This article is for anyone sitting between two paths: surgical blepharoplasty on one side, and non-surgical treatments like neurotoxin brow lifts or biostimulators on the other.  The choice isn't simply about preference or budget. 

Many men present with the same concern: “I look tired, even when I’m not.”

This is rarely due to a single issue.  Instead, it reflects a set of anatomical and physiological changes that occur with facial ageing.  These can sometimes appear earlier and more visibly in men due to skin thickness, muscle dynamics, and lifestyle factors.

After 65, the forehead changes in ways that alter how botulinum toxin works, what risks it creates, and what results are realistic. Understanding those changes is what determines suitability, not the number on a birthday cake.

At Cosmenon, we consider the pre-treatment assessment the most critical phase of the entire process, and with good reason: without a structured clinical foundation, what looks like a personalised plan is often little more than an educated guess dressed up in clinical language.

Bruxism is a recognised medical condition, not simply a nervous habit. For moderate to severe cases, therapeutic injectables have become one of the most clinically substantiated interventions available.

This guide outlines the relevant anatomy, how to distinguish between common causes of under-eye changes, and where volume correction may have a limited role within a broader treatment plan.