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How does botulinum toxin work?

Hyperactivity of the facial expression muscles often results in the development of deep frown lines and/or crows feet.  Injecting botulinum toxin into the affected area temporarily paralyses the underlying muscles responsible for wrinkling, giving the face a more relaxed and pleasant appearance.  The wrinkles become smoother or disappear altogether.

Botulinum toxin therapy cannot replace wrinkle correction methods such as collagen implantation, laser peeling or autologous fat transplantation when these are necessary.

How long will it take for the botulinum to begin working and how long will the results last?

The initial effect of the treatment become visible within 48 to 72 hours.  The maximum effect is reached in about 1-2 weeks.

What kind of result should I expect to achieve?  Will the treatment cause my face to become mask like?

Your facial expression will become more relaxed but by no means mask like.  The overall result is very natural.  The effect of treatment generally lasts 4 - 6 months.
Re-treatment is then required.

Are there any side effects?

Botulinum toxin injection is generally a safe and effective treatment method.  Nevertheless, certain side effects can occur, but, like the intended treatment effects, they are mostly reversible.

When you attend an appointment you will be informed about the potential side effects of botulinum toxin therapy, and potential drug interactions.

Potential Side Effects

  • Bruising or swelling at the injection site
  • Slight feeling of nausea
  • Tiredness, pain in the arms or legs
  • Temporary drooping of the eyebrow or upper eyelid
  • Brief visual disturbance
  • Dryness of the eyes
  • Skin rash
  • Itching
  • Allergic reactions
  • Dry mouth
  • Muscle atrophy

I am pregnant/breast feeding, would botulinum toxin therapy affect the baby?

Botulinum toxin therapy can not be used if you have any of the following contraindications:

  • Pregnancy
  • Breast feeding
  • Myasthenia gravis
  • Lambert-Eaton syndrome
  • Blood Coagulation disorders

It is recommended that you consult a doctor prior to using botulinum toxin therapy.

I am taking prescription drugs, can I still have botulinum toxin therapy?

Drug interaction can occur when botulinum toxin is used concurrently with other medications.  Since these medications can alter the effects of botulinum toxin, you must ensure that your doctor is aware of any current medication you are taking, especially,

  • Amino glycoside antibiotics
  • Anaesthetics
  • Muscle relaxants

Who will carry out the procedure, is it safe?

All the procedure that involve injecting botulinum toxin will be carried out by a specially trained nurse.

Who can I contact for further information?

D M Vines R.G.N
J.Vimes@ntlworld.com
07791 951481

P Phillips R.G.N (BSc Honours)
0161 766 9795