Facial expressions cause muscles to contract and lines and shadows appear in our skin (‘dynamic wrinkles’). As our skin looses elasticity these lines increasingly become visible when the muscle is contracting and are seen at rest (‘static wrinkles’).

Botulinum toxin (commonly referred to as “Botox” – although this is actually a brand name of one type of Botulinum toxin) is a protein, which binds to the nerves, which control muscle contraction, and temporarily prevents them from doing so. Some of the most common areas these occur are forehead, between eyebrows, around eyes and around the mouth.

A botulinum toxin in the upper face lasts between 3 – 4 months. With repeated treatments muscle re-conditioning and weakening of the treated muscles and strengthening of the opposing muscles means less treatments are required.

By inhibiting the action of certain muscles both dynamic and static wrinkles can be prevented.


Before and After

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Total time approximately 20 minutes

1. Consent and photographs
2. Skin is prepared with antiseptic
3. Skin over targeted muscle groups is marked with chalk marker
4. Tiny injections of botulinum toxin are injected

Post Procedure Management

  • Bruising and redness may occur
  • Avoid touching the skin or any application of products for 24 hours
  • Avoid vigorous exercise, sauna and swimming for 24 hours
  • Avoid alcohol for 24 hours
  • Paracetamol for analgesia


  • Pain, bruising, bleeding (common)
  • Inflammation (rare)
  • Infection (rare)
  • Local or systemic migration of botulinum toxin (rare)

Local migration of the botulinum toxin used to treat the upper face can result in a eyelid droop in around 3% of cases – this is temporary and lasts for 3-4 weeks. Treatment can be given to resolve this.



















Single area treatment £160 (e.g. crows feet)
Two treatment areas £240 (e.g. forehead and frown lines)
Three areas £300 (e.g. forehead, frown lines and crows feet)

A single treatment area dose is 25 units of botulinum toxin for an average woman. Any excess units will be offered for dealing with or preventing lines in other areas (e.g. depressor anguli oris to prevent marionette lines)