Dr Eithne Brenner

Dr Eithne Brenner Expert in Aesthetic Medicine, Dublin. Medical doctor for 36 years. Helping you look and feel your best. Subtle, natural results. dr.brenner@dreithnebrenner.ie
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10/03/2026

We had a follow-up question from the recent SkinPen video asking if we use SkinPen micro needling for rosacea? The answer is in very select rosacea patients, we do use it for its collagen stimulation, skin strengthening and rejuvenation effect, but we only do it if the skin is really calm and quiet and the skin barrier is strong and intact.
Rosacea is a chronic inflammatory condition and if there’s a flare up the skin is inflamed, tender, red, bumpy and irritated and this would not be a time to add more trauma from the SkinPen.
SkinPen causes controlled micro injuries to the skin in order to trigger a wound healing cascade or repair process where the fibroblast cells are triggered to produce more collagen and elastin to strengthen the skin, reduce fine lines and it can also have a mild benefit for pigmentation. The priority for rosacea treatment is going to be calming skincare to repair the skin barrier. We often use BBL broadband light (IPL technology) to reduce the background redness, inflammation and to treat the little broken blood vessels on the cheeks chin and nose ( telangiectasiae) that some people with rosacea have. We also use topical medications or occasionally small doses of oral medications, so SkinPen would not be a first line treatment, but it can be part of an overall collagen boosting plan when the skin is quiet and calm.

02/03/2026

Hi to all our new patients- thanks for your patience as we have opened up the waiting list again.
I took some time off in January with the flu and then had a lovely break in Thailand with friends, to recharge and shake off the tiredness with lots of hiking, kickboxing and yoga.
It’s great to be back, full of energy and looking forward to seeing some new faces along with our lovely regulars.
Our new patient appointment is 90 minutes with me, to discuss concerns and goals in detail, do an Observ skin analysis and make a plan for your aesthetic journey. We love to build relationships as we want to maintain long term skin health and results and not just quick fixes or trends. For an appointment, call us on 01 960 2277 or book online via the bio or at dreithnebrenner.ie
We look forward to seeing you! Eithne

21/01/2026

When is it too young to consider cosmetic injectables?
An article published this week quotes a friend of mine, Adrian Epstein from Changes Clinic in Tallaght. He has seen a worrying trend of people as young as 16 seeking cosmetic injectables. Reputable clinics like Adrian’s and mine and those of our medical colleagues won’t offer treatments to minors.
England has the Botulinum toxin and cosmetic fillers (Children’s) Act from 2021 which makes it illegal to offer these treatments for cosmetic reasons to anyone under 18, but we don’t have any similar legislation in Ireland and we really need a lot more regulation to protect minors.
Dermal fillers are classified as medical devices and the HPRA who regulate them in Ireland and the manufacturers and EU guidance recommends these are not used for cosmetic reasons under 18 years of age.
Botulinum toxin is a prescription only medicine in Ireland and you need a face-to-face consultation with a medical doctor or dentist and they will assess you individually for suitability. I’m not a fan of preventative Botox as I don’t think it’s necessary and my key advice for anyone considering any cosmetic injectables is to have a detailed consultation with an experienced and reputable medical practitioner to discuss the risk risks and benefits and to decide if the treatment is appropriate.
Minors are very susceptible to social media pressure. Their faces are still developing and evolving and these treatments are really not necessary or recommended. Unfortunately they are tempted by bargain treatments in non-medical settings and risk complications and poor results. Eithne

16/01/2026

Belated Happy New Year!

I’m delighted to be back in action after a nasty flu, like so many people had!
At this time every year, I like to plan what treatments to consider for the year ahead, for both myself and for the people I see in clinic.
I don’t want to make a knee-jerk response to the latest trends or ‘must-have’ products or injectables; I want to carefully and thoughtfully look at what I think would be useful and effective and as safe as possible.

Unregulated and medically unsupervised injectables like peptides make me super nervous. I’ve been a qualified doctor for over 36 years and I’ve seen fads come and go. There are no very quick fixes when it comes to protecting the skin and repairing the inevitable changes that happen over time.
The basics are so important- simple SPF every day of the year ( face, neck and hands especially) vitamin C serum and vitamin A products and sun protection measures like sunglasses, shade, etc.
For me, after my skincare, I have treatment to reduce the frown lines between my brows and forehead 3 times a year, I use LED in the clinic and I alternate between SkinPen microneedling, light peels and some BBL for pigmentation, redness and texture. About every 2-3 years, I might have a collagen stimulation injectable like HArmonyCa or some very subtle soft dermal filler in my lips and for fine lines around the lips. The key is always subtlety and a natural result.
If you’d like a personalised consultation to assess you and make a plan, our phone number is 01 960 2277 or email info@dreithnebrenner.ie

20/12/2025

If you have had a dermal filler treatment and you don’t like it, can you just have it dissolved, wipe the slate clean and start again?
It’s not as simple as that. We know dermal fillers can last many more years than we previously thought. They can last a decade or more and that can be good if they’re well placed in subtle amounts, they’re giving you a result you like and we generally don’t dissolve these. However, if filler has been overdone, or looks unnatural, there is a prescription only injectable medicine called hyaluronidase which can help dissolve hyaluronic acid dermal filler. Not all injectables are hyaluronic acid and if it’s not hyaluronic acid this medicine won’t work. Some products are much easier to dissolve than others and some may take several sessions. If this dissolving treatment is used, you will lose the dermal filler, and some water that the filler has drawn to itself( which will have added some volume), time will have passed and you will have aged somewhat in the meantime, and there’s the original reason the treatment was done for, for example hollow under eyes or thin lips, which will return once the filler has been dissolved. The skin or soft tissues may have been stretched and may not bounce back fully. If somebody doesn’t have records of their treatment it may be very hard to know what type of filler material it is, or where the filler was placed; ultrasound can help but it won’t show all particles of filler and MRI can be helpful sometimes too. I am a fan of dermal fillers and they can give a positive result and can help restore lost volume and reduce some signs of aging.
My overriding advice is if you’re considering a dermal filler treatment, have it placed correctly and carefully in the first place by a medical professional who is highly experienced in aesthetic procedures such as an aesthetic doctor, dentist or nurse, have subtle, careful treatments, sit tight and go slowly and gently. Then dissolving shouldn’t be needed. Always ask to see the product being injected and take a photo or keep a copy for your own records. Eithne

19/12/2025

What are these little ‘bunny lines’ or scrunch lines?
And do we treat them with botulinum toxin? These are a normal part of our anatomy and unless they really bother somebody we just leave them alone.
There are two main muscles that contribute to these little bunny lines, the first is nasalis, that spreads out over the bridge of the nose. The upper part narrows the nostrils and the lower part widens them to allow more airflow in exercise. The second muscle is LLSAN ( levator labii superioris alequae nasi), it’s the longest muscle name in the body. This lifts the top lip and widens the nostrils. If we treat other areas with botulinum toxin, bunny lines can stand out and cause someone to ask for treatment. We don’t often treat them as we risk dropping the top lip and making the smile look unnatural.
In someone with a gummy smile we will target them deliberately to drop the top lip and to hide some of the excess gum show.
Bunny lines are a normal part of our anatomy so if they don’t bother someone, we leave them alone. In Ireland, botulinum toxin is a prescription only medicine and you must see a medical
doctor or dentist for a face to face assessment for suitability. Eithne

18/12/2025

What happens the crow’s feet lines as we age and what implication does this have if we’re considering botulinum toxin or anti-wrinkle treatment?
We start to develop small crow’s feet lines in our mid 20’s from repetitive expressions like smiling and blinking and from sun damage and we’re beginning to get some collagen loss. In this situation we would just recommend skin care, SPF, sun protection measures like sunglasses, and we generally wouldn’t treat with botulinum toxin. These lines are part of our natural smile and are an attractive part of our expression. Overtime then these lines will deepen and widen and extend further out along the cheek. We will consider using botulinum toxin or anti-wrinkle medications in this situation (if you’re medically suitable). It will improve but not fully correct all of these lines, because if we extend our treatment out too far or too low we risk hitting one of our smile muscles zygomaticus major. If we do this, we’ll drop the smile on the affected side and this can take months to wear off. So yes, it may still be well worth treating crow’s feet lines with toxin as we get older, as long as we recognise that the effect will be mild, and we need to look at other options too, like our skin care, SkinPen micro needling, maybe some skin booster injectables or collagen stimulators and also light or laser treatments can help too. In Ireland, botulinum toxin is a prescription only medicine and you must see a medical doctor or dentist for a face to face consultation to assess you for suitability. Eithne

17/12/2025

What happens if we put too much dermal filler in the nasolabial folds?
I’ve put some gauze under my gum to show what the effect would be of too much nasolabial filler.
This bulks out the area too much, it thins the lip and it lengthens the nose to lip area and it distorts the smile, widening it and making it look like a joker smile.
When I started doing aesthetic medicine injectables over 18 years ago, people routinely came in and asked for filler in the nasolabial folds, and we did it. Some people looked a bit better, but the overall harmony of the face was not improved. Thankfully our knowledge of anatomy and facial aging has improved so much, and now if we put any filler in the area, we go very carefully, putting in small amounts to get a subtle result.
Nasolabial folds are normal, even babies have them; here’s a picture of myself and my twin Mick at age 3, and we both have obvious nasolabial folds (he’s still a great hugger 🤗).
Too much filler in the nasolabial folds feels and looks heavy and makes me look like an extra from The Grinch movie- not a good look!!
As with all fillers, if we use them, they should be subtle, careful, small amounts. Being overfilled looks unnatural and fake.
All medical procedures have risks and benefits and these need a detailed discussion with a medial professional. Eithne

16/12/2025

If you have frown lines between the brows, why don’t we just inject a little bit of dermal filler to smooth out the lines?
This is because the blood vessel layout of the face is extremely complex, and there are important blood vessels directly under these creases which connect with the blood supply to the eye.
We always want to keep any treatments as safe as possible, and in the centre of the face especially, the blood vessels have less collateral or backup supply and are more vulnerable to damage. We always want to avoid getting any filler material into blood vessels to avoid blocking them, which could lead to damage to the skin, soft tissues or the eye itself.
We reduce risks with extensive anatomy knowledge and training, specialised techniques and ideally the use of ultrasound which helps me map the blood vessels.
The other reason is that the primary cause of these crease lines is the repetitive muscle contraction over years, and we might use the prescription only botulinum toxin to reduce the muscle activity, allowing the lines to soften out over time. In Ireland you must see a medial doctor or dentist for a face to face consultation to assess you for suitability for botulinum toxin.
We also look at skincare and skin treatments such as SkinPen micro needling to help reduce lines.
Never, never let an inexperienced injector treat your frown lines with dermal filler. All medical procedures have risks and benefits and these warrant a detailed consultation with a medical professional. Eithne

15/12/2025

We’ve had lots of questions about neck treatments. While I can’t answer individual queries, I’m very happy to do video topics, so please send in suggestions. The neck is a tricky area to address as the skin is thinner and drier and has few sebaceous glands. We don’t tend to apply our skin care products to the neck in the same way as we do the face, so by the time people come to see me often the skin on the neck has picked up a lot of sun damage and has become more lax and crepy, with loss of collagen, and with pigmentation and redness. The simplest thing to do is to look at your skin care; use an SPF every single day, add a vitamin C product, a moisturiser, and if you can manage to add retinol do it very, very slowly as the neck is less tolerant of active ingredients, especially retinol.
The next thing I would do is look at a course of SkinPen micro-needling to boost collagen and help reduce neck lines. I might consider skin boosters such as Profhilo or SkinVive. If we look at long term bio stimulator injectables, my top two are Radiesse and Juläine. Both need two or more treatments and results can then last up to two years or more. We might use laser or light treatments too. If there is a lot of pulldown from the platysma muscle or platysma bands ( think Deirdre Barlow from Coronation Street) and the corner of the mouth DAO muscle, we might use the prescription only medicine botulinum toxin. If the neck skin is very saggy and crepy with a lot of loose skin, then a surgical neck lift is an option.
I don’t do neck lift surgery, but I can refer to colleagues who do.
Very few people will consider surgery, but we have lots of nonsurgical options that can help too. Eithne

13/12/2025

Have you heard the term “peanut head” and how we might use it in aesthetic medicine?
Now, if one of my sons calls me peanut head, I’m going to assume it’s not a compliment, but we use this term in aesthetic medicine to describe the changes that happen the face over time.
The soft tissues tend to slide down as the underlying bone structure is shrinking and receding. Then we get the appearance of hills and valleys in the face, areas of volume loss and areas of sagging or heaviness and this looks like a peanut shell, hence the term “peanut head”.
It’s not used as a criticism, more an observation of the changes that are happening. When I draw a more sagging side and compare it to a more youthful contour on the other side, I can see the differences.
We like to see a smooth contour rather than those hills and valleys which signify aging to us, and to help restore some of the more youthful features, I might add back a little volume in areas where it’s lost, for example the temples, the cheeks (very gently), in front of the ears, along the jawline and in certain parts of the chin. This helps disguise some of the volume loss and some of the aging changes and restores some youthful features.
For this kind of treatment, I would use dermal fillers or collagen stimulators such as Juläine or HarmonyCa.
All aesthetic medicine procedures carry risks and benefits and these need a full discussion in a face-to-face consultation. Eithne

12/12/2025

Let’s chat through some things that botulinum toxin or anti-wrinkle medication can achieve, and things it can’t achieve.
It’s primarily a muscle treatment and it is very effective for reducing dynamic or movement lines that can cause creasing of the skin with repetitive movement over time. We use it to reduce some muscle movement if that skin creasing is making us look tired, angry or sad. We’re not using it to eradicate all expression or remove all movement- we need to communicate with one another and to look natural and not frozen.
What it can’t do is repair sun-damaged skin, prevent collagen loss, prevent thinning skin and sagging that happens with normal aging, it can’t lift sagging tissue or replace lost fat or changing bone structure.

It can’t obliterate the effects of smoking, sun exposure, alcohol, stress, sunbed use, etc
Before considering any treatment, look at your skincare, ideally use a broad spectrum SPF every day, and consider adding vitamin C and vitamin A/retinol products. Then if you want to consider having anti wrinkle treatment, see a medical doctor or dentist for a face to face assessment for suitability. Botulinum toxin is a prescription only medicine and like all medicines has risks and benefits that need individual discussion. It’s only one tool available to us and we have lots of options to help repair your skin and help you look refreshed but not unnatural. Eithne

Address

Unit E, Citywest Shopping Centre, Citywest Drive, Dublin
Dublin
D24FW22

Opening Hours

Monday 9am - 7pm
Tuesday 9am - 7pm
Wednesday 9am - 7pm
Thursday 9am - 7pm
Friday 9am - 7pm
Saturday 9am - 6pm

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+35319602277

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