | Findings | Implications for Treatment |
| Brow Position | Moderate descent, more pronounced on left side | Need for asymmetric treatment approach |
| Frontalis Activity | Overactive compensatory movement | Opportunity to relax compensatory patterns |
| Orbital Rim | Good bone structure with soft tissue descent | Favorable anatomy for non-surgical lift |
| Skin Quality | Good elasticity with moderate photoaging | Positive indicator for treatment response |
| Muscle Balance | Stronger depressor muscles than elevator muscles | Primary target for chemical relaxation |
| Upper Eyelid | Moderate hooding without excess skin | Suitable for non-surgical approach |
Treatment Planning:
Based on this assessment, the specialist recommended a precision Non Surgical Brow Lift with the following characteristics:
•Customised Approach: Tailored to address the specific asymmetry
•Conservative Dosing: Starting with a moderate dose for natural results
•Strategic Placement: Focusing on key depressor muscles while preserving expression
•Complementary Recommendations: Suggestions for supporting skincare
•Expectations Setting: Realistic discussion of potential results and limitations
“What impressed me most was how thoroughly the specialist examined my face,” Sarah recalls. “It wasn’t just about injecting a standard pattern—they really studied my unique facial movements and structure.”
Expectations Management:
During the consultation, the specialist carefully explained:
•Realistic Outcomes: 2-4mm of lift expected based on Sarah’s anatomy
•Result Timeline: Initial results within days, optimal results at 2 weeks
•Treatment Longevity: Expected duration of 3-4 months for first treatment
•Potential Side Effects: Temporary bruising, asymmetry during onset period
•Progressive Approach: Possibility of adjustment at follow-up if needed
“I appreciated the honesty about what the treatment could and couldn’t achieve,” Sarah notes. “There was no overselling or unrealistic promises.”
The Treatment Session: Precision in Practice
Two weeks after her consultation, Sarah returned to Mesglo London for her Chemical Brow Lift treatment. The procedure itself was brief but meticulously executed.
Pre-Treatment Preparation:
•Documentation: Detailed before photos from multiple angles
•Consent Process: Review of potential risks and expected outcomes
•Comfort Measures: Application of topical numbing cream
•Facial Mapping: Precise marking of injection points while patient expressed various emotions
•Final Assessment: Dynamic evaluation of facial movement patterns
The Procedure Details:
The Chemical Brow Lift procedure involved:
•Product Used: Premium neuromodulator appropriate for precise application
•Total Units: 28 units (slightly asymmetric distribution to address existing asymmetry)
•Treatment Duration: Approximately 15 minutes
•Injection Technique: Ultra-fine needles with precision depth control
•Target Areas:
•Lateral depressor muscles (primary lift effect)
•Central forehead (selective points for balance)
•Glabellar complex (complementary relaxation)
•Lateral canthal area (crow’s feet modification)
“The injections themselves were virtually painless,” Sarah reports. “I felt a few tiny pinches, but nothing significant. The whole process was much quicker and more comfortable than I expected.”
Immediate Post-Treatment:
Immediately following the procedure:
•Visible Changes: Slight injection marks but no significant redness
•Sensations: Mild tightness reported but no pain
•Aftercare Instructions: Comprehensive written and verbal guidance
•Follow-Up Scheduling: Two-week review appointment booked
•Emergency Contact: Direct line provided for any concerns
“I was able to go straight back to work after the treatment,” Sarah notes. “There was nothing visibly obvious that I’d had anything done.”
The Recovery Timeline: Day-by-Day Experience
Sarah’s recovery and results development followed a typical pattern for Chemical Brow Lift patients, though with some individual variations.
Day 1 (Treatment Day):
•Visible Effects: Minor injection marks, no bruising
•Sensations: Slight awareness of the treated areas
•Activities: Returned to normal activities immediately
•Patient Report: “I was surprised by how uneventful the immediate aftermath was.”
Days 2-3:
•Visible Effects: Beginning awareness of reduced muscle movement
•Sensations: Described as “a pleasant lightness” in the forehead
•Activities: Maintained normal work and social schedule
•Patient Report: “I noticed I wasn’t furrowing my brow when concentrating.”
Days 4-7:
•Visible Effects: Noticeable softening of forehead lines, initial lift becoming apparent
•Sensations: Comfortable adaptation to reduced muscle activity
•Activities: No restrictions, including regular exercise
•Patient Report: “People started saying I looked well-rested, but couldn’t pinpoint why.”
Days 8-14:
•Visible Effects: Progressive improvement in brow position, increasing symmetry
•Sensations: Complete comfort, no awareness of treatment
•Activities: Unrestricted, including facial treatments
•Patient Report: “By day 10, I could really see the difference when I looked in the mirror.”
Week 3 (Follow-Up Appointment):
•Clinical Assessment: 3.2mm of lift measured at lateral brow
•Symmetry Evaluation: 90% improvement in previous asymmetry
•Specialist Observations: Natural movement preserved with effective lift
•Patient Satisfaction: Reported as “extremely satisfied” with results
Before & After Analysis: Measuring the Transformation
At Sarah’s two-week follow-up appointment, comprehensive measurements and assessments documented the changes achieved through the Chemical Brow Lift.
Objective Measurements:
| Measurement Point | Before Treatment | After Treatment | Change |
| Right Lateral Brow Height | Baseline | +3.2mm | +3.2mm lift |
| Left Lateral Brow Height | Baseline | +3.5mm | +3.5mm lift (addressing asymmetry) |
| Distance Between Brow and Eyelid | 8.1mm | 11.4mm | +3.3mm increase |
| Upper Eyelid Visibility | 2.1mm | 4.3mm | +2.2mm increase |
| Forehead Line Depth | Moderate | Minimal | Significant reduction |
Visual Changes:
The visual transformation included:
•Eye Appearance: Noticeably more open and alert
•Brow Arch: Enhanced natural arch, particularly at lateral third
•Forehead Harmony: Smoother appearance without frozen look
•Expression Quality: Maintained natural animation during conversation
•Overall Effect: Refreshed, more youthful appearance without obvious signs of treatment
Functional Improvements:
Beyond the aesthetic changes, Sarah reported functional benefits:
•Reduced Eyestrain: Less unconscious brow elevation throughout the day
•Improved Vision: Slight improvement in upper visual field
•Makeup Application: Easier application with increased eyelid space
•Headache Reduction: Decreased tension headaches previously associated with brow furrowing
Patient Testimonial: In Her Own Words
At her follow-up appointment, Sarah shared her perspective on the treatment experience and results:
“The difference is subtle but significant. I don’t look dramatically different—I just look like a well-rested, less stressed version of myself. Colleagues have commented that I look refreshed, but no one has suspected I’ve had any treatment.What I appreciate most is how natural the results are. I can still make all my normal expressions—there’s nothing frozen or artificial about my appearance. The asymmetry that bothered me has been beautifully corrected, and I no longer feel like I’m fighting against my face to look awake and engaged.The entire experience at Mesglo London was exceptional—from the detailed consultation to the comfortable treatment and the natural-looking results. I’ve already recommended the Chemical Brow Lift to several friends who’ve noticed the difference in my appearance.”
Specialist Commentary: The Technical Perspective
The aesthetic specialist who performed Sarah’s treatment, provides professional insight into this case:
“Sarah’s case illustrates the transformative potential of a precisely executed Chemical Brow Lift. Her anatomy was particularly well-suited to this treatment, with good underlying bone structure and moderate tissue descent that responded well to the relaxation of depressor muscles.The key to her natural-looking result was the customised injection pattern. Rather than following a standard template, we carefully mapped her unique muscle patterns and targeted specific points that would address her asymmetry while maintaining natural expression.What’s particularly satisfying about this case is the balance achieved between aesthetic improvement and preserved functionality. Sarah’s results demonstrate that effective aesthetic treatment doesn’t need to look obvious or affect natural facial animation.For patients with similar concerns—mild to moderate brow descent, developing asymmetry, and a tired appearance—the Chemical Brow Lift offers an excellent non-surgical option with minimal downtime and natural-looking results.”
Follow-Up and Maintenance: The Long-Term Plan
Based on Sarah’s positive response to her initial treatment, a long-term maintenance plan was developed:
Immediate Follow-Up:
•Two-Week Assessment: Confirmed optimal results with no adjustments needed
•Photography: Comprehensive documentation of results for future reference
•Patient Education: Guidance on factors affecting treatment longevity
Maintenance Strategy:
•Treatment Interval: Recommended maintenance every 3-4 months initially
•Progressive Approach: Potential for extended intervals after establishing pattern
•Complementary Recommendations:
•Professional-grade eye cream to support skin quality
•Consistent sun protection to preserve results
•Consideration of complementary treatments for comprehensive rejuvenation
Long-Term Considerations:
•Treatment Evolution: Plan to reassess and adjust approach as needed over time
•Preventative Strategy: Early maintenance to prevent further descent
•Combination Possibilities: Discussion of potential synergistic treatments for the future
•Outcome Documentation: Commitment to tracking long-term results
“I appreciate having a clear plan for maintaining my results,” Sarah notes. “It gives me confidence that this improvement can be sustained over time.”
Conclusion: Key Takeaways from Sarah’s Journey
Sarah’s Chemical Brow Lift experience at Mesglo London illustrates several important aspects of this increasingly popular treatment:
For Patients Considering a Chemical Brow Lift:
•Subtle but Significant: The treatment creates noticeable improvement without obvious signs of intervention
•Quick Recovery: Minimal downtime allows immediate return to normal activities
•Customisation Matters: Individual assessment and tailored treatment plans optimize results
•Natural Expression: Properly performed treatments preserve animation and expression
•Progressive Improvement: Results develop gradually over approximately two weeks
For Practitioners:
•Assessment Depth: Comprehensive facial analysis is essential for optimal outcomes
•Asymmetry Correction: Strategic dosing can effectively address existing asymmetries
•Patient Selection: Identifying suitable candidates improves satisfaction rates
•Expectations Management: Clear communication about potential results ensures satisfaction
•Documentation Value: Before and after measurements provide objective evidence of improvement
Sarah’s successful treatment exemplifies the Mesglo London approach to aesthetic medicine: detailed assessment, precision technique, natural-looking results, and comprehensive aftercare.
Mesglo Aesthetic Clinic Marylebone London
Unit 4, 10 Portman Square, London W1H 6AZ, United Kingdom