Written by Kate, RN, Lead Practitioner at First Avenue Medical Spa
Last updated: November 2026 | Reading time: 5 minutes
A Botox brow lift uses small, precise injections to gently raise the brows and open up the eye area. At our Kitsilano clinic, patients often tell us they look tired or serious, even when they feel fine.
This guide explains how it works, who it suits, and what to expect at your appointment.
Your brow position depends on a balance between muscles. The forehead muscle lifts the brows, while muscles around the eyes and between the brows pull them down.
This treatment relaxes some of the muscles that pull the brow down. With less downward pull, the forehead muscle can lift the brow slightly, so the eyes look more open.
Health Canada explains that small injected doses block the ability of underlying facial muscles to contract. A brow lift uses that same effect in a very targeted way.
A surgical brow lift changes the position of the tissue itself. It involves an operating room, anaesthesia, and a longer recovery.
The injectable option is a short appointment with no incisions. The lift is subtle and fades over time. That makes it an easy way to try a more open look without a permanent change.

A Botox brow lift may suit you if you:
It is not the right choice for everyone. If heavy upper eyelid skin is the main concern, a Botox brow lift will not remove that skin. We will tell you honestly if a surgical opinion makes more sense.
Botox is also not offered during pregnancy or while breastfeeding. We also wait if the skin in the area is inflamed or infected.

We offer Botox, Dysport, and Xeomin at First Avenue Medical Spa. All three are neuromodulators, and each can be used for a brow lift.
The right choice depends on your muscles, your past results, and your goals. Our guide to Botox, Xeomin, and Dysport explains the differences in more detail.
Your visit starts with a consultation. We look at how your brows move when you frown, smile, and raise them, then agree on a natural goal.
The injections take only a few minutes. Most patients feel a quick pinch at each spot, and you can return to your day afterward.
Results build over the first few days, with the full effect at about two weeks. We book a follow up around then to check your brows and make sure both sides look balanced.
Simple aftercare helps the product stay where it was placed:
Our Botox aftercare guide covers each step in more detail.
Daily sunscreen helps too. The Canadian Dermatology Association notes that sun exposure drives much of how skin ages, including wrinkles.
Health Canada notes that effects generally last three to four months. Our article on how long Botox lasts explains what affects your own timeline and when to plan your next visit.
In BC, cosmetic injections fall under the practice of medicine. The College of Physicians and Surgeons of BC warns that unlicensed providers may use unsafe or counterfeit products.
Health Canada lists droopy eyelids as a possible side effect of incorrect injection, which is why placement matters. You can check that any product used on you is authorised in Canada through the Drug Product Database. If you ever have a reaction, you can report it to Health Canada.
First Avenue Medical Spa is physician directed and has served Kitsilano and Vancouver’s West Side since 2008.

Yes, when it is done with care. The goal is a soft lift that makes you look rested, not surprised.
Most people notice a change within the first few days. The full effect usually shows at about two weeks.
Yes. Many patients treat frown lines or crow’s feet at the same visit. Learn more about Botox at our Kitsilano clinic.
There is very little. Small bumps at the injection points usually settle within an hour or so.
Ready to look as rested as you feel? Book your consultation at First Avenue Medical Spa in Kitsilano.
Not sure which treatment is right for you? We can help. If you are newer to Botox, read about preventative Botox in Vancouver too.