FAQ

BOTULINUM TOXIN INJECTIONS

Anti-wrinkle injections contain the active ingredient botulinum toxin type A which is a natural, purified, injectable protein. It is a prescription-only medicine so can only be legally administered after your doctor has had a face to face consultation with you. Although it is commonly referred to as Botox, Botox® is actually a trademarked brand name for a specific botulinum toxin type A. There are several other legal brands available in the UK including Bocouture, Vistabel, Azzalure and Dysport.

How does it work?

All brands of anti-wrinkle injections work in exactly the same way; by temporarily blocking the transmission of signals from nerves that tell a muscle to contract. Lines and wrinkles on the face are caused by facial muscles contracting into the same expressions over and over which causes the skin to fold.

When injected into the face by a trained and experienced aesthetic doctor, anti-wrinkle injections temporarily relax these muscles thereby smoothing out the lines and wrinkles to leave a smoother and fresher appearance. With precise targeting, the injection will not affect the other facial muscles from moving and will leave you with your natural facial expressions.

When will the treatment start to take effect?

You will normally start to notice the effects of the treatment by day 4 but the maximum effect is seen at 2 weeks.

How long does it last?

The effects start to wear off after 3-4 months when the muscle movements will start to return back to normal and the wrinkles may start to re-appear. At this stage you would require further treatment if you want to maintain the effects.

What does the treatment involve?

Your aesthetic doctor will discuss your medical history with you and analyse your face during a face to face consultation to determine whether anti-wrinkle injections are right for you. If so, they will create  a personalised treatment plan for you, based on your concerns and treatment goals. The treatment itself can take between 10 – 20 minutes depending on how many areas are being treated. A small amount of botulinum protein is injected into the muscle with a very fine needle and the procedure is relatively painless or at most causes a mild discomfort so anaesthetic is usually not necessary. 

Is the treatment safe?

Botulinum toxin injections are medical treatments. They are relatively safe treatments, but should always be undertaken by a qualified medical professional to ensure that you are getting the correct amount in the right area. A qualified medical profession would be someone such as a doctor, dentist or a nurse. Visiting someone without the correct qualifications and experience could lead to potentially serious complications. Such complications would require medical intervention and a qualified medical professional is trained to deal with these complications as part of their medical training and would have access to the correct medical drugs to manage these complications. The aesthetic industry is currently unregulated so many non-medical people are injecting botulinum toxin such as beauticians. Whilst they are not technically breaking the law, you should think very carefully about receiving a medical procedure from someone with no medical training. Your safety should come first.

What are the side effects?

Because the anti-wrinkles injections are quick and have minimal visible side effects, they have gained a reputation as being “lunchtime procedures” as patients can usually go about their normal day after the session. There will likely be some minor redness and swelling at the injection site which is normal. You can expect these side effects to resolve within 24-48 hours. There may also be some rarer side effects which will be discussed with you at your consultation.

Are these treatments suitable for me?

Anti-wrinkle injections are not just for women. They have also been clinically proven to give great results in men. You must be over the age of 18 to be able to consent to having anti-wrinkle injections. We would advise that you do not have the treatment whilst pregnant or breast feeding. Your aesthetic doctor will ask you more about your medical history at your consultation to make sure that the treatment is suitable for you to have.

What other conditions can botulinum toxin treat?

Botulinum toxin can also be used to treat other aesthetic conditions such as excessive sweating of the armpits, a gummy smile (showing too much upper gums when smiling) neck bands, wide jaw or conditions related to teeth grinding. Please contact us should you wish to discuss treatment of these conditions in more detail.

After care

After your treatment there are a few precautions to take to maximise the effects of your treatment. Avoid lying down for 4 hours immediately after the treatment Avoid manipulating the treatment area (e.g. facial or massage) Avoid activities that can cause facial flushing (application of heat to the face, sauna, exercising, tanning, alcohol)

How much do anti-wrinkle injections cost

As anti-wrinkle injections are prescription-only medicines it is important to choose a skilled medical practitioner/professional who knows exactly how to relax the correct muscles and leave other muscles working as normal. At Dr Simi Medical Aesthetics, anti-wrinkle treatments are only performed by doctors as patient safety is most important. Prices start from £175

DERMAL FILLERS

Dermal fillers, are made of a substance that occurs naturally in the human body called Hyaluronic acid (HA). HA is a naturally occurring sugar found in the skin which gives the skin its elasticity and tone by attracting and attaching to water molecules. As we age, our skin produces less HA which causes it to lose its elasticity, become more dry and more prone to forming wrinkles.

How does it work?

Injecting HA dermal fillers into the skin causes the skin to attract water which restores volume and gives a smooth, refreshed and youthful appearance. The results can last up to 12 months when the body will gradually break down the injected HA and the effects of the filler will fade.

When will the treatment start to take effect?

The results of dermal fillers are seen immediately. Because fillers attract water, there will be some prominent swelling initially which will settle within the following few days

How long does it last?

The results depend on several factors including; the area of the face/body where it is used, type of filler and how quickly your body naturally dissolves the filler which is different for each individual. Typically fillers can last 6-12 months. Some fillers can last 12-18 months.

What does the treatment involve?

Your aesthetic doctor will discuss your medical history with you during a face to face consultation to determine whether dermal filler injections are right for you. If so, they will create a personalised treatment plan for you based on your concerns and treatment goals. The treatment itself can take between 20-30 minutes depending on how many areas are being treated. The filler is injected into the skin using a fine needle or cannula and the area massaged to give a smooth finish.   You may experience some discomfort during the procedure however there is some anaesthetic in each syringe of filler and an anaesthetic cream will also be applied to the areas to be injected for that extra comfort.

Is the treatment safe?

The dermal fillers used are all FDA approved and considered safe as long as they are administered by a medical professional (doctor, dentist or nurse). The hyaluronic gel is completely natural and over time, your body will naturally dissolve the filler. As with any injectable procedure, they are medical procedures so it is important to choose a skilled medical professional who is experienced, has a good knowledge of the anatomy of the areas to be injected and also has an artistic eye. In order to best serve our patient’s needs and ensure their safety, our injectable treatments are performed only by doctors. Dr Simi’s surgical training, her experience as an anatomy teacher and 12 years medical experience make her ideal to provide you these treatments safely.

What are the side effects?

There are some common side effects e.g. redness, swelling and bruising which would be temporary. Other more rare side effects will be discussed with you at your consultation.

Are these treatments suitable for me?

Dermal filler injections are suitable for men and women. We would advise that you do not have the treatment whilst pregnant or breast feeding. Your aesthetic doctor will ask you more about your medical history at your consultation to make sure that the treatment is suitable for you to have.

Which areas can be treated?

Dermal fillers are used to create volume where it has been lost, or to create volume where it is lacking. It is commonly used to smooth lines and wrinkles around the nose and mouth, to enhance lip and cheeks and to reshape the nose. It can also smooth wrinkles and lines or enhance the following areas: forehead, hands, eyes, jawline.

After care

After care After your treatment it is best to: -avoid massaging the treatment area (e.g. facial) -avoid activities that can cause facial flushing (application of heat to the face, sauna, sunbed, exercising, tanning, alcohol) until swelling resolves

How much do dermal fillers cost?

Dermal filler prices are based on the type of filler used, size and number of syringes and the skill, expertise and training of the doctor treating you. Prices start from £275