FAQ’S - Botox™

Who should not have Botox™ ?
Women who are pregnant or breast feeding. Patients with a history of neuromuscular disease (Multiple Sclerosis, Myasthenia Gravis, Bells Palsy)
Patients taking medicines that can increase bleeding (asprin/anti-inflammatories) will be asked to stop the medication 48 hours prior to Botox™ treatment if clinically appropriate.
Patients taking certain antibiotics or St. Johns Wort.

How does Botox™ work ?
Botox™ reversibly relaxes the target facial muscles under the skin. The lines produced by the pull of the underlying muscles will then disappear or diminish.

What are the possible side effects ?
Transient minor bruising (rare)
Transient headache (rare)
Eyelid ptosis (droop of the eyelid) (extremely rare)

How quickly does Botox™ work ?
The effects start after 2-3 days and have reached maximum effect by 2 weeks.

How long do the effects of Botox™ last ?
The average duration is 3 – 4 months but varies from 2 months to 6 months. As a general rule the gap between injections tends to lengthen with repeated treatments due to muscle ‘hibernation’ . If treatment is discontinued the lines will gradually return to their original appearance.

Can Botox™ become ineffective ?
In theory, if injections are repeated too quickly (less that 1 month), the body can gradually make antibodies to the Botox™ and reduce its efficiency.

Are there any other benefits of Botox™ therapy ?
Some patients who suffer tension headaches or migraine, triggered by facial tension, can notice a reduction in the frequency of these.

How is Botox™ administered ?
A very fine needle is used to inject tiny amounts of Botox™ into the selected muscles. The discomfort is minimal and no local anaesthetic is necessary. There is no ‘down’ time and normal activities can be resumed straight away.



Where can it be used ?
Typically the treatment is used for wrinkles in the lower half of the face, such as the ‘marionette’ lines, and for augmenting the lips. It can also be used in conjunction with Botox™ for wrinkles around the eyes and forehead.

How quickly does it work ?
The effects are noticeable immediately although it may take a few days before the final effect is reached.

How long does it last ?
Usually the effects will last at least 4 – 5 months, although often it can be much longer, especially with lip line treatment which sometimes lasts up to 9 months.

For whom is the treatment unsuitable ?
Anyone who has had a reaction to hyaluronic acid fillers in the past.
Some forms of severe auto-immune disease.
Localised skin infection – Please note that if you suffer from cold sores in the area to be treated, there is a small possibility that the treatment could trigger an attack. Anyone taking aspirin, anti-coagulants, anti-inflammatories or steroids should contact us for advice well before treatment.

Are there any side effects ?
Like any form of injectable treatment, bruising is a small possibility.