anti-wrinkle-injections-faqs

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Anti-Wrinkle Injections FAQs


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injections are the most commonly performed cosmetic treatment in the UK. They work by using small amounts of toxin to relax specific facial muscles, the dynamic lines they create when contracted. The treatment is well-evidenced, predictable, and — in the hands of an experienced injector — has a low risk .


This is a answer to the questions most often ask in consultations: what the treatment does, who it suits, what to expect, how long it lasts, what it costs, what to avoid afterwards, and where its honest limits are.



How do anti-wrinkle injections work?


Botulinum toxin temporarily blocks the chemical signal (acetylcholine) that tells a muscle to . When the muscle can’t contract, the skin overlying it isn’t folded and the dynamic line it was softens or disappears. Over time, with treatment, this can lines from becoming permanent static wrinkles.


The toxin is in tiny through a fine needle directly into the target muscle. It doesn’t travel through the body and has no effect at cosmetic doses. The effect is localised, temporary, and reverses as the body the product over three to four months.


For a fuller explanation of how lines and which suit which stage, see our guide to .



Which areas can be treated?


work best on dynamic lines in the upper face, where movement-driven dominate. The most commonly treated areas are:


Forehead lines — the horizontal lines caused by the frontalis muscle when the brows.


lines ("the elevens") — the vertical lines between the brows caused by the and procerus muscles. See our dedicated guide on .


Crow’s feet — the lines from the outer corner of the eye, caused by the orbicularis oculi. Our guide on covers the alternatives, but remain the most direct treatment.


Bunny lines — the diagonal lines on the sides of the nose from the nasalis muscle. Our covers this in detail.


Non-wrinkle uses include jaw slimming ( an overactive muscle), softening a gummy smile, the brow by one to two millimetres ( in our article), treating platysmal in the neck, and reducing chin dimpling.


uses include hyperhidrosis ( sweating), migraine, (jaw and grinding), and Bell’s palsy .



How quickly do anti-wrinkle injections work?


The initial effect at days three to five — you’ll notice the treated muscle less mobile when you try to frown or raise your brows. The full result is at around 14 days.


Patients often book follow-ups at day two or three worried that the hasn’t worked. Almost always, it just hasn’t finished . Wait the full two weeks before or requesting any .



How long do the results last?


Most see meaningful effect for three to four months. Some experience longer durationoccasionally up to five months — depending on the dose used, how strong the target muscles are, and individual .


There is some evidence that with consistent treatment over time, the muscles soften and patients may need slightly less or longer between to maintain the result. This effect is real but modest, and you shouldn’t expect dramatic changes in dosing after a few sessions.



Should I let my anti-wrinkle injections wear off completely before the next session?


For most aiming to maintain a steady, refreshed appearance, no — the most effective approach is to schedule the next treatment just as the effect begins to wane, typically around the three-month mark. There are three for this:


of result. Maintenance treatments build on the rather than from each time. An experienced can doses based on what worked in the previous session.


Muscle weakening over time. treatment at intervals leads to a of the treated . Patients who maintain a steady generally need slightly less over time. Those who let the effect wear off completely between don’t from this cumulative effect.


secondary non-response. There is evidence that repeated full lapses in treatment may, in some patients, the production of against the toxin, reducing future effectiveness. Consistency this risk.


That said, letting the effect wear off completely is a choice for some patients. Common reasons include:


Neither approach is medically wrong. The depends on what you’re trying to .



How often will I need treatment?


Every three to four months on average. on a consistent schedule sometimes find the interval can stretch slightly over time. Patients with very strong facial muscles, particularly male patients, may need more frequent to maintain the same effect.



Will my face look "frozen"?


Not when treated by an injector using a dose. The frozen look comes from — using too much product or treating too many at once. Good treatment preserves natural expression while the lines.


The first is typically conservative for this reason: it’s far easier to add a small top-up at two weeks if more is needed than to an result, which has to be waited out.



Does the treatment hurt?


Most patients describe it as a brief pinprick at each injection point. No numbing cream is needed for upper-face because the needles used are very fine and the are quick. Mild bumps appear at each site and settle within 15 minutes.


Mild bruising is possible — particularly for crow’s feet, where small can be nicked. If a bruise occurs, it usually within a few days. alcohol, like ibuprofen, and fish oil for 24 hours before reduces bruising risk.



What should I avoid after treatment?


The first 24 hours matter most. Avoid:


These exist to the product from to nearby muscles before it has bound to its target. For a full guide, see .



How much does it cost?


Pricing depends on how many areas are treated and the number of units . As a guide, treatment of one area (forehead, glabella, or crow’s feet) starts from around £200. Treating all three together usually works out more cost-effective than booking each area separately, and a more result.


, including 0% APR, are available to spread the cost across a treatment plan.



Who is a good candidate?


Anti-wrinkle suit:


The treatment is less for:


A consultation which combination of your actual concerns.



Who should not have anti-wrinkle injections?


The contraindications are:


For more on the age question, see our guide on .



What are the risks and side effects?


The most common side are mild and short-lived: small or bumps at injection sites, mild headache for 24 hours, and occasionally a sensation of in the during the first week as the muscle into its relaxed state.


The most concerning rare complication is product to nearby muscles — particularly the levator palpebrae superioris (the muscle that lifts the eyelid), which can cause temporary eyelid droop (ptosis) lasting several weeks. This is rare with technique and good post-treatment care. If it occurs, prescription eyedrops can help in some cases, but the underlying issue resolves only when the toxin wears off.


Asymmetry is occasionally noticed at the two-week mark — one side has more than the other. This is straightforward to with a small top-up.


reactions to toxin formulations are rare but have been reported. Any unusual symptoms following — significant swelling, difficulty, generalised rash — should prompt immediate attention.



Can I combine anti-wrinkle injections with other treatments?


Yes — and the most balanced results often come from treatment. Common combinations include:


With dermal filler. Where deep static lines exist alongside dynamic lines (most commonly the glabella), a small amount of filler placed within the static line itself completes what muscle alone can’t smooth. also volume loss in the cheeks, temples, and tear troughs that anti-wrinkle can’t.


With skin treatments. and address skin quality, texture, and — the surface-level changes that injectables don’t . Combining muscle with energy-based treatment produces a more complete result than either alone.


With . and treatments dermal quality from within, the muscle work done by .


With surgery. injections are used as maintenance after procedures like or to the result.



How is the consultation structured?


At Centre for Surgery, a first includes:


We don’t push treatment on patients who don’t need it. If your would be better by skincare, surgery, or non-treatment, we say so. The aim is the lightest that genuinely helps.


For cases or where the is whether surgery would be more appropriate, you may be seen by one of our specialist surgeons including .



How do I book?


Call or . We’ll arrange a at our . Many patients have their first the same day if they choose to proceed.


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Centre for is a CQC-regulated private on London’s Baker Street, delivering and surgery through specialist surgeons. Our expertise spans facial procedures including and , , for men, and body procedures such as and . Patient safety, excellence and results sit at the heart of everything we do.


Centre for Surgery is a CQC-regulated on London’s iconic , offering plastic and led by consultant .




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