Wrinkle Relaxing Injections

Botulinium Toxin A is available as either Botox®, Vistabel® or Dysport®. It is an injectable drug that is used to relax muscles. It has been used for many years to treat a variety of conditions relating to muscle over activity. In more recent years it has been used for cosmetic purposes such as helping to reduce excessive sweating and for facial wrinkles.

Since 1990 many clinical trials have confirmed both its effectiveness and relative safety. Botulinium Toxin A or Botox as it is more commonly known is a neuro-toxin, derived from a bacterium called Clostridium botilium. It prevents the nerve signal from reaching the muscles to make it contract. Its effect is temporary, gradually wearing off after a few months, so treatment with this drug needs to be repeated for the desired effect to be maintained.

Botox is a prescription only medication and has a partial licence for cosmetic use. Botox can be administered by a medical professional after a consultation with a Doctor.

What sort of lines and wrinkles can Botox treat?
The best facial regions to treat are the forehead, frown and crows feet areas. Botox injections allow the precise and selective reduction in certain muscle movements and because the skin is not being continually crunched up, the lines and wrinkles in these treated areas gradually fade. The result: A younger, fresher looking skin with fewer deeper lines and wrinkles!

How is treatment carried out and how long does it take?
An initial consultation with the nurse is paramount to ascertain whether you are a suitable candidate for Botox. This will take approx 30 minutes. The initial consultation is vital to establish your suitability for Botox. It is important to ensure botox the right treatment for you, as on occasion it is not appropriate to administer Botox to every client. A telephone consultation with a Harley Street associate is necessary prior to treatment with Botox.

We do recommend that clients have a cooling off period between consultation and treatment however if the client wishes to have treatment immediately this can be arranged. A consultation charge of £40 is payable however this will be deducted from the treatment cost if you decide to proceed with treatment.

Does Botox treatment hurt?
Tiny needles are used to inject into the muscles, so pin pricks may be felt and a little discomfort as the fluid is injected. Most clients find the treatment very tolerable and virtually painless, however for those not so good with needles, local anaesthetic cream is available but this needs to be applied 30 mins before treatment to be effective. Following treatment, there maybe a little redness and swelling at the injection sites which usually resolves within 24-48hrs. Bleeding can occur but this is usually minimal.

Possible side effects?
Immediately following treatment there can be slight bleeding, swelling, redness and some bruising. Infection at the injection site is rare. Use of a simple antiseptic cream can help prevent this. Some Clients experience a transient mild headache, nausea or skin irritation. If this does occur it will improve after a day or two. Other side effects are directly related to the action of the Botox. Ptosis (eyelid or eyebrow droop) and Diplopia (double vision) are rare but possible and can take a few weeks to settle completely if they do occur. Muscle atrophy or wasting can occur with regular treatments. Developing resistance to Botox is possible if you develop antibodies against the toxin. Higher doses and too frequent treatments can increase this risk.

Who can and cannot be treated?
Men and women over the age of 18 may be treated. Treatment is not suitable for women who are pregnant or breastfeeding, for those allergic to the injection ingredients, for those with inflamed or infected skin at or near the treatment sites, for those clients with chronic breathing conditions or swallowing difficulties, neither those with neuromuscular diseases such as Eaton-Lambert Syndrome or myasthenia gravis nor those with blood clotting problems. Clients taking any prescribed medication or over the counter medications must tell the nurse treating them, as there are some medications that should be avoided with Botox injections, such as muscle relaxants, anticoagulants and some antibiotics.

How long does Botox take to work?
Clients can return to their normal routine immediately following Botox treatment. Botox does not interfere with normal life at all. There is some aftercare guidance provided following treatment. Botox effect is not immediate but gradually takes effect over the first few days. Most of the movement reduction takes place over the first week but effects can take up to 2 weeks to have maximal effect.

How long does Botox last?
The effects typically last 3-4 months following treatment and occasionally longer.

Can Botox be combined with other treatments?
Dermal Fillers can compliment Botox. It is best practice to leave at least 2 weeks following Botox treatment and dermal filler. The practitioner can then accurately determine the correct amount of filler to use. Chemical peels and micro dermabrasion can also help soften the complexion.

Treatment After Care – Important Information following Wrinkle Rexaling Treatments

Do not massage the treated area at all. If the area is washed, pat dry very gently with a soft towel. Do not rub the treated area for 48 hours.

Do not bend excessively or lie down for at least 4 hours.

Do exercise the treated muscles by tensing them and relaxing them for the first hour after treatment.

Botulinium toxin takes from 2 to 14 days to become effective. This is dependent on the strength of the muscles injected and the individual response.

If the degree of muscle relaxation is not as you would wish, please contact your practitioner.

Finally, treatment with Botulinium toxin is temporary and to maintain the effects, treatment is recommended every 3 to 6 months.