Botox

When multiple clients are seen together, a discount of 15% will be applied for all treatments. Prices start from £150 per person, but packages will be tailored to individual needs

How it works

The administration of ‘Botox’ involves giving a small injection with a micro-fine sterile needle containing a drug derived from the Botulinum Toxin A. Safe use of this drug requires knowledge of facial anatomy in addition to the pharmaceuticals involved, hence procedures should only be performed by a qualified medical professional. Botulinum toxin is typically used to temporarily reduce or inhibit the movement of specific facial muscles responsible for maintaining and creating old and new fine lines and wrinkles. Therefore, while the use of Botox and other similar drugs can minimise the appearance of existing lines, it also has preventative actions, and can stop the development of new lines and wrinkles, helping to maintain a more youthful look for longer.

In addition to this well-known use of Botulinum toxin, it is also used as a treatment for excessive sweating. Sweat is produced by our apocrine sweat glands which lie within the dermis layer of the skin; when botox is injected into these glands, it can reduce the production of sweat, thereby aiding those for whom sweating may be particularly excessive or troublesome.

While results are often noticed after 48 hours, the maximum effect of Botox is seen after 2 weeks. First treatments typically last 3-4 months, but after subsequent treatments results are often seen for over 6 months.

Commonly requested toxin treatments

1 area                             —-                             £180

2 areas                            —-                            £250

3 areas                            —-                            £300

Areas include: forehead lines, frown lines, crows’ feet, chemical brow lift, gummy smile treatment, bunny lines treatment, pebble chin treatment, downturned mouth treatment

While many people are aware of the common anti-wrinkle injections used for the horizontal forehead lines, ’11-shaped’ frown lines, and the lines around the eyes known as ‘crows’ feet’, there are lots of other uses of botulinum toxin, which are becoming increasingly popular. Careful placement of the drug can cause a subtle brow lift. Likewise, in just two injections a troublesome ‘gummy smile’ can be brought down to hide the gum and create a more desirable look. Other increasingly common treatments include those to remove the fine wrinkles along the nose, smoothing the ‘pebbled’ appearance on the chin, and lifting the corners of the mouth.

Advanced toxin procedures

1 area from £350

Areas include: jawline definition and wide-set jaw, teeth grinding, sweat reduction (armpits), neck rejuvenation and nonsurgical lower face lift

Enlargement of the masseter (or chewing) muscle can cause grinding of the teeth and a masculine squaring of the jaw. Through several small injections of botulinum toxin applied directly to this muscle, troublesome teeth grinding is reduced.  In addition, over time the jawline becomes elongated, feminised and defined – this is another benefit from this treatment. 

An increasingly popular use of botulinum toxin is in the treatment of excessive sweating. This is particularly useful if you find that you sweat more than average, or if you have a big event coming up during which sweating would not be desirable. Through carefully placed superficial injections of botox, the apocrine sweat glands stop producing sweat, with effects lasting from six months up to one year or more.

A ‘Nefertiti neck lift’ involves multiple small, superficial injections of botulinum toxin to the neck to reduce the ‘turkey neck’ appearance. A secondary effect of this is to cause a tightening of the skin around the jawline, causing a subtle ‘lower face lift’.

FAQs

Which Botox is Best?

I am frequently asked by clients “Which Botox is best?”

Here are some interesting facts about anti-wrinkle injections you may not know!

What kinds are there?

There are three main brands of anti wrinkle injections used in the UK:

  1. Botox (the first on the market, and where the drug got its name from)
  2. Bocouture
  3. Azzalure

Other brands exist but are less commonly used.

What are the differences?

All three drugs contain the same ‘active ingredient’ – Botulinum Toxin Type A neurotoxin. They only differ in the other kinds of proteins that the toxin is mixed with. They all contain albumin, so if you’re allergic to this, they may all be contra-indicated!

Bocouture is the purest form of botulinum, so theoretically it’s the least likely to cause reactions like allergies, or for antibodies to develop and cause immunity to the drug. This is a rare, but known complication of botulinum injections – with repeated injections, a small number of people stop responding to the drug, and it no longer works for them.

Botox was first mass produced for aesthetic purposes in the 1990s. Bocouture and Azzalure are newer products.

Studies have been performed to look for a difference between the efficacy of each, in terms of how quickly they act, how strong they are, and how long they last, with no significant differences found between them. Similarly, they all appear to be equally safe.

How do you source them?

They are all prescription only drugs, which means they should only be given to you if you have met the person prescribing it – that should be a doctor, or a nurse with additional qualifications (otherwise, you’re getting it illegally!)

They are sourced from specialist pharmacies only, and have to be signed for by a registered prescriber, who thereby takes responsibility for how they are used and who they are used for.

How does it work?

Here’s where it gets sciencey! I’ll try to simplify it a little… Your wrinkles are formed by repeated movement of the skin in certain directions. This movement is created by muscles underlying the skin. The muscles move because the nerves supplying them carry a message to tell them to do so, and those nerves get their message from the brain. So, you feel surprised, and your brain sends a signal to the nerves to contract your frontalis muscle which raises your eyebrows and creates horizontal lines across your forehead… Make sense? The toxin acts to stop communication between nerves. So, the brain still works the same, the nerves still work the same, the muscle still works the same, but the chemical between the nerves is temporarily inhibited. Over time, your body replenishes this chemical, the nerves can communicate again, the message continues, the muscles resume movement, and the lines come back. And then it’s time for your top up! This process usually takes 3-4 months.

How do you give it?

The drugs all begin as a powder which is mixed with a special sterile, salty water solution, or ‘saline’. This enables it to be injected – you can draw the solution up into a syringe, and then inject it directly into the muscle. Just a couple of injections are required into each muscle. It’s really important your injector knows their anatomy – it’s not as simple as just injecting into the wrinkle!

How are they stored?

Botox and Azzlure have to be kept refrigerated in their powder form, making transport a little tricky (if your injector is using one of these brands, make sure they’ve got a fridge in tow, or the drug might not be safe/ effective). In contrast, Bocouture only needs to be refrigerated once mixed with solution, which is why I tend to use it (it’s just easier when on the move a lot!)

Cautions

Beware of very cheap botox offers – the drugs are all expensive to buy from the pharmacy, which is why the treatments are expensive. If someone is offering a much lower price, it might not be safe/ pure/ legally sourced.

Ultimately, as with all medicine, humans are individuals and so we will all respond slightly differently. While some might notice the first effects of botox in 24 hours, others may receive the same dose and not notice much change after 14 days. Similarly, one person may prefer or feel they respond to one brand over the other.

Whatever camp you fall into, just make sure the person injecting you is doing so safely, and that you’ve got all the facts before you let someone near you with a needle!

Before

After

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