Botox®, otherwise known as Botulinum Toxin, is the most popular anti-ageing treatment available. The Botulinum toxin injection is a medical treatment that can be used to help relax facial muscles and reduce the appearance of fine lines and wrinkles. This non-surgical treatment can alter your appearance with little to no downtime after just one session. The most common use of Botulinum toxin is for the cosmetic treatment of fine lines and wrinkles – often the most telling sign of age. Wrinkles and fine lines are caused by changes in the skin, around areas where muscles are overactive, for example, around the eyes and mouth. Botox® is also used to treat migraines and hyperhidrosis (excessive sweating).
Botulinum Toxin Type A (Botox®) is the specific bacterial toxin used in cosmetic treatments. It is a naturally occurring protein derived from the bacterium Clostridium Botulinum. The amount of toxin used in treatments is minimal and extremely safe. The Botulinum acts on the nerve endings found in the muscles rendering the muscles temporarily inactive thereby making the face appear softer, smoother and younger.
The most commonly treated areas are the frown lines on the forehead, Crow's feet around the eyes, bunny lines on the bridge of the nose, horizontal necklace lines and vertical platysmal bands. This treatment is particularly effective in those who wish to reduce their natural tendency to frown, want their eyes to look more refreshed or who want a more youthful, rejuvenated appearance.
On the day of your treatment one of our aesthetic practitioners will guide you through the entire procedure and obtain your written consent. You will decide which areas you want to treat in order to achieve your desired results. Once you are ready the procedure will begin.
Firstly, the area of skin to be treated is cleaned. Then the Botox® muscle relaxant will be injected into the target areas through a very fine, specially designed Botox® needle. The needles used for the Botox® treatments are specifically manufactured to minimise discomfort. Local anaesthetic is not usually required for the procedure. The injections may be a little uncomfortable but most people are able to tolerate the slight discomfort. In the short 20 to 30 minute appointment frown lines, forehead wrinkles and crow’s feet can all be reduced.
Each session takes between 20 and 30 minutes and involves between 10 and 15 injections.
The Botox® treatment is a non-surgical, minimally invasive procedure. As a result there is little to no down time although, activities such as exercise should be avoided for at least 6 hours after the treatment. Most people find that the injections cause only mild discomfort. Immediately after the injection there may be mild swelling which usually subsides within 48 hours, and slight bruising is possible.
There is next to no down time, although activities like exercise should be avoided for at least 6 hours after the treatment. The area should not be touched for 24 hours and a review with your aesthetic practitioner should take place 2 to 3 weeks after the first procedure.
When administered by a trained medical professional, Botox® injections are relatively safe. Despite being a toxin, the substance used in the Botox® injections is a purified, safe strain called Botulinum toxin Type A. As with all treatments, there are some side effects associated with its use, but most of these are mild and temporary. Side effects of this treatment are extremely rare. The most common side effects are headache and injection reactions e.g. redness, swelling, irritation, rash, itching, numbness, pain, discomfort, stinging, bruising and bleeding. Normally these reactions are mild to moderate, reversible and occur in the first week after treatment. There is also a small possibility of slight drooping of the eyelid or visual problems. If any symptom lasts for more than one week or you are concerned about any symptoms you should report them to your practitioner as soon as possible. It's important to remember that that all medical procedures carry risks as well as benefits, and you need to discuss these with your doctor.
Botox® injections should not be used in women who are pregnant or breast feeding. Botox® injections are not recommended for anyone who has previously experienced an adverse/allergic reaction to the botulinum toxin type A or has a current skin infection in the desired area of treatment.
As we age bone, muscle and fat mass deteriorates causing the face to lose volume. This is a perfectly normal part of the ageing process, but can be unwelcome. Dermal fillers help to temporarily restore the areas affected by loss of volume. Most dermal fillers contain hyaluronic acid which is naturally present in your skin. Hyaluronic acid has replaced older collagen based products as it has a shorter period of recovery, better results and considerably fewer adverse reactions. The London Dermatology CentreTM stocks a number of different dermal fillers, including Juvederm®, Restylane®, and Teosyal®. We also offer Algeness®, another range of dermal filler that doesn’t contain hyaluronic acid but another natural substance called agarose. Your aesthetic physician will be able to advise you on the product best suited to your needs and your skin type.
Hyaluronic acid is a naturally occurring substance in the body found in the soft connective tissues. It keeps the skin and tissues hydrated and firm. This substance has been isolated by scientists and processed into a gel formulation. When this gel is injected, it acts like a cushion to provide support to facial structures and tissues that may have lost volume or elasticity due to aging. Hyaluronic acid binds water molecules and therefore encourages these water molecules to be brought to the skin’s surface keeping it hydrated, supple and looking fresh.
Algeness® is another range of dermal filler. It is made from purified agarose, a natural derivative of seaweed. Unlike the hyaluronic acid based fillers, the Algeness® filler does not attract water. For the patient, this means less swelling and bruising following the treatment.
Non-surgical lip augmentation is one of the most popular uses for dermal fillers. They are also used around the mouth and nose to reduce the ‘nose-to-mouth’ lines and the ‘mouth-to-chin’ lines. Dermal fillers are also frequently used to reduce the appearance of wrinkles on the forehead and the glabellar area (between the eyebrows). Other areas of treatment include the cheeks to give the appearance of more defined cheek bones as well as acne scars. It is also possible to reshape the nose in the non-surgical rhinoplasty procedure using dermal fillers.
On the day of your treatment one of our aesthetic practitioners will guide you through the entire procedure and obtain your written consent. You will decide which areas you want to treat based on your desired results. Once you are ready the procedure will begin.
Firstly, the area to be treated is cleaned. Then your aesthetic practitioner will inject the filler under your skin using a fine needle. This will treat facial lines and wrinkles or add volume.
When the procedure is performed by a trained aesthetic practitioner, injections of dermal fillers is a safe treatment. The dermal fillers that are used at the London Dermatology Centre are all based on the substance hyaluronic acid and have been shown to be safe and effective when compared to collagen skin implants and related products to fill in wrinkles, lines and folds in the skin on the face.
Its effect, once the optimal location and pattern of cosmetic use is established, results is dependant on each individual.
For more information regarding the Botox® and dermal filler treatments please contact us on 020 7467 3720.
Written By: Dr Sunil Chopra and Dr Rebecca Perris