Frequently Asked Questions

I have answered some of the most commonly asked questions regarding Botox® and dermal filler treatments below, I hope you will find this useful. If you have any other questions please do not hesitate to contact me, I am always happy to help.

Botox®

Q.
What is Botox®
A.

Botox®, or Botulinum toxin A, is a protein derived from the bacteria Clostridium botulinum. It works by blocking the signal between the last part of the nerve and the muscle that is being targeted, causing the muscle to relax and therefore not function. As the nerve fibres regrow, the function slowly returns.

In fact, Botulinum toxin was first discovered to treat wrinkles as a side-effect of migraine treatments using the product. It has several other medical uses including prevention of excessive sweating (hyperhidrosis) and dystonia (muscular tics and spasms). It is of course best known for being able to reduce wrinkles!

Q.
Who can be treated with Botox®?
A.

Botox® is suitable for people with dynamic wrinkles (wrinkles that appear upon movement of the muscle - such as forehead lines from raising your eyebrows). It is not suitable for women who are pregnant, breastfeeding or anyone that has previously had an allergic reaction to the product.

There are some rare neurological conditions that contraindicate the use of Botox®. Also, if you are taking blood thinning medication for cardiovascular reasons, you are more likely to bruise after treatment. Therefore, to ensure that you are suitable, a full medical history is taken at every consultation and prior to any treatment.

This treatment is not recommended for those under 25 years old.

Q.
How long does it last?
A.

The attraction of this treatment is in part due to the fact that the effects are temporary. On average the effects can last between 2-4 months, with most people noticing lines reappearing after approximately 3 months. The longevity of the treatment will depend on your muscle type and activity, which product was used and how much was administered.

In some cases, the continued use of Botox® will result in the need for less frequent treatments. This is due to the fact that nerve endings can eventually start to regrow at a slower pace. This does rely on having regular treatments to begin with, usually once every 3 months.

Q.
I don't want to look obviously "done" - how can this be avoided?
A.

I pride myself on achieving natural results. The aim of facial aesthetics is to look and feel better, my objective is to achieve this without it being obvious that a treatment has been performed - a "less is more" approach is key to this.

Q.
Does it hurt?
A.

Generally speaking Botox® injections do not hurt - each injection is very quick and the needles used are very fine and short. You will be aware that you are being injected and you may feel a little sting, people do not normally consider this to be painful.  

Q.
Is "downtime" required following treatment with Botox®?
A.

Generally speaking, no. There may be some minor swelling and redness noticeable immediately following treatment, this will normally start to diminish after approximately 20 minutes.

Q.
What do I need to do following the treatment?
A.

For the rest of the day following treatment it is recommended that:

  • Treated areas should not be touched.
  • Make up should not be applied (unless sterile make up is used).
  • Anything that can make bruising more likely (such as alcohol, exercise, and extreme heat) should be avoided.

In addition to this, it is advisable to remain upright for at least 2 hours after treatment if possible.

Q.
How long after treatment does Botox® take effect?
A.

The results are not instant - you will start to notice a reduction in the lines upon movement after 5 - 7 days, with full effects being visible approximately 2 weeks after treatment. 

Q.
The prices are determined on "areas" - what is an area?
A.

This is a fairly universal fee structure that most aesthetic practitioners adopt. Using the treatment of crow's feet as an example; both sides of the face are treated but the treatment is still referred to as "one area".

It can be cost effective to have treatment performed on more than one area at the same time. For example, it costs £199 to have one area treated (e.g. crow's feet) and only another £50 (£249 in total) to have a second area treated at the same time.

Dermal Fillers

Q.
What are dermal fillers?
A.

Dermal fillers are made of hyaluronic acid - a naturally occurring sugar present in every part of our bodies. It helps to keep the cells and tissues together, and keep the structure of the skin hydrated and lifted.

As we age, much like the collagen and elastin in our skin, the amount of hyalronic acid we have starts to reduce. This leads to loss of volume and structure in the skin. Dermal filler is therefore great for giving structure (such as in the cheeks), for filling in lines such as nasolabial (nose to mouth) folds, and for giving hydration to the areas treated.

Q.
Who can be treated with dermal filler?
A.

In general, anyone with a suitable area to treat who is not pregnant, breastfeeding or allergic to any of the constituents of the product. A full medical history is taken at every consultation, prior to any treatment being perfomred.

This treatment is not recommended for those under 25 years old.

Dermal filler may not be suitable for you if you are prone to keloid scarring.

Q.
How long does it last?
A.

Dermal fillers typically last between 6-12 months, depending on where anatomically they have been used, the quality of your skin, and the amount and type of product used.

For some areas, dermal filler can be used in conjunction with anti-wrinkle Botox® injections, to not only achieve a better result but also to enable the effects of the filler to last longer.

Q.
Does it hurt?
A.

Due to the nature of the treatment, dermal filler application can be more painful than that of anti-wrinkle injections. Prior to each treatment with filler, a small amount of topical anaesthetic (numbing cream) is applied to the area to be treated. This usually takes 15-20 minutes to take effect. 

All of the dermal fillers I use have local anaesthetic in them, which makes the treatment even more comfortable. For lip filler, to ensure as comfortable a procedure as possible, a local anaesthetic can sometimes be given. For cheek filler, often no anaesthetic is required at all! All of the available options will be discussed when we meet for your consultation.

Q.
Is "downtime" required following treatment with dermal filler?
A.

Due to topical anaesthesia being applied to the skin and also being present in the filler itself,  numbness will be felt in that area for a couple of hours after the treatment. Following treatment, some redness, swelling and\or bruising may be noticeable. Whilst everything possible is done to avoid this, I always recommend that dermal filler treatment be planned with respect to any upcoming engagements - you should expect to look your best approximately 2 weeks after application.

Q.
What do I need to do following the treatment?
A.

For the rest of the day following treatment it is recommended that:

  • Treated areas should not be touched.
  • Make up should not be applied (unless sterile make up is used).
  • Anything that can make bruising more likely (such as alcohol, exercise, and extreme heat) should be avoided.
Q.
Why do different parts of the face cost different amounts?
A.

There are lots of different types of fillers that are used for different purposes. Some fillers are more runny (less dense) as they need to be more forgiving in the areas that they are used for, such as the very fine lines that can form above the upper lip.

Some areas, such as the cheeks, require a much denser filler as it is required to add volume and structure to this part of the face. These denser products cost more than the less dense ones, however they do also generally last longer.

Other Questions

Q.
How can I pay for treatment?
A.

Payment for treatment is due after the procedure has been completed, the amount due having been agreed beforehand. I am able to accept cash, cheque, or card payment (excluding American Express). All consultations are complimentary, and the 2 week review is included in the price.

Q.
Do I have to have my photographs taken?
A.

I am required to take photographs of your face before, immediately after and 2 weeks after your treatment. This allows me to maintain accurate treatment records not only for my professional indemnity, but also to show you the changes that have occurred as a result of you undergoing treatment.

All photographs are stored securely. They will not be used for marketing or any other purpose without your explicit consent.

Q.
Do I have to return for a 2 week review?
A.

Due to the fact that the anti-wrinkle injections take up to 2 weeks to take full effect, a review is essential to see if the treatment has had the desired result. The appointment is usually short, if a small amount of additional product is required at this stage then this can be given. There is no additional charge for this or for the review, even if you require further product at the review to perfect the result.

Ideally, I also like to review dermal filler treatments after 2 weeks have elapsed. If this is not convenient, I am happy for you to send me a photograph so I can assess how well the treatment has worked for you.

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