More on Botulinum Toxin

How does it work?

Our bodies know when to move because our brain sends signals down our nerves to our muscles.

Botulinum Toxin is a neurotoxin, which means it blocks these signals from reaching the muscles. This does not mean that when you are injected all your muscles stop working. We inject very restricted amounts of the toxin, which only spread within the muscle itself and have full control over where, and how much of a muscle is affected. This means that we do not have to stop the muscle from working completely, but can make it sleepy so that the lines go away, but the movement doesn't! 

How is it carried out?

First of all we ask you to book in to see our prescriber (which can be done on our how to book page). They will go through your medical history to ensure that it is safe for you to have. A prescription will then be created and we will order this in on your behalf.

As soon as you enter the clinic we will get you to make some funny faces and will take pictures of you doing this- this helps us to assess how effective the treatment has been when you come back for a review two weeks later.

We don't tend to numb this area as the treatment is so quick and we use the thinnest needles we can get away with, however, if you would like to be numbed, we can do this for you, or you may wish to do this before you come to us.

Once we have sat down with you and gone through all the paperwork, making sure you understand what to expect and what the risks are, we mark dots around the areas being treated.

We will then make up the solution in front of you and will place several injections in different areas to ensure the relevant muscles are covered.

We will then wipe off the marks from your face, put some special balm on the area to help with brusing and will go through our aftercare pack with you.

Unless we have seen you several times, we will always book your two week review at this point. 

How quick does it work?

It can take between 2 - 14 days for you to see the full effect. The longer you've been having it, the quicker you'll start to see the effects, occasionally, within 12 hours. 

If you are new to us, we will always get you back after two weeks to ensure that we have achieved what we wanted, if we are all happy, then we will look forward to seeing you in a few months time. If one of us isn't happy, then we discuss the options, but often results in a top up at this point if necessary.

There is never a one size fits all approach with this treatment.

The way we work is by giving everyone a standard dose for each area on the first treatment, then adapting it on the second to ensure we get the desired results- We always keep a record of what we do so we can individualise it for the client. 

How long does it last?

If you are new to it, it will be around the 6 week mark before you start getting some movement back- this is normal and this is because your body recognises the substance as a foreign body so attacks it. This will also be the case if you have had it previously, but not for a while. 

The second time you have it, you will find it lasts around ten weeks, and the third time around twelve weeks. After this, the longer you have it, the longer you are likely to find it lasts!

There are always exceptions to the rule and on occasion there are a few clients who have found that just one treatment lasts them 6 months, although this is rare!

Please note you can only have the treatment a minimum of every 12 weeks.


Will I be frozen?

Practitioners have full control over the freezability of facial muscles. Personally, we don't like "freezing" peoples' faces as we don't like leaving them expressionless. That being said, there are a few people who only like it this way, but this will only be carried out after a discussion.

Due to the fact we use a standard dose on the first treatment, it may be that you have less movement then you would like. This means that when you come back for more a few weeks later, we will reduce the dose to ensure you have the amount of movement you want. 

Are there side effects or risks?

As a treatment, its really safe and its quite common to get a headache for a day or two after treatment. Some also feel heaviness in their eyebrow region for a couple of days- this will be assessed at the two week review to ensure that compensatory toxin in not needed.

Occasionally, Eyebrow and Eyelid ptosis can occur. This is rare and is caused by toxin migrating to adjacent muscles. This is rectified either by time, or adding a little toxin into other areas and can be aided in breaking down the toxin to reduce the longevity of the effects by using an electric toothbrush on the affected area.

Other risks and side effects can include (but are not limited to):

  • Bruising 
  • Swelling
  • Redness
  • Infection
  • Nausea
  • Eyebrow and eyelid drops
  • Eyebrow heaviness


Does it hurt?

We don't generally numb the area but can if we are asked to. It is definitely not the most uncomfortable of treatments but we do try and make it easier by using the thinnest needles we can.

Is it safe for me to have?

There are several groups of people who would avoid Toxins completely and include:

  • Pregnant and Breast feeding women- we usually suggest to wait 6 weeks after birth or after stopping breast feeding
  • Those who suffer from muscle related disorders
  • Those currently suffering from skin conditions in the area
  • Those who suffer from pathological conditions such as heart disease, cancer, arthritis, bleeding disorders
  • Those who suffer from dysphagia or who have a history or aspiration
  • Those under 18 or over 60 years old. 

How can I prepare for my treatment?

Firstly, ask questions and make sure you are 100% happy!

Ladies- avoid your time of the month!

If you would like to, you can buy Emla cream from the pharmacy- you may find some pharmacies will not give it to you unless it’s for a blood test. 

Do not drink alcohol for a couple of days before your treatment and don’t plan on going swimming or doing anything where water or chemicals might touch the treated area.

Look at our contact us page to find out about where all our local car parks are.


Are there any restrictions after?

Try and sleep upright for a couple of days

Don't rub the area

When picking something off of the floor, bend at your knees and not your hips

Avoid any treatments in the area a couple of weeks either side.

Avoid alcohol, smoking and anti-inflammatories for a few days afterwards.

Avoid swimming, steam rooms and saunas and going to the gym for a few days. 

Do not have a shower or bath for a couple of days



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