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Botulinum Toxin, when injected into a muscle temporarily relaxes the muscle by blocking nerve impulses. As the nerve impulses are blocked the muscle is temporarily unable to contract so that dynamic wrinkles are not formed. This gives the overlying facial skin a softer, smoother and more youthful appearance.
Botulinum Toxin as a muscle relaxant has an excellent safety record and a long record of use in medicine. It has been used successfully in adults and children in variety medical conditions over the last 20 years.
There are three main types of wrinkles that can be treated with Botulinum Toxin.
Frown lines (Glabella lines) are most commonly seen in patients with excessive sun exposure and those who have over activity of these muscles often associated with frowning. Frown wrinkles are vertical lines and can signal emotions such as anger, anxiety or fear. People with these types of wrinkles may complain that their family, friends or work colleagues ask why they frown a lot. Frown wrinkles are vertical lines and can be successfully treated with Botulinum Toxin.
Forehead wrinkles appear in horizontal lines in the area between the eyebrows and the hairline. These wrinkles are formed during facial expression to convey emotions such as surprise or empathy.
Eye Wrinkles/Laughter Lines (Crow’s Feet)
Crow’s Feet wrinkles (Periorbiltal wrinkles) are in the outer corner of the eyes and appear more prominent when laughing or smiling. Crow’s Feet Wrinkles can result from excessive sun exposure combined with the skin becoming less elastic with age.
2 Areas Forehead Lines and Frown Lines
3 Areas Forehead Lines, Frown Lines & Crow’s Feet
Anti wrinkle treatment can be used for treating wrinkles in men and women, however men often need slightly higher doses than women.
It should not be used in:
People with infection at the proposed injection site.
People who have previously had an allergic reaction to Botulinum toxin type A injections.
People with muscle problems or chronic diseases affecting the muscles, such as Myasthenia Gravis, Eaton Lambert syndrome.
Children under the age of 18 years.
Women who are pregnant or breast feeding.
It should be used cautiously in
People at risk of bleeding as there is an increased risk of bruising post procedure. These include people who have blood clotting disorders such as Haemophilia, those who are taking treatments with anticoagulant medicines such as Warfarin, Heparin, Aspirin and Anti-Inflammatory medicines. Certain herbal remedies such as Gingiko Bilboa, St John’s Wort and Vitamin E.
People with excessive weakness or wasting in the muscle to be injected, such as those patients with history of Stroke or Bell’s palsy.
People with chronic breathing problems.
The injections are relatively painless as the injections are performed using a very fine needle. Patients therefore and do not require any anaesthesia. The full treatment takes about 15-20 minutes to perform and you are able to drive and go to work the same day.
It can take about 2-14 days to see the full effects after the initial treatment. The cosmetic effects can last up to six months but typically range from three to four months. Eventually, most people require re-treatment as the wrinkles reappear. However, in some treated areas (such as frown wrinkles), the wrinkles may return less severe after repeated treatments as the unconscious muscle contraction habit is broken.
We advise our patients to book a post 10 day follow up appointment to assess the effect of treatment.
Most people find that the injections cause only mild local pain and tenderness.
Immediately after the injection there may be mild swelling at the injection site which usually subsides within 48 hours. Slight bruising is also possible. Side effects of these treatments are extremely rare.
Occasionally, the treatment may relax nearby muscle groups causing temporary drooping of the eyebrow or eyelids. This may last for a few weeks but will resolve with time. As with any medicine an allergic reaction may occur, this is however quite rare.
Conversely there may be some unintended benefits in some people such as easing of tension type headaches as the muscles in the forehead relax.
When the effect of the anti wrinkle injection wears off the wrinkles will always return to their pre treatment state. Treatments can be repeated to a minimum of three monthly intervals, but the effects may last longer for some individuals, especially if they have had previous treatments to the same area.
The treatments are designed to smooth dynamic wrinkles in the forehead and around eyes, they do not affect your facial expression. The final result can be tailored to each patient and can be discussed at the initial free consultation.
Try to contract the treated muscle areas for up to four hours after treatment, by frowning and lifting eyebrows to allow the toxin to reach all of the treated muscle.
Do not lie down for up to four hours after treatment.
Avoid rubbing or touching the injected areas and avoid having facials and massage for 48 hours this is to ensure that the treatment remains at the site of injection.
Avoid vigorous exercise and alcohol for 48 hours.
If bruising develops you can apply Arnica cream
Paracetamol can be taken for mild pain post procedure