What are Anti-Wrinkle Injections?

Before the procedure you will have a personal assessment with Dr Kieron or Nurse Vicky who will help advise you on the suitability of the treatment and identify with you the treatment areas likely to benefit you.

• Dr Kieron will ask you for your medical history, including a psychological history, and your allergy history and any current or recent medical issues and medication.
• You will have a photograph taken of your face for your pre-treatment record.
• Potential side effects will be explained to you.

You will be asked to sign a ‘consent to treat’ declaration when you are satisfied and happy that you are fully informed and want to proceed.

• No anaesthetic required
• Procedure time around 30 minutes
• Full recovery 12 hours
• Back to work immediately
• When you are perfectly happy to proceed Dr Kieron will mark the areas to be treated.

After your skin has been cleaned the botulinum toxin will be applied.

Dr Kieron will do this using a syringe and tiny needle. Most people find this a pain-free experience, with maybe a slight stinging sensation when the treatment is applied under the skin.

Once all of the chosen sites have been treated, your skin will be gently cleansed, and you are ready to go.

You will be ready to leave and take up your normal activities as soon as the treatment is complete.

However, there are a few things to remember.

• Avoid lying down for four hours after treatment.
• Do not rub your face in the area of the treatment for 72 hours.
• Avoid alcohol for 12 hours.
• Avoid applying make-up for 12 hours (some mineral makeup, gently applied is acceptable so long as the face is not unduly rubbed).

You should notice the treatment working within a few days but it may take up to up to 14 days.

Nurse Vicky will offer to make a telephone review of your progress after 2 or 3 days and  you will be offered a review face to face apppointment two weeks after your treatment to assess the result and your satisfaction.

This appointment is free of charge.

At this follow-up appointment, you will have the opportunity to discuss any concerns, for example:

• If you are pleased with the results but feel you would like additional areas treated. This can be offered at this appointment, but there will be a charge for this as it will involve the use of additional product.
• If a treated area has only partially responded you may choose to have a small application of botulinum in that area, free of charge.
• If you are happy with treatment, then no additional treatment is needed.

Botulinum treatment is generally very safe and well tolerated by most people. The side effects are very rare and mostly will resolve with time.

• Local bruising.
• Eye brow droop.
• Allergy reaction.
• Eyelid lag.
• Facial asymmetry.

There may be minor irritation during the procedure at the injection sites.

Botulinum toxin is known to react with some other types of medicine, which is why it is important that you inform Dr Cooney if you are on medication, this includes herbal medicines, before you have treatment

You should not have Botulinum treatment if

• There is any infection near to the site of treatment
• You are allergic to any of the ingredients
• You are pregnant or breast-feeding
• You have a neuromuscular disorder such as myasthenia gravis

You should not have Botulinum treatment if you are on certain medications e.g.

• Antibiotics, including tetracyclines, polymyxins and lincomycin.
• Muscle relaxants.

Aminoglycoside antibiotics, such as neomycin, gentamicin and tobramycin.