Attractive young woman gets cosmetic injection of botox, isolated over white background. Doctors hands making an injection in face. Beauty Treatment.

What is it?

Neurotoxin injections  (Botulinum Toxin) are used in aesthetic medicine to soften or take away frown lines and wrinkles.  Botulinum Toxin has FDA approval for the treatment of glabellar lines (frown lines) and crow’s feet, although it is often used off-licence in other areas.  It works by blocking the transmission of nerve impulses to the muscle, resulting in a decrease in muscle action which lasts for 3-6 months.  Apart from the immediate improvement in wrinkles, regular neurotoxin injections help to prevent  deep lines and wrinkles from forming and becoming ingrained.

Muscle relaxing injections are the most popular treatments around the world and the feel-good factor is unbelievable. Studies have shown that reducing the frown lines with injections is as affective as an anti-depressant in lifting ones mood.

Most patient start this treatment in their late 20’s – 30’s.

Botulinum Toxin is also widely used to treat other medical conditions such as hyperhidrosis, cerebral palsy, overactive bladders, and strabismus (squinting).

What conditions can it be used for?

In aesthetic medicine, Botulinum Toxin can be used to treat the following conditions:

  • Frown lines
  • Forehead lines
  • Crow’s feet
  • Dimpled chin
  • Gummy smile
  • To lift eyebrows
  • Correction of asymmetry
  • Migraine prevention
  • Fine lines on lips
  • Nefertiti facelift
  • Platysmal bands (neck chords)
  • Hyperhidrosis (excessive sweating)
  • Masseter hypertrophy (over-developed jaw muscles)
  • Reduction of teeth clenching
  • Reduction of teeth grinding

Botulinum Toxin is registered for aesthetic use for treatment of frown lines and crow’s feet, and hyperhidrosis.  All other uses are off-label.

What does a treatment entail?

The area to be injected will be cleaned and markings may be made on the skin.  Ice will be applied to the area to help numb it.  Small amounts (units) of Botulinum Toxin are injected into the area being treated in specific locations determined by your doctor.  Afterwards, there may be small, raised bumps which usually disappear within 15 minutes. Although we use a very small needle, bruising may occur.

Is there pain and downtime?

Ice is applied to the area being treated which helps make the injections less painful.  Most people tolerate the procedure easily.  If you are particularly scared of needles, please ensure that you arrive at least 30 minutes before your appointment and request topical anaesthetic cream to be applied.

When can I expect to see results?

Reduction in muscle action usually starts within 3 days with the maximal effect reached at 14 days.  Because Botulinum Toxin sometimes affects some muscles more quickly than others, we usually see our patients for a follow up on day 14 to check that results are optimal.

How many treatments do I need and how often?

The wrinkle-reducing effects of Botulinum Toxin last for 3-6 months.  Duration of effect can be influenced by metabolism, excessive exercise, certain medications, sun exposure, smoking, and genetics.  If treatments are repeated regularly, just as the muscle action starts to return, the treated muscle will get weaker and weaker over time, leading to the effect of Botulinum Toxin lasting longer and longer.  For most patients, a Botulinum Toxin treatment every 4 months is optimal.

Regular and long-term use of Botulinum Toxin helps to prevent lines and wrinkles from becoming deep and ingrained.  For this reason,  it is regarded as a preventative treatment.

Botulinum Toxin for masseter hypertrophy (to decrease jaw clenching and teeth grinding) and underarm hyperhidrosis often lasts for up to 8 months.

Frown lines

Forehead lines

Crow’s feet

Dimpled chin

Gummy smile

To lift eyebrows

Correction of asymmetry

Migraine prevention

Fine lines on lips

Nefertiti facelift

Platysmal bands (neck chords)

Masseter hypertrophy

Reduction of jaw clenching and teeth grinding

Hyperhidrosis (excessive sweating)


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Hyde Park

Tel:  011 788 7910