Anti-wrinkle Injections

Anti-wrinkle Injections

Anti-wrinkle injections use one of the many available neuromodulators to relax muscles in the face and neck where dynamic action of these muscles has resulted in creases and lines forming over time. This relaxation allows the lines to settle out and the skin to heal. The most frequently used products in our clinic are Botox™, Bocouture® , Azzalure® or Dysport®. During your consultation your doctor can discuss the differences between the products and which will suit you best.

The lines that form from dynamic muscle action can result in a prematurely aged appearance, and a habitual frown can make you look angry or tired, even when the face is at rest. It is often these over-pronounced expression lines that lead someone to seek treatment for the first time. Relaxation of certain facial muscles lead to a more relaxed feeling in the face, and when done gently, can result in a natural “refreshed” appearance.

Some people may experience relief from tension headaches following certain treatment regimens performed by highly trained medical professionals.

Anti-wrinkle injections can be used in many areas of the face:

  • Frown lines
  • Forehead lines
  • Crow’s feet around the eyes
  • Brow lift
  • Dimpled chin
  • Bunny lines
  • Muscles that pull down the corners of the mouth (marionette lines)
  • Jaw muscles
  • Barcode lines around the mouth
  • Neck lines

Neuromodulator injections can also be used in the management of:

  • Migraines
  • Excessive sweating on the forehead, hands and armpits
  • Nerve pain
  • Clenching of the jaw
  • Slimming of a square face in someone with pronounced jaw muscles
  • Acne

For these gentle treatments you should seek treatment from someone who really understands your individual facial anatomy and physiology. You should expect to attend a follow-up session a week to 10 days after your treatment in order to ensure the most natural-looking results.

  • Rosacea and facial redness
  • Minimize pore size
  • Smoothing of fine lines
  • Easy tightening
  • Improvement of skin quality
  • Improvement of skin quality in the neck
  • Overall skin rejuvenation

How long does a treatment take?

This is a bespoke treatment and appointments will depend on the consultation and individual treatment requirements.

What should I expect?

Your doctor will use very fine insulin needles for the injections, and will inject a very small volume so there is minimal discomfort. Onset of action takes about around 5 days, depending on which product is used, and the full effect takes 10 to 14 days. Results last between 6 weeks for an “anti-wrinkle sprinkle” treatment and 6 months after you’ve had regular treatments for at least a couple of years.

Avoid the following after a treatment:

  • Rubbing or massaging your face
  • Laying down for at least 4 hours
  • Tight headgear
  • Strenuous exercise for 24 hours
  • Anti-inflammatory painkillers
  • Drinking alcohol
  • Long-haul flights (for 24 hours)

What are the possible side-effects?

Neuromodulators have been used in medicine for over 40 years, and for aesthetic treatments for over 25 years. An estimated 7.44 million anti-wrinkle injection procedures were done in the US in 2018 alone – and it has an excellent record of safety.

Whilst you may experience no side effects at all, as with all medications, side effects can occur. The dose of anti-wrinkle medication used for facial lines is very small and these side effects are usually temporary and localised to the area of injection.

Small bumps or redness in the area of the injections tend to settle very quickly, and small bruises around the injection sites can take a few days to fade. Taking arnica or eating pineapple has been shown in clinical studies to reduce the duration of the bruising.

In very rare cases, the neuromodulator can spread to a muscle surrounding the target muscle, with relaxation in an unintended area. This is not a permanent effect and can wear off in 2 to 6 weeks, depending on the volume of the neuromodulator that was used in the treatment. Some people may experience a mild headache after injections in the forehead area. You can use some paracetamol, but you should not use an anti-inflammatory after an injectable treatment. Other side effects are rare but can occur: local muscle weakness including drooping eyelids/eyebrows, swollen eyelids, skin tightness, or itching.

Is this treatment safe for everyone?

You should not have this treatment if you are pregnant or breastfeeding, if you have myasthenia gravis or if you have an allergic reaction to any of the products used during the treatment. Your doctor will discuss any additional concerns with you.


Treatment Time

About ? Minutes

Full Recovery

Usually immediately.  Occasionally some scabbing which resolves within 1 to 2 weeks



FDA Approved


Duration of Results

Long lasting

Sensitivity Period

Mild discomfort for ? days






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