Botox® can help to reduce or eliminate dynamic wrinkles and lines which are caused by muscular action in the face.


botox.jpgGlabellar frown lines– These make people appear angry, afraid or worried, and can be treated by surgery, filling agents or Botox®. For 2-3 hours after Botox® injections, it is important to remain vertical, nor to rub the area, and to try to frown as much as possible. Men usually require larger doses of Botox® than ladies. A touch up injection can be given after a month if there is under correction. Re-injection is recommended at 3 monthly intervals for a year, and then as required.

Crow's feet - These are maximal when laughing, and can be treated by surgery, resurfacing with the CO2 laser, Botox®, or a combination of resurfacing and Botox®. In the last case, Botox® is given 2 weeks before resurfacing, and regularly for 6 months as remodelling of the skin occurs. Botox® injections in this site last for a shorter time than for glabellar frown lines.

Horizontal forehead lines – These can make a person appear worried and are best treated by resurfacing or Botox®. Filling agents are not effective. Initially re-injection is required after 2 to 3 months.

Botox® is also useful for raising the brow, lifting the eyelid, reducing nasal scrunching and flare, and reducing upper lip wrinkles. It is not recommended for "sad lines" around the lips or necklines. It is also useful where there is a pre-existing facial asymmetry (e.g. after a facial palsy or a brow lift operation) and in conditions of excessive sweating (hyperhidrosis).


Benefits and Risks of Botox TM

Some of the advantages of Botox® include lack of known allergy and that there usually no signs of the treatment having been given. Rarely a patient may be resistant to Botox®, or under or over correction may occur. If no effect or a partial effect is seen, the Botox® injections can be repeated. The injections are less predictable for lines of the lower face or neck. Most complications occur due to local spread of Botox®. There is a small risk of ptosis (drooping of the eyelid – this is usually no more than 1-2 mm), lip ptosis (after injections of crow's feet), brow ptosis and double vision due to local spread of Botox®. These effects are temporary (usually last 2-10 weeks) and are reversible. Bruising may occur as with any other injection. Any headache is usually mild and lasts for a few hours only. Botox® should not be used in patients who have had a recent tetanus injection, who are pregnant or breast feeding, allergic to albumin or normal saline injections, have muscle disease (e.g. myasthenia, myopathy) or are taking antibiotics in the aminoglycoside group (e.g. gentamicin).

If you have been affected by any of the symptoms mentioned above, please don't hesitate to give us a call.

We have a team of experts on stand-by who are ready to take your call at our Manchester (0161 907 2685) Clinic or our Blackpool (01253 308 031) Clinic.