Content Botulinum toxin A

Botulinum toxin (‘toxin’) is a neurotoxin that has been used for many years as a medical treatment. When injected selectively and with skilled hands to the face, it results in relaxation of muscles that cause wrinkles. The effect is a more youthful appearance. Toxin effects last for many months, and are reversible in time, making it a safe treatment. Toxin has many other therapeutic applications including treatment for hyperhidrosis (excess sweating), bruxism (jaw clenching and chronic migraine.

Some botulinum products have complexing proteins. These proteins can result in the development of resistance to botulinum toxins. Once it has developed, resistance cannot be treated, and botulinum toxin of any kind (even a different brand) will not be as effective. The incobotulinumtoxin we prefer was specially developed to prevent toxin resistance by removing complexing proteins. This is important not only to enjoy life-long cosmetic benefits of botulinum toxin, but also to ensure that should the medicine be required for medical treatments, such as muscle spasms or bladder tone problems, the toxin will continue to work.

We are unable to provide details on the brands of prescription products. Our facial rejuvenation consultations will discuss a variety of treatment options in the context of clinical suitability.

Botulinum toxin is suitable to treat

  • Dynamic facial wrinkling (eg forehead, lateral canthi /crow’s feet)
  • Fixed facial wrinkles (eg glabella or frown line)
  • Creases that are receiving dermal filler treatment
  • Upper lip wrinkling (previously called smoker’s lines)
  • Inward turning or small upper lips
  • Downward turning lip margin
  • Nasal creasing and expression marks
  • Platysmal bands
  • Hyperhidrosis (excessive sweating)
  • Hay fever
  • Migraine
  • Muscle spasms
  • Bruxism (jaw clenching)


  • Consultation: A consultation with our clinical team is essential to discuss suitability for botulinum toxin treatment and to discuss individual goals and expectations. Pre-procedure images will be taken for records.
  • Administration: The toxin is injected into specific muscles using a fine needle.
    Results are not immediate and usually become noticeable within a few days with maximal effect at 10 days.
  • Duration of Effects: The effects of botulinum toxin are temporary and typically last for several months (around 3 to 6 months), after which the procedure may need to be repeated.


Common Side Effects

  • Bruising, redness, or swelling at the injection site.
  • Temporary muscle weakness or drooping in nearby areas.

Rare Complications

  • Allergic reactions.
  • Spread of the toxin to unintended areas, causing unexpected muscle weakness.
  • Difficulty swallowing or breathing (rare but serious).

Individual Variability

  • Response to the toxin can vary among individuals.

Post-Procedure Care

  • Avoid Touching or Rubbing: Refrain from touching or rubbing the treated area immediately after the procedure to minimize the risk of spreading the toxin.
  • Activity Restrictions: Avoid vigorous exercise and activities that may increase blood flow to the face for a day or two post-treatment.
  • Facial Expressions: Practice facial expressions to help distribute the toxin evenly throughout the treated area.
  • Follow-Up Appointments: Attending a review 7-10 days after your injection allows your clinician to assess your response and offer top-up adjustments if required. Review images will be taken for medical records.
  • Potential Side Effect Management: Contact your clinician if there are any unusual side effects or complications, such as persistent muscle weakness or difficulty swallowing.

FrequentlyAsked Questions

How is the Procedure Performed?

Is the Procedure Painful?

How Long Does It Take to See Results?

How Long Do the Results Last?

Are There Any Side Effects?

Can I Combine Botulinum Toxin with Other Treatments?

Are the Results Natural-Looking?

How Soon Can I Resume Normal Activities?

Is Botulinum Toxin Safe?

How Often Should I Get Botulinum Toxin Injections?

Can I Have Allergies to Botulinum Toxin?

How much does it cost?