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What is the ponytail effect and how is it achieved?
The ponytail effect, popularly known as a “ponytail lift,” is an aesthetic medicine technique designed to subtly elevate the eyebrows and the tissues of the upper third of the face. Its name comes from the visual result that mimics the tightening produced by a high ponytail. This procedure seeks to achieve a more open gaze and a generally more rejuvenated and less fatigued appearance.
Mainly, this effect is achieved through the precise application of neuromodulators, such as botulinum toxin. These act by relaxing specific muscles that pull the eyebrows downwards, allowing other elevator muscles to act unopposed. In some cases, to optimize the result and restore lost volume, hyaluronic acid fillers can be used in strategic areas such as the temples or the tail of the eyebrow, always under the supervision of our medical team.
The goal is always a harmonious and natural improvement, avoiding any artificial results. The initial medical assessment is crucial to determine the most suitable combination of techniques for each patient, taking into account individual facial anatomy and realistic expectations.
Who is an ideal candidate for the ponytail effect?
This treatment is indicated for people who desire a subtle rejuvenation of the upper facial third without resorting to surgery. Ideal candidates typically present with a slight drooping of the eyebrows, a gaze that is starting to look tired, or a feeling of heaviness in the upper eyelids.
Generally, it is recommended for patients with initial or moderate signs of aging. It is also an option for those seeking preventive improvement or wishing to enhance their features discreetly. A detailed medical consultation is essential to assess whether this treatment aligns with their needs and facial characteristics.
How is the procedure performed at Santé Clínica Estética?
At Santé Clínica Estética, every ponytail effect procedure begins with a comprehensive medical consultation. Our board-certified doctors perform a complete facial analysis, listening to your concerns and explaining treatment options. This phase is fundamental to designing a personalized plan that suits your physiognomy and goals.
Once the plan is established, the treatment is carried out in the clinic. Injection points are marked with millimeter precision. Botulinum toxin is applied in small amounts to the specific muscles that contribute to eyebrow drooping. If hyaluronic acid fillers are used, they are carefully injected to provide volume and support where necessary, often with ultrasound guidance for greater safety. The entire process is performed by our medical team, ensuring maximum safety and efficacy.
- Initial Medical Consultation
- Facial Analysis and Objectives
- Personalized Plan Design
- Treatment Area Preparation
- Precise Application of Neuromodulators
- Consideration of Hyaluronic Acid Fillers
- Treatment Performed by Board-Certified Doctor
- Post-Treatment Instructions
- Follow-up and Touch-up (if applicable)
Expected results and timeline
The results of the ponytail effect are not immediate. Botulinum toxin begins to take effect gradually, and the first changes are usually visible from the third or fourth day. The full effect is appreciated approximately 10-14 days post-treatment.
The duration of results varies individually, but generally lasts between 4 and 6 months. After this period, the muscles regain their activity and the effect gradually dissipates. Maintenance sessions can be scheduled to prolong the benefits. In the case of hyaluronic acid fillers, the results are more immediate and their duration can extend up to 12-18 months, depending on the type of product and the treated area.
"In our clinical experience, patients who opt for the ponytail effect often report a feeling of greater freshness and a more awake gaze, with results that harmonize with their natural features."
Recovery and post-treatment care
The ponytail effect is a minimally invasive procedure that requires no significant downtime. Most patients can resume their daily activities immediately after the session. It is normal to experience slight redness, swelling, or small bruises at the injection sites, which usually disappear within a few days.
Our doctors will provide you with detailed post-treatment instructions. Generally, it is recommended to avoid rubbing or massaging the treated area during the first few hours, not to perform intense exercise for the following 24-48 hours, and to avoid direct sun exposure. The use of sunscreen is always advisable. A follow-up appointment at two weeks is included at no additional cost to assess the results and make minor adjustments if necessary.
Key points
- Objective: Elevate the gaze and eyebrows for a fresher appearance.
- Main technique: Application of neuromodulators (botulinum toxin).
- Complement: Hyaluronic acid fillers in temples or eyebrow tail, if appropriate.
- Results: Natural, visible within 10-14 days.
- Duration: 4-6 months for neuromodulators; up to 12-18 months for fillers.
- Recovery: Minimal, with simple post-treatment instructions.
- Performed by: Board-certified doctors at Santé Clínica Estética.
How Santé Clinics approaches it
At Santé Clínica Estética, we understand that every face is unique and deserves an individualized approach. Our team of board-certified doctors, led by Dr. Sol Monsalve as Medical Director, specializes in offering treatments that enhance natural beauty with maximum safety and precision. For the ponytail effect, our priority is to achieve a subtle and harmonious elevation that respects your facial expressions, avoiding artificial or excessive results.
We always start with a comprehensive medical assessment. During this consultation, our experts analyze your facial structure, skin quality, and expectations. You will be informed about the most suitable protocol, the techniques to be used (neuromodulators, hyaluronic acid, or a combination), the realistic results you can expect, and post-treatment care. Patient safety is paramount; therefore, where anatomy requires it, we use ultrasound guidance for filler application, and we always have hyaluronidase available in the clinic for any eventuality.
We offer a free aesthetic consultation so you can resolve all your doubts and design your treatment plan without obligation. Our team will assist you with professionalism and warmth in Spanish, English, Portuguese, or Russian, ensuring a comfortable and comprehensive experience from the very first moment.
Frequently asked questions
Is the ponytail effect treatment painful?
The ponytail effect treatment is generally well tolerated. Very fine needles are used for injections, and many patients describe the sensation as a slight pinch. At Santé, we apply topical anesthesia if necessary to maximize your comfort during the procedure.
Are there any contraindications for the ponytail effect?
Yes, there are contraindications. This treatment is not recommended for pregnant or breastfeeding women, people with neuromuscular diseases, or known allergies to product components. A prior medical assessment is essential to identify any contraindications and ensure patient safety.
What is the price of the ponytail effect at Santé Clínica Estética?
The price of the ponytail effect can vary depending on the amount of neuromodulator and/or hyaluronic acid filler needed to achieve the desired result. For example, treatment for expression lines with neuromodulators costs €350, and temple filler with hyaluronic acid is €350. During your free consultation, our doctors will provide you with a detailed and personalized quote.
Can I combine the ponytail effect with other treatments?
Yes, the ponytail effect can be combined with other aesthetic treatments to achieve more complete facial harmonization. It is common to combine it with HIFU treatments for sagging skin or with peels to improve skin quality. A medical evaluation will always be performed to ensure compatibility and the appropriate sequence of procedures.
How long should I wait to see the final results?
Although some patients notice subtle changes within a few days, the full effect of neuromodulators is usually appreciated between 10 and 14 days after treatment. It is at this time that the assessment is carried out and, if necessary, a small touch-up to optimize the result.

