What is Botox® and how does it work?

Botox® injections are used to create a fresher and more youthful appearance by causing a temporary relaxing of the treated facial muscles

• on the forehead (frown lines),

• vertically or horizontally in between the eyes (brow furrows or glabellar) and/or the crow’s feet or laughter lines around the eyes.

The procedure is safe, not painful and is quick to perform.

There are different types of Botulinum A toxin on the market, that have different brand names (eg Dysport/Azzalure and Xeomin/Bocouture..) These are NOT the same thing as BOTOX®, and should not be called so. Some people don’t tolerate these other products well, and in our experience – their results are nowhere near as pleasing or have the longevity. We only use branded Allergan Botox.

How long does it last for and how quickly will I see a change?

BOTOX® should never wear off in a few weeks. If it does, you’re likely not getting the right dosage or product, or the injection technique isn’t correct. It is possible to develop a resistance to BOTOX®, but this is extremely uncommon. We haven’t yet come across this (although not impossible ~ chances of this happening are 1:10,000). It’s far more likely you aren’t being treated properly, and the main reasons

The response to the injections is not immediate, and it will usually take several days for the muscles to respond, with efficacy peaking at around 2-3 weeks. The effects are temporary and place the muscles into hibernation for approximately 3-6 months, depending on the area you wish to treat and how many times you have had it previously. After this time repeat Botox® injections will be required to maintain its skin smoothing effects. Patients often report that indeed the effects last longer, after their first or second repeated treatments. Continued use can have a preventative effect, as logic dictates the treated areas (and therefore, the overlying skin) move less. failure of treatment can be related to injection technique, an inadequate number of units or the BOTOX® used on you was too old or inactive or overly diluted. The total number of units injected is the key.


Will my face become frozen or expressionless?

We mainly administer Botox® in the upper third of the face but will use advanced techniques in the lower areas, less frequently. The injections temporarily paralyse the treated muscles to allow any wrinkles (or gummy effect) caused by the constant movement of these muscles to gradually soften after treatment, even in older patients. The overlying skin remains smooth and unwrinkled while the untreated facial muscles continue to work normally so the facial expression is unaffected by the treatment. Patients look the same as they always have done, only more youthful and rested. The accuracy and precision of the professional administering them, play an important part in achieving a natural result without side-effects.


Does it only wor on certain age ranges?

Whilst it is true that the more elastic the skin, the better the treatment will work – Botox® can be utilised to smooth wrinkles from around 20 to 65 years of age. It works best in patients who have lines caused by muscle pull (and preferably before the lines have become too deep), as opposed to wrinkles caused largely by the excess loose skin and/ or sun damage. An individual consultation with one of our doctors is the best way of ascertaining whether the treatment is suitable and beneficial for you as an individual patient.


Is Botox® the same as fillers?

The short answer is no. Fillers work by “filling in” a wrinkle, whereas Botox® places the muscle causing the wrinkle into hibernation. Fillers are not as effective as Botox® in treating wrinkles in the upper third of the face but are very useful in plumping out the skin in the lower two-thirds of the face.