What is Botulinum Toxin?

Most people have heard of Botox®, the most commonly used brand of botulinum toxin. Botox is a purified protein produced by bacteria in laboratory conditions. Botox works at the point where the nerve connects to the muscle, stopping the muscle from working. Other brand names of botulinum toxin are available such as Xeomin® and Azzalure are available. Dr Mayoni has chosen to use Botox® as she believes it gives the best results.

How long has BOTOX® been in use?

In 1978, Botox was first used to treat squints by weakening the overactive eye muscle. Since then it has been used to treat a wide range of medical problems such as tics, facial spasm, cerebral palsy to name but a few. In the last 15 years, Botox for cosmetic therapy has become more widespread. The tiny doses that are used make it very safe.

What can be treated with Botox?

Botox can be used on many areas of the face.

  • Horizontal forehead lines
  • Frown lines
  • Droopy eyebrows
  • Crows’ feet
  • Bunny lines
  • Undereye wrinkles

Will Botox be able to get rid of all wrinkles?

Botox is an excellent treatment for fine lines and wrinkles that are associated with movement (dynamic lines). However when a wrinkle is more deeply engrained it cannot be erased with a single treatment of Botox. Regular Botox treatment over a period of 12-18 months will help to iron out these creases, but for a more immediate result other treatment options such as dermal fillers may be a better option.

Botox also won’t erase the wrinkles resulting from sun exposure. Other treatments to improve the quality of the skin such as chemical peels and E-Dermastamp (EDS) micro-needling will provide more benefit.

Does Botox have a preventative effect?

It makes sense that Botox does prevent wrinkle formation if it is started before fixed wrinkles establish. However there is a careful balance when deciding to treat younger patients – premature treatment can make someone look older rather than the more youthful look desired. Whether or not treatment is appropriate is always decided on an individual patient basis.

What should I expect during the consultation?

After a thorough discussion about the procedure and completing the consent forms, Dr Mayoni will take a pre-procedure photograph. The muscles around the areas of concern will then be treated with Botox using an extremely fine, short needle. The area may have some redness and swelling, which normally resolves within an hour or two. You will also be given full verbal and written after care instructions.

Does Botox hurt?

Rather than being painful most people describe Botox as a little uncomfortable. Some factors may make it feel more painful such as stress or hormonal fluctuations. The use of an ice mask prior to injection, numbing the area can make treatment more comfortable.

When will I see the effects?

The treatment normally starts to take effect after 4-14 days. This can vary between individuals. The effects last between 2-6 months. After this time you may notice your face muscles move a little more freely. By making bookings ahead of time, we can avoid any prolonged periods that may allow muscle activity to increase. You will also be offered a complimentary 2 week follow up appointment to check you’re happy with the results.

Who should avoid having Botox?

  • Pregnant women or breast feeding mothers
  • Patients with certain conditions affecting the connections between nerves and muscles (such as Myaesthenia Gravis and Eaton-Lambert Syndrome)
  • People with a previous allergic reaction to botulinum toxin, or with allergies to egg or human albumin
  • People taking aminoglycoside antibiotics (such as gentamicin)
  • Anyone with a skin infection in the area to be treated
  • Caution should be exercised in any patients taking blood-thinning medication such as Warfarin and Clopidogrel, simply due to the possibility of severe bruising

Is there anything I should avoid after having Botox?

You can resume your normal activities immediately after treatment. Avoid bending forwards or lying flat for prolonged periods in the first 4 hours after treatment.

Do not massage the treated areas as it is possible to spread the product to other areas causing unwanted effects. This also means being cautious during your normal skincare routine, and avoiding any other facial treatments for two weeks after Botox.

Avoid extremes of heat for the first two days after treatment – no strenuous exercise, saunas, steam rooms or sun exposure.

Avoid alcohol and non-steroidal anti-inflammatory drugs (such as ibuprofen or aspirin) for 24 hours after treatment, as these can increase your risk of bruising.

What are the side-effects of Botox?

Most people find the injection causes some mild discomfort and local swelling which subsides after 48 hours. Bruising around the injection sites is also common. Some people descibe a “Botox headache” which is related to having injections into the facial muscles. Paracetamol will help ease this but avoid ibuprofen or aspirin since they can increase bruising.

If Botox migrates to unwanted sites it can cause weakness and drooping ofthe eyebrow or eyelid, or facial asymmetry. This is very rare.

How long does Botox last?

In most people Botox lasts for 3 to 4 months. We advise people to expect 3 months on their first treatment. Some patients do find the effects last much longer. Different factors such as sun exposure, dietary factors and activity levels can all affect the duration of results.

How much does treatment cost?

There are three areas of the face that can be treated: horizontal forehead lines, frown lines between the eyebrows, and laughter lines (also known as crow’s feet). Treatment is priced as follows:

One area: £200.00, Two areas: £240.00, Three areas: £310.00

Please note: treatment prices for men may vary according to muscle tone

Please don’t hesitate to contact us if you would like to find out more, or to book in for a full consultation with Dr Mayoni, which is priced at £60.00 and lasts for 45 minutes.