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Botox London | Advanced Cosmetical Treatments

CosMeDocs is one of the leading Botox Anti Wrinkle Treatment Clinics in London, providing thousands of these procedures as well as involved in training other physicians all across UK. The botox London procedure works well for both men and women, using ultra small needles with good technique patients have minimal discomfort.

Botox London Real Success

Approved by both the FDA(USA) & MHRA(UK), Botox is used for various aesthetic and medical indications. Botox London has been under practice for more than 20 years and over 2 million patients are treated in the UK & US per year. Botox is a highly purified protein derived from the bacteria called Clostridium Botulinum. It blocks the nerves to muscles that cause wrinkles & unnecessary expression as well as sweat glands to decrease excessive sweating. Also, in bruxism it is used to relax excessively strong (hypertrophied) muscles. Often referred to as a potent toxin in the media it is used in very low doses that are safe when performed by experienced medical practitioners.

The real potential of botox in cosmetics continues to be unearthed. Advanced practitioners are capable of lifting jowls, subtle eyebrow shaping and jawline contouring. Embarrassing features such as nasal flaring and gummy smiles can be greatly improved. Botox anti-wrinkle injections are capable of reshaping the eyebrow arch, smoothing the neck, contouring and lifting the jaw line. Additionally, it can ease excessive sweating and relieve migraine sufferers. There appears to be endless possibilities with this fascinating product, which has justly earned its loyal enthusiasts.

Vector Man Shap   Men – “Botox is the single most common physician administered cosmetic treatment in men”

Various indication of Botox

Botox London for a better you

We are candid about the advice we give as good results depend on treating for the right indications. Whether you’re looking anti-wrinkle treatments or want to prevent, book in for a Botox London consultation and discuss your specific requirements in detail without any obligation with one of our cosmetic doctors.




Baby Botox / Microtox

Baby botox also known as ‘Microtox’ uses a careful, advanced technique of botox injections. Tiny droplets of botox are injected into the dermis and the superficial layer of facial muscles. The botox relaxes the outermost muscles and diffuses into sweat and sebaceous glands. The result gives a natural appearance without an ‘over-botoxed’ look as fine lines decrease with a weakened superficial muscle layer but without compromising deep muscle movement. There are additional benefits as the texture of the skin can improve with decreased sweat and sebum production reducing skin sheen and the appearance of open pores.

Many individuals prefer to have Baby Botox in the most commonly treated areas such as the frown, forehead and crow’s feet. They favour the smoothness that microtox gives along with the additional remaining muscle movement which is more natural.

Possible Treatment Areas

See Picture & Tabs Below For Further Information On Specific Treatments

Botox london -Injection Treatment Areas



1.Forehead Lines

The parallel grooves that appear on the forehead from constant contraction of the frontalis muscle and elevation of the eyebrows worsen with age and sun exposure. For certain people, these lines show ‘negative’ emotions of stress, concern and tiredness. Also we find that the primary concern with these lines is that they can age the facial appearance.

Whilst many may desire the complete absence of these lines with botox, the resultant effect of ‘overtreating’ can create a stony, artificial, shiny forehead with little feature. We have the extensive experience to apply with caution and precision in these cases. We have had many successes in achieving, a softer, smoother and natural look when applying botox wrinkle relaxing injections in this area.

Please note that pillow / sleep lines are not treated with Botox.

Woman Wrinkles  Forhead Woman Wrinkles  Forhead-2

Further Information

Indication: Horizontal forehead lines

Muscle Targeted: The broad frontalis muscle that spans the forehead

Muscle Action: The vertical fibres of the frontalis muscle help to raise the eyebrows and have an effect on their shape.

Treatment: Botulinum toxin use in the frontalis muscle helps to smooth the forehead reducing the appearance of horizontal lines. Botox Treatment can also be tailored to elevate the lateral part of the eyebrow helping to lift heavy eyebrows.

Possible Side Effects:

  • Eyebrow droop
  • Eyebrow asymmetry
  • Eyelid droop

For individuals with excessive hooding of the brow, appropriate movement of the forehead is essential for lifting heavy eyebrows and eyelids. A balanced approach to treatment is addressed in these cases.

2.Frown Lines

Frowning is often associated with negative emotions such as anger, tiredness, disappointment and frustration. The vertical and horizontal lines that appear when frowning are formed by contraction of a group of muscles. Weakening these depressor muscles can help elevate the brow, soften the lines and create a more positive, relaxed appearance. Indeed, there is some evidence that treating the frown area can elevate mood and may help prevent migraines.

Dynamic frown lines that appear with active contraction respond very well to botox. However, over time they can form static creases that are visible at rest. We can discuss and then apply methods of treatment in these cases, for example a combination treatment using botox and dermal filler can provide some great results.

Botox Treatment Frown Line Male Before Botox Treatment Frown Line Male After
women Frown Line before botox treatment Botox Treatment Frown Line Female After
Botox Frown Line Treatment Before Botox Frown Line Treatment After

Further Information

Indication: Vertical frown lines between the eyebrows, sometimes with associated horizontal line above the bridge of the nose.

Muscle Targeted: The glabellar complex which includes the corrugator supercilii, procerus and depressor supercilii.

Muscle Action: When contracted these muscles draw the eyebrows together and pull downwards.

Botox frown lines Treatment: A typical treatment involves 5 injections to relax the frown lines. The strength of these muscles can vary considerably and often a stronger dose is required to fully relax movement. Some individuals may have associated movement of the forehead contributing to these lines and it may be recommended to also treat this area.

Possible Side Effects:

  • Eyelid droop
  • Eyebrow droop

3 & 4.Eye Wrinkles

The creases that radiate from the lateral part of the eye are known as ‘crow’s feet and can be the misery of many women as their make-up aggregates in the depths of the wrinkles. The dynamic lines that appear when smiling, laughing and squinting can be treated effectively and quickly with botox anti-wrinkle treatments. This area can be particularly prone to bruising and it is advisable to avoid alcohol and anticoagulant medications two weeks before treatment if possible.

Eye Wrinkle treatment options

With age and sun damage, deeper lines emerge that are present even without active movement. These static lines may require additional treatments with dermal filler, chemical peel or laser resurfacing balanced with the appropriate amount of Botox anti-wrinkle injections..

Creases appearing under the eye can age an individual’s appearance, project tiredness and amplify dark circles. Treatment of the lower eyelids is possible in select persons and can improve wrinkling and sometimes widen the eye. It is not recommended for those with reduced skin elasticity or who have had previous lower eyelid surgery or resurfacing. Your cosmetic doctor will be able to provide guidance during your consultation.

Eye wrinke before Eye wrinkel after
Botox Injection Lower Eye Wrinkles before Botox Injection Lower Eye Wrinkles After

Further Information

Indication: Lines that radiate from the corner of the eye

Muscle Targeted: The orbicularis oculi muscle encircles the eye and the lateral portion is targeted when treating crow’s feet.

Muscle Action: The orbicularis oculi muscle has many functions as it surrounds the eye including blinking and squinting. The lateral part of the muscle, targeted in this treatment, depresses the lateral eyebrow.

Eye wrinkle Treatment: The aim is to relax the lateral portion of the muscle which usually involves 3-4 injections of botulinum toxin each side. This should help to reduce the appearance of crow’s feet and lift the ends of the eyebrow.

Adjacent muscle movement: After a treatment some individuals may complain of accentuated lines in nearby areas such as bunny lines on the nose, lower eyelid wrinkles or under the eyebrows. It is possible to improve these additional lines with small doses of botulinum toxin.

Possible Side Effects:

  • Bruising
  • Difficulty squinting
  • Rare: Asymmetry of the smile

5.Eyebrow Lift

Eyebrow shape can dramatically alter appearance and a gently arched eyebrow conveys an attractive, youthful, happy and confident individual. This notably relates to females, as the ideal male eyebrow tends to be lower set and less arched. The lateral eyebrow is particularly prone to hooding as we age with loss of elasticity. It can be difficult to apply eye shadow and there may be an expression of tiredness and worry.

Botox Brow Lift

By injecting botox into the muscles that depress the eyebrow, a lifted brow can be achieved. This treatment is frequently done in conjunction with other areas such as the crow’s feet which can greatly help to open the eye.

Eyebrow Shap
Botox Treatment for Eyebrow before Botox Treatment for Eyebrow After

Further Information

Indication: Heavy eyebrows or eyelids

Muscle Targeted: The superior lateral portion of the orbicularis oculi

Muscle Action: When contracted this muscle pulls down, depressing the lateral part of the eyebrow.

Botox Brow Lift Treatment: Small doses of botulinum toxin under the lateral part of the eyebrow. This relaxes the muscle responsible for the downward pull of the eyebrow.
There are alternative muscles treated which can help to achieve an eyebrow lift such as:
Frontalis muscle of the forehead: This muscle elevates the eyebrows and treatment can be tailored to enhance the lift or to lower as required.
Glabellar complex involved in frowning: These muscles pull the medial eyebrows together and downwards. Treatment with botulinum toxin can help to lift the medial portion of the eyebrows.

Possible Side Effects:

  • Eyelid droop

6.Bunny Lines

Diagonal lines that naturally appear on either side of the nose when squinting or scrunching are called 'bunny lines'. Many find these little lines cute and rather attractive, however, others dislike the 'look of disdain' they can convey. Furthermore, bunny lines may also be the telltale ‘Botox sign’ when arising due to compensatory movement after the frown area has been treated.

Botox Bunny lines treatment

Bunny lines can be treated with small doses of botox on the lateral aspects of the nose. If you are having the frown area treated and appear prone to developing these lines our doctors may recommend also treating this area or reviewing your results at a top-up appointment where any adjustments can be made.

Botox Treatment for Bunny Line Before Botox Treatment for Bunny Line After

Further Information

Indication: Small lines that occur either side and on the bridge of the nose, more obvious on ‘scrunching’ the nose.

Muscle Targeted: The nasalis muscle

Muscle Action: The nasalis muscle pulls the nasal sidewalls together/medially when contracted. This can be demonstrated by asking patients to “Crinkle your nose”.

Botox Bunny lines Treatment: Small doses of botulinum toxin are injected into the muscle on the sidewalls and on the dorsum of the nose.

Adjacent muscle movement: Horizontal lines on the nose are frequently associated with frowning and contraction of the procerus muscle. It is often recommended to treat the frown area whilst targeting bunny lines.

Individuals who have crow's feet relaxed with botulinum toxin may find that bunny lines become accentuated and it can be beneficial to also have this area treated.

Possible Side Effects:

  • Lip droop
  • Smile asymmetry
  • Very rare: Diplopia – double vision

7.Oily T Zone

There are a high concentration of sebaceous oil glands in the so called T Zone area of the face.One of the action of botulinum toxin include blocking these glands.The advantages of blocking these glands in patients with excessive oily T zone is to improve skin texture, decrease pore size and spot breakouts

8.Nasal Flaring

Some individuals naturally flare their nostrils whilst others may have a wide nose or well-developed muscles and movement of the nostrils is easy. It can cause embarrassment for the person concerned and distract others when talking, smiling or laughing.

Treatment with Botox to relax the dilator muscles of the nasalis can reduce the width of the nostrils and the aperture, giving rise to a more narrow appearance. Results last 3-4 months. It is only effective in patients that can actively flare their nostrils. Side effects of this treatment include discomfort, swelling, redness and possible bruising. However, there have been no reports of difficulty breathing.

Further Information

Indication: Flaring of the nostrils, most noted on speaking or smiling.

Muscle Targeted: The dilator nasalis muscle which attaches to the alar cartilage.

Muscle Action: Contraction of dilator nasalis results in dilation of the nasal apertures (openings) and flaring of the nostrils.

Treatment: Botulinum toxin can be injected superficially into the dilator nasalis to reduce involuntary contraction of the muscle and narrowing the nasal apertures.

Possible Side Effects:

Complications listed below are rare:

  • Lip asymmetry
  • Lengthening of upper lip
  • Oral difficulty – speaking, eating, drinking

9.Droopy Nose Tip

Some individuals may droop the tip of their nose at will or concurrently while smiling this occurs.Also known as the “Witches Nose” the drooping of the nose is due to a small but very powerful muscle in the septum called Depressor septi nasi muscle.This muscle also attaches to the nasalis superiorly

10.Smoker’s Lip Lines

Lips are the focal point of the lower face with volume, smoothness and well-defined borders being the epitome of youth and beauty. It is with dismay that we notice how our lips change with age as they lose their contour and become thin and wrinkled. The lines that radiate from the borders deter women from their usual bright lipsticks due to lipstick bleeding. Although often termed 'smoker's lines' they can also be attributed to habitual pursing of the lips, chronological age and photodamage.

There are a variety of treatments adept at smoothing lip lines. Botox anti-wrinkle injections are best suited to dynamic wrinkles, those that appear whilst pursing lips. For established (static) perioral lines, dermal fillers and resurfacing with chemical peels and lasers are more effective.

Botox Treatment for Smoker lip Line Before Botox Treatment for Smoker lip Line After

Further Information

Indication: Lip lines around the mouth, also known as ‘smoker’s lines’ or ‘lipstick lines’.

Muscle Targeted: The orbicularis oris muscle that encircles the mouth.

Muscle Action: Enables ‘puckering’ by drawing the lips medially and inverting the lip border.

Treatment: Small, equal, doses of botulinum toxin are injected superficially to treat upper and lower lip lines. The central Cupid’s Bow is usually avoided as this can lead to flattening.

Additional Treatments: Deeper lip lines may respond better to combination treatments with botulinum toxin, dermal filler and/or laser resurfacing.

Possible Side Effects:

  • Lip asymmetry
  • Change of lip shape
  • Oral difficulty – speaking, eating, drinking

11.Gummy Smile

Displaying an excessive amount of upper gum on smiling or laughing can cause incredible anxiety, distress and embarrassment to individuals. It can lead to social behaviours focused on concealing their smile such as covering their mouths or avoiding photographs.

In order to tackle this concern with botox, the upper lip levator muscles need to identified and injected with small doses of botox. The result should ‘gently relax’ but not ‘paralyse’ these muscles. This should limit the upward movement of the lip and reduce the amount of tooth and gum exposure when smiling. The upper lip may appear elongated with a flatter groove (philtrum).

Botox Treatment for Gummy Smile before Gummy Smile After Treatment

Further Information

Indication: Gummy smile, which may also present with prominent nose to mouth lines (nasolabial folds).

Muscle Targeted: The levator labii superioris alaeque nasi muscle

Muscle Action: The vertical fibres of this muscle elevate the upper lip, particularly on smiling. It also contributes to the appearance of the nasolabial folds, the lines that appear from the sides of the nose to the mouth.

Treatment: A small dose of botulinum toxin injected into the muscle just above and lateral to the nostrils. This helps to relax the upper lip and it also appears lengthened, reducing the amount of gum showing when smiling. Nasolabial folds may also be softened.

Possible Side Effects:

  • Smile asymmetry
  • Lip droop
  • Very rare: Difficulty with certain oral functions – elocution, eating, drinking

12. Drooply lip corner

Downturned / Sad Mouth- Marionette Lines
Some individuals, particularly women, possess persistent downturned mouths. At the corners of the mouth, furrows (marionette lines) appear from the oral commissures and express sentiments of sadness and melancholy. This inverted smile is the result of depressor muscles pulling the corners of the mouth inferiorly. Small, carefully injected doses of botox can weaken this pull and enable the levator (lifting) muscles to raise the corners, softening the depression from the angle of the mouth.

Although botox cansuccessfully uplift the mouth, dermal fillers may be required for deep lines extending from the corners of the mouth and can be used in conjunction with botox.

Botox Treatment for Droppy Line before Droppy Line After botox injection

Further Information

Indication: Down-turned corners of the mouth or marionette lines

Muscle Targeted: The depressor anguli oris muscle; a triangular shaped muscle that originates at the jawline and inserts into the corner of the mouth.

Muscle Action: When contracted the muscle pulls down and depresses the corners of the mouth which can give the appearance of a 'sad mouth'.

Treatment: The muscle is identified on ‘grimacing’ and a small injection of botulinum toxin is placed at the origin of the muscle on either side of the jawline. When this muscle has relaxed it allows the levator muscles of the of the mouth to help lift the corners.

Adjacent muscle movement: Some individuals have related excessive movement or dimpling of the chin.

Possible Side Effects:

  • Smile asymmetry
  • Very rare: Difficulty with certain oral functions – elocution, eating, drinking

13.Chin Lines & Puckering

Excessive movement of the deep mentalis muscle of the chin is responsible for causing prominent chin puckering and the horizontal mental crease sometimes seen beneath the lower lip. Treatment with botox is relatively quick with one or two injections by an experienced doctor. The muscle is relaxed but not frozen, softening any dimpling or crease.

Deep grooves in the chin may require a dermal filler in addition to botox for optimal results. Individuals with hyperdynamic chins may also have downturned mouth lines which may benefit from treatment at the same time and would be discussed with the practitioner.

Botox Treatment for Chin Lines Before Botox Treatment for Chin Lines After

Further Information

Indication: Chin dimpling or chin crease

Muscle Targeted: The deep two-bellied mentalis muscle.

Muscle Action: The mentalis muscles function to raise the lower lip when pouting or drinking. As the muscle is attached to overlying skin, it also contributes to chin puckering.

Treatment: One – two injections of botulinum toxin into the chin depending on whether the chin is narrow or broad. This helps to smooth the chin and reduce any chin crease.

Adjacent muscle movement: Chin creases can be deep and may benefit from a combined treatment of botulinum toxin and dermal filler.

Possible Side Effects:

  • Smile asymmetry
  • Very rare: Difficulty with certain oral functions – elocution, eating, drinking

14.Botox Facelift / Nefertiti Lift

A well defined, contoured jaw line has been pegged ‘the secret of youth’. Sagging skin descends forming jowls in the lower face losing the definition between jaw and neck. Experienced, skilled doctors at Cosmedocs are able to improve this with a non-surgical facelift Treatment. This procedure has also been termed the 'Nefertiti Lift'. The downward pull of the platysma muscle in the neck can be relaxed along with other depressor muscles of the lower face. Opposing facial muscles can then help to lift skin and sharpen the jaw line.

The term Nefertiti Facelift arose from Ancient Egypt after Queen Nefertiti. She was distinguished by her beauty and her long neck and narrow cheeks became a standard of beauty.

For individuals with wide, square jawlines due to large jaw (masseter) muscles, Botox jaw reduction treatment may be recommended if deemed suitable. This can help restore cheekbone definition and recreate the inverted triangle of youth.

Further Information

Indication: Blunted jawline and/or jowling

Muscle Targeted: Various muscles can be targeted depending on individual presentations. Most commonly the muscles involved include the depressor anguli oris, mentalis, platysma and masseter.

Muscle Action: The muscles targeted are mainly depressors of the lower face with a downward pull. They contribute to 'jowls' and the loss of definition between the face and the neck. The masseter muscles may broaden the jawline with loss of contour at the jaw angle.

Non-surgical facelift Treatment: Tailored treatment with low doses of botulinum toxin into these depressor muscles can relax their action and allow the levator muscles of the lower face to help lift and redefine the jawline. Higher doses may be used in the jaw masseter muscles to improve the jaw angle. This treatment is not suited to individuals with excessive skin laxity.

Possible Side Effects:

  • Smile asymmetry
  • Difficulty articulating, eating, drinking
  • Difficulty swallowing (dysphagia)
  • Hoarseness
  • Neck weakness

15.Jaw Muscle Reduction For Wide Jaw

Treating the jawline has become one of the most popular treatments at CosMedocs. The contour of the jawline is defined predominantly by the angle of the mandible and the volume of the masseter muscle. Injections of botox into the masseter muscles can help to sculpt the lower face by reducing their size, inducing atrophy. A sharper jawline can be created enhancing the inverted triangle associated with youth and attractiveness.

A wide jawline may be due to genetics but is often also related to personal habits such as chewing gum or grinding teeth (bruxism, mention below). Excessive biting can cause growth, hypertrophy, of the chewing masseter muscle, widening the jawline.

Although many patients seek botox jaw reduction treatment for a slimmer jaw, for others it may benefit other medical complaints:

Jaw Reduction-1 Jaw reduction after Botox Injection Treatment
Jaw Reduction-3 Botox Treatment for Jaw Reduction

Further Information

Indication: Wide, broad jawline with associated large jaw muscles

Muscle Targeted: The strong masseter muscles on the lateral aspects of the face, overlying the angle of the jaw.

Muscle Action: These muscles have incredible force enabling chewing and grinding.

Botox Jaw reduction Treatment: The masseter muscles can be reduced in size with injections of botulinum toxin. The aim is to partially relax the muscles. Individuals that have a wide jawline with little masseter muscle mass are not suited to this treatment.

Possible Side Effects:

  • Difficulty eating/chewing as bite is weakened
  • Smile asymmetry
  • Very rare: difficulty swallowing

16. Neck Cords (Turkey Neck)


A large sheet of muscle called the platysma drapes over the anterior and lateral parts of the neck. When contracted, marked vertical lines can appear which in time may become more prominent. Our experienced doctors are able to select those individuals that are suitable for advanced botox treatment of the neck helping to reduce the appearance of these bands and cords. Patient with lax, redundant skin with flaccid neck bands may not be suitable for this treatment and advice will be given by our practitioners.

Other treatments that can benefit neck area include dermal fillers such as Redensity 1 which combines mesotherapy with the benefits of hyaluronic acid, Aqualyx which can remove fat deposits in chin, resurfacing and radiofrequency treatments.

Further Information

Indication: Vertical cords/bands on the neck

Muscle Targeted: The broad platysma muscle that covers the front and lateral aspects of the neck and the lower face.

Muscle Action: When contracted, this large muscle pulls down the jaw, the corners of the mouth and sometimes the cheek. Prominent vertical cords may be seen on the neck extending from the jawline to the collarbone (clavicle).

Treatment: The platysma muscle is injected with small, superficial doses of botulinum toxin whilst the muscle is contracted. The injection sites are located along the visible bands. The treatment will soften the appearance of cords and can help to reduce ‘fullness’ under the chin. Some individuals may have lax skin or excess localized fat in the neck – neither of these complaints will improve with botulinum toxin treatment and skin laxity may actually worsen.

Possible Side Effects:

All the following complications are rare, however can be significant:

  • Difficulty articulating (dysarthria)
  • Difficulty swallowing (dysphagia)
  • Hoarseness
  • Neck weakness

17. Decolletage

Due to loss of volume lines on the skin of this area start to appear further compounded by bras that push the breast up.Though most minor lines may be treated with Botox wrinkle relaxing injections deeper ones that are present at rest will require dermal filling.

Further Information

Indication: Lines and wrinkles on the upper chest

Anti-wrinkle Treatment: Small diluted doses may be injected superficially into the skin of the chest. This may help to smooth lines caused by muscle contraction. However, combination treatments with skin care, dermal fillers, skin peels and laser resurfacing may be more effective.

18. Bruxism / Temperomandibular Joint (TMJ) Disorder or Jaw Tension

TMJ disorders can cause severe head, jaw and neck pain. The joint is located where the jawbone meets the skull and is essential for talking and eating. If the joint has been overworked or if there is malalignment Botox can help to relieve this tension in muscles, reducing headaches and pain associated with chewing. It may also minimise jaw lock.

Bruxism, also known as teeth grinding, is very common and affects between 5-20% adults. It may occur during the day or night and is often related to stress. The masseter biting muscle is exceptionally strong and can lead to severe dental damage, jaw ache, headaches and neck pain. As the grinding continues, the muscle enlarges, worsening the damage. facial shape alters as the jawline widens with the bulge of the masseter muscle. Dentists often provide night guards which can help to protect the teeth.

Injecting the masseter muscles with botox causes a partial weakening/relaxation of the muscles and a reduction in size. This reduces the pressure when grinding and greatly improves symptoms. It does not, however, cure the underlying cause of bruxism.

The treatment for jaw muscles usually involves a couple of injections into each masseter muscle. It is a relatively pain-free and quick procedure. The results last approximately 3-6 months and patients are reviewed to assess possible further treatments and maintenance doses.

Jaw Reduction-1 Jaw reduction after Botox Injection Treatment
Jaw Reduction-3 Botox Treatment for Jaw Reduction

Further Information

Indication: Teeth grinding and/or temporomandibular joint pain, often with associated enlarged jaw muscles. There may be associated symptoms such as jaw ache, dental damage and headaches.

Muscle Targeted: The large masseter jaw muscles on the lateral aspects of the face.

Muscle Action: The masseter muscles are exceptionally strong enabling forceful clenching and grinding of the teeth. Persistent grinding, as occurs in bruxism, can lead to enlargement (hypertrophy) of these muscles.

Treatment: Injections of botulinum toxin into the masseter muscles causes them to relax and reduce in size (atrophy). This helps to weaken the bite and improves the symptoms associated with bruxism (grinding).

Possible Side Effects:

  • Difficulty eating/chewing as bite is weakened
  • Smile asymmetry
  • Very rare: difficulty swallowing

19.Facial Sweating & Blushing

Excessive sweating and excessive blushing is cause by hyper signalling of the autonomic nervous system.Hence botox being a nerve blocker has had good records in treatment of patients with the two.please see individual pages below for further information:

  • Excessive Sweating (Hyperhidrosis)
  • Blushing

20.Headaches / Migraines

Botox is licensed for the treatment/prevention of chronic headaches, these are headaches that occur at least 15 days of each month. It may offer some relief for those that have not responded to other preventative drug treatments. Botox has been shown to reduce the number and severity of headache days and improve quality of life.The effectiveness of botox for other types of headaches such as tension headaches continues to be under debate.

It is unclear as to how botox may aid migraine but there have been some suggestions such as:

  • Relaxing head muscles may help to reduce blood pressure within the brain.
  • Botox may affect pain messages sent from nerves to the brain.
  • Botox may prevent signals from nerves that initiate migraines.

The positive results from research for chronic migraine suggests that injections of botox in the head and neck can offer benefit and may be repeated every 12 weeks.

Some severe headaches may be triggered by temperomandibular joint (TMJ) disorder. It is possible for botox to relieve this discomfort by targeting the muscle used for chewing. More information for this may be found under TMJ and Bruxism.

Further Information

Indication: Chronic headaches. May also be useful for tension headaches and those related to temporomandibular joint disorders

Muscle Targeted: Frontalis, temporalis, procerus and corrugator muscles. Additional muscles targeted may include occipitalis, paraspinals and trapezius.

Treatment: Small doses of botulinum toxin injected into the frontalis and temporalis muscles causes them to relax which can help to reduce the frequency and intensity of headaches.

Possible Side Effects:

  • Eyebrow droop
  • Eyebrow asymmetry
  • Eyelid droop
  • Additional complications are specific to muscles treated

21.Bell’s Palsy Facial Asymmetry Correction

Botox is not the treatment of Bell’s Palsy.It may improve some of the symptoms such as facial asymmetry.Patients with Bell’s Palsy may over compensate the non affected side and as a result the lines and expressions there become exaggerated.In order re-balance the face small amounts of botox are carefully injected to the hyperkinetic lines & muscles.

What is Botox?

Botox is a miraculous drug which is manufactured from the bacteria, a neurotoxin, Clostridium botulinum, which is known as Botulinum Toxin. It is used to cosmetically treat the problems of wrinkles, aging and medical treatment of certain condition of muscles through temporary paralysis of muscles. Botox is increasingly used in the industry of facial aesthetics. Botox is also used for the treatment of hyperhydrosis, jaw reduction, certain conditions of eye muscles, cervical dystonia, wrinkles etc.

What botulinum toxin do you use?

At Cosmedocs we have three brands available for which botulinum toxin type A is the active substance: Azzalure® (Dysport®), Bocouture® (Xeomin®) and Vistabel® (Botox®).

The dilution and injection technique varies depending on the chosen product. This is a concern for the practitioner but is of little importance to the client. Azzalure® has a tendency to take effect quicker and have a longer duration of action. It is also more likely to have a stronger, smoother effect. Azzalure® has also been reported to 'spread more' which can be used as an advantage when treating larger areas such as underarms for hyperhidrosis. Conversely, Bocouture® or Vistabel® may be selected to treat smaller, more specific areas or if a softer effect is required.

At CosmeDocs we are happy to use a particular brand if requested by a patient. Otherwise, each brand is priced similarly and depends on the area treated. Our doctors will select the product they feel will best treat an individual’s concern.

How long does Botox last for?

The duration can vary depending on numerous factors such as an individual response, the dose, previous treatments and the type of product used. On average, a treatment is expected to last approximately 3 months. Many patients do report results lasting 4-6 months, however, this is not the case for everyone.

Is Botox Safe?

When the botox treatments are performed by expert and professional doctors and practitioners, then they are relatively safer. Most commonly observed side effects of bBotox injections are bruising and swelling at the area of treatment along with flu- like symptoms. If the Botox injections are not administered by expert it may cause problems in the adjacent tissues altering the shape of facial features.

How often do you recommend having botox?

The answer to this depends on personal aesthetic preferences. For those who prefer to appear natural whilst avoiding deep lines forming, a treatment once a year or repeated baby botox procedures may be recommended. Indeed, some individuals may be happy with results after one treatment and only return if a bothersome line starts to reappear. Many others desire a lasting smooth look which would require repeat treatments every 4-6 months.

What can I NOT do after botox treatment?

After the procedure the doctor may advise you to keep the muscles injected active for about 20 minutes. This may involve frowning, raising eyebrows or smiling depending on a particular treatment.

DO NOT massage the treated areas and avoid touching if possible. Pressure on the areas increase the chance of toxin spreading from the area treated and causing unwanted effects. Only apply makeup if necessary and minimal pressure applied, a powder may be easier to apply with soft brush strokes.

It is advised to avoid ANY form of sport on the day of a botox treatment. Normal activities can be resumed the following day. In addition it is not recommended to have any facial treatments for approximately 3 days after injections.

Sun or heat exposure (such as saunas and hot showers) is not advised on the day of a botox treatment. As redness and swelling settles normal activities can be resumed. The next day is usually fine.

Alcohol should be avoided on the day of procedure.

Will I see the same doctor or a different one each time?

At CosmeDocs we prefer individuals to have continuity with a doctor and where possible will book you with the same practitioner. If a particular doctor is not available we will provide alternative options. If a client requests to see a different practitioner, this also is possible.

Will movement be the same when the botox wears off?

As muscles regain their strength it is usual for movement to return to normal and lines reoccur in their previous positions. Some individuals find that botox reduces ‘habitual’ movements so they are less likely to frown as much for example. With repeated botox treatments, muscles are weakened for a prolonged period and may take longer to regain their strength.

How much does a botox treatment cost?

The botox treatment cost varies with the type of treatment you want to have. To obtain complete information about the prices of different botox treatments offered by cosemdocs.com, check our prices section. We usually charge prices for per botox treatment.

What are the Botox side effects?

The most common observable side effects of Botox are bruising and swelling which takes place at the area where Botox injections are administered. But it usually wears off in few days time. Other less severe side effects might include weakness of muscle at the area where botox is injected, pain, headache, stiffness of muscles, pain in neck or back, symptoms of flu, drowsiness, drooping eyes or eye lids etc. all these conditions are rare and can take week or so to go away as your body adjust itself to the Botox medication. It is better to consult to your doctor before taking any kind of Botox injections treatment.

What’s the worst case scenario if something goes wrong?

The possible risks vary with the area treated with botox. When treating the forehead or frown area it is possible for the eyebrows or eyelids to droop. It is not always possible to ascertain the cause as it may be due to injection technique, dilution, or accidental movements/activities after the procedure. A droop usually wears off between 4-6 weeks. In some cases, eyedrops may be prescribed which can improve symptoms. Botox in the lower part of the face can lead to asymmetry of the lips when talking or smiling. Again, botox does wear off and these complications are rare.

The most common side effects of botox treatments are bruising, redness and, occasionally, a temporary dull headache.

Will I look shiny?

The media is largely responsible for the awareness of a ‘shiny forehead’ after botox treatments and is often a look avoided by many clients. This shiny appearance is due to an overly smooth forehead with little movement. A more natural appearance can be obtained by using lower doses of toxin such as baby botox injections. It is worth noting here that botox is frequently used to reduce excessive sweating and that shiny foreheads after botox are rarely due to perspiration.

Am I too old/young to have botox?

There is no age limit to botox. The health status of individuals is important and clients will be requested to complete a medical questionnaire at each appointment to pick up any contraindications to treatment.

18 is the minimum age, however, it is unlikely that many individuals of this age have any indication for treatment and most would be appropriately advised by our doctors.

I’d like to have botox to prevent wrinkles, is this possible?

Many individuals are very aware of deep lines that their parents or siblings have developed and are conscious of taking preventative measures. Botox injections work well on ‘dynamic’ lines; wrinkles that occur when muscles are contracted. So it is indeed possible to help prevent deeper creases forming and utilising Botox anti wrinkle treatments as a preventative treatment.

What’s better, botox or fillers?

Numerous clients have asked this question and the answer depends on the concern an individual has. Cosmedocs has tried to clearly outline possible problem areas on this website which can provide information on the possible options. In general, botox is the preferred option for wrinkles formed primarily by active muscle movement. For deeper lines and areas of volume loss, dermal fillers are usually recommended. This will be discussed in depth with individuals at appointments.

Can I have an allergic reaction?

It is possible to have an allergy although reports are extremely rare. Mild reactions may just require treatment with antihistamines, a course of steroids may additionally be advised. Severe reactions, such as an anaphylactic reaction, may require hospital treatment. In our experience at CosMedocs this has never occurred but there is a possibility.

Can it leave a permanent mark on my skin?

After a treatment there are usually small red bumps at the sites of injection which resolve in approximately 20 minutes. As a tiny needle is used to inject botox it is highly unlikely for long term scars to form. The risk of scarring would increase if a complication such as infection or allergy occurred. Again, these complications are very rare.

What can you do if something goes wrong?

For clients that feel they may have had a side effect or complication from botox, there are some interventions that may relieve the unwanted effects. It is highly advised to book a review appointment if a client has any concerns. As the effects of botox are temporary, it is reassuring to know that most adverse effects tend to wear off within a few weeks, some however may last a few months.

Can it be reversed?

There is no antidote to botox. However, botox does only have temporary effects lasting a few months and unwanted side effects will wear off. Most practitioners take a cautious approach to avoid any complications as additional botox is easy to add if required.

Botox Before and After

The following photos will give you a clear view of how the treated area will look before and after the treatment. There is a considerable improvement in skin lines, wrinkles and under eye lines after the administration of botox injections giving a fresh and youthful look to the facial profile. No touch ups or editing has been done in these photos and you can clearly observe the differences before and after the botox treatment.