PBefore your Appointment1. Please stop using topical Retinols, Glycolic Acid, Lactic Acids, Salicylic Acid and Tretinoin 5 days before your treatment to minimises pain and bruising.

2. Please stop using any Vitamin E supplements and Ibuprofen/Neurofen 5 days before your treatment. Please do not stop any Aspirin prescribed by your GP.3. You should avoid microneedling, laser treatments and chemical peels 1 week before and after the treatment. Avoid any eyebrow treatments for 2 weeks after anti wrinkle injections as their position may change slightly.4. Alcohol should be avoided for 24 hours before and after the procedure as are slightly more likely to bruise with it.5. Make sure you eat something before your appointment and are well hydrated. This prevents feeling light headed during the procedure.6. It is advisable to take 1 g of Paracetamol (2 tablets) 30 mins-1 hour before your appointment as it will significantly reduce any discomfort during the procedure.7. Please arrive with makeup removed and minimal jewellery.

Please attend the appointment alone. There is limited space in the clinic and anybody with you will be asked to wait outside.

Looking after your anti wrinkle injections

Please do not apply any pressure to the areas treated for the first 24 hours. The wrinkle relaxing injections has been placed into specific muscles very carefully and pressure can dislodge it.

Please stay upright for the next 4 hours after treatment

No exercise for 24 hours and avoid very intense exercise for the next 3 days

Please be careful with wearing hats and caps for the first 24 hours as that can also apply pressure.

No facials or facial massages/devices for one week. No eyebrow treatments ideally for 2 weeks.

On average Botulinum Toxin lasts 3-4 months. It is completely normal to require treatments every 3 months in the first 2 years. Over time it tends to last longer and patients that have been doing it for some time come every 6 months.

If you are doing it more for prevention and don’t mind a few lines, you can come every 6-9 months.

When Botulinum Toxin wears off, your wrinkles go back to how they were before and are often softer. It does not make them worse in any way. It is not possible to get dependent on Botulinum Toxin. The reason why people end up attending regularly is because they love the results and how effective a treatment it is.

It is normal to start getting some movement around week 6-8, this does not mean it has worn off early. It is a normal return to activity but full activity takes 3-4 months.

If you are doing it more for prevention and don’t mind a few lines, you can come every 6-9 months.

You will have small bumps that look like mosquito bites around the sides of your eyes that last no more than a few hours usually. Small bruises can happen which can sometimes take 2 weeks to resolve. They are a bit more common around the eye area. These can usually be covered with makeup. We do not recommend wearing any makeup for 4 hours after. Please see the aftercare section for more information.

As with all medical treatments, there are side effects and risks. Mild bruising is common as are headaches and cold-like symptoms. Sometimes the result can be slightly asymmetrical, especially if you had some asymmetry to begin with. This is usually simple to correct at your follow up appointment.

Crows feet wrinkle relaxing injections are a low risk area for any complications. One of the issues that can arise is people feel they cannot smile fully as the muscles around the eyes are often involved in smiling. This wears off after a few weeks and does not last the duration of the anti wrinkle injections.

Some people also feel their cheeks look a bit more prominent; this happens as there is restricted muscle activity around the eyes so the cheek muscles compensate. Again, this issue wears off after a few weeks. An extremely rare complication is restricted movement of your eyes.

Again, this is also temporary as anti wrinkle injections always wear off. We minimise these risks by always injecting lower doses at your first appointment if you are a new patient. It takes 2 weeks for anti wrinkle injections to kick in, so it is therefore difficult to know exactly how much your muscles can take. W

e recommend all new patients come for a review follow up appointment between 2-3 weeks and we can check and inject more at this point without any extra charge.

We will then understand your anatomy better and will usually only need one appointment in the future. It’s for this reason that it’s helpful to stick to the same aesthetic practitioner who learns how your face reacts.

It is important to follow the aftercare to minimise these risks and ensure you get the best result.

If you have static wrinkles, we would recommend that you combine Botulinum toxin with a regular home based skincare routine including medical grade retinol based skin care .

We recommend people start doing preventative Botulinum toxin before their wrinkles set in and the frequency for this can be less than normal. Often people come every 6-9 months if it is more for prevention and they don’t mind a few lines.

Allergies to Botulinum toxin are exceedingly rare.

If you are pregnant or breastfeeding, you cannot have this treatment.

You will have small bumps that will take a few hours to resolve. You may have a small bruise.

Most people can go out and socialise the same evening. It takes 2 weeks for the anti wrinkle injections to kick in.

Most patients notice it starts taking effect from day 5.

We’ll start with an assessment of your whole face and check how it appears at rest and facial expression. We take photographs and then mark out the area to be treated.

Numbing cream is usually not needed. for Botox It feels slightly cold as the liquid is injected. Most people say it feels like a pinch and the treatment is usually complete in 5 minutes.