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Botulinum Toxin

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Botulinum toxin is a naturally occurring protein produced by the bacterium Clostridium Botulinum. In a purified form, as is the case with many drugs/ medications such as Penicillin, Botulinum toxin is a very safe, effective treatment not only used in cosmetic clinics, but also for a number of medical conditions, including migraine and excessive sweating.

Licensed brands of botulinum toxin A include,’ Botox®, Azzalure®, Bocouture®, Xeomin®, and Dysport® All botulinum toxins are prescription-only medicines (POM) and can only be prescribed by doctors, dentists and nurses with the prescribing qualification, following a face to face assessment and consultation with the qualified prescriber.

THIS TREATMENT IS AVAILABLE AT: Canary Wharf clinic

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FREQUENTLY ASKED QUESTIONS

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The toxin blocks the transition of chemical messages sent from the nerve to cause the muscle to contract. Without these messages, the muscle stays in a resting state until the ‘messengers’ recover. This recovery takes approximately 8 to 12 weeks on average.

The aim of this treatment is to significantly reduce the movement of the muscles causing expression lines (dynamic lines). It may not cause the expression lines themselves to disappear completely, this will depend upon the quality of your skin and may take time over a course of treatments. It may not ‘completely freeze’ the expression, particularly if the extreme effort is exerted to make an expression. Botulinum toxin is not suitable for lines present without expression (static lines), your practitioner will advise you.

There may be only a partial reduction in movement this very much depends on the amount administered and location of product placement – This is not a one size fits all treatment and may be tailored to suit your individual requirements and expected treatment outcomes – discuss this with your clinician at the time of consultation.

A very fine needle is used and generally, this treatment is not painful and can be well tolerated with no anesthetic. Ice may be helpful in numbing the skin for nervous patients as well as reducing the risk of a bruise. Used to treat (in cosmetic medicine) *

Though widely used in cosmetic medicine and with an extensive evidence base to support safety and efficacy, Botulinum toxin A-brands, Botox®, Azzalure®, and Bocouture® are licensed only for the treatment of frown lines; Botox® recently gained an additional license for crows feet. All other indications are, for the time being, ‘off label’, i.e, being used beyond the terms of the original license. Many drugs are routinely used off label. Please discuss with your practitioner if you have any concerns and they will be happy to explain further.

  • Frown lines.
  • Worry lines.
  • Crows feet.
  • Lip lines.
  • Hyperhidrosis (excessive sweating).
  • Lower face treatment to improve jawline and appearance of the neck, known as ‘Nephertite lift’.

Botulin Toxin lasts a variable amount in each person, typically 3-6 months. The results may longer-lasting if more units are used. A doctor can also create longer-lasting results if you have these muscles injected regular lay. The movement will begin recovering from 8 weeks of Frequent treatment at intervals of less than 3 months is NOT recommended.

All treatments carry a degree of risk. All risks and complications will be discussed with you at the consultation and prior to any treatment being agreed upon. Botulinum Toxin should be administered by a healthcare professional with specialist training. Side effects include, but are not limited to:

  • Bruising.
  • Swelling at injection sites.
  • Redness at injection sites.
  • Asymmetry of expression.
  • Drooping of the brow, or eyelid.
  • Headache or a sensation of ‘tightness’ or ‘heaviness’.

Adverse events are uncommon, usually occur within a few days of treatment and are expected to be temporary, usually resolving spontaneously within weeks. Your practitioner will provide aftercare advice designed to minimiSE risk and promote speedy recovery from any expected side effects.

Your practitioner will take a detailed medical history and an assessment of your needs and expectations to ensure this is an appropriate treatment for you.

  • This must be a nurse, doctor or dentist with specialised training, qualified to prescribe.
  • Except in exceptional circumstances, this is not a treatment recommended for those under 25 or over 65.
  • For best results skin should be in good condition and the target lines not too furrowed. Your practitioner will assess your suitability and advice.
  • Botulinum toxin cannot be given to pregnant or breastfeeding women.
  • Not suitable for patients with certain neurological disorders.
  • Not suitable if you are currently taking certain medicines. or if you have previously experienced adverse reactions to any botulinum toxin treatment.

BEFORE YOUR BOTOX TREATMENT

  • Enhance the results that you experience from Facial Aesthetics treatment therapies by following a few simple instructions provided by your clinician.
  • To avoid bruising it is best not to take any pain relievers that are blood thinners such as aspirin or Vitamin E. Avoid alcohol for a few days after treatment since it, too, is a blood thinner.
  • Do not use Dysportif you are pregnant or breastfeeding, are allergic to any of its ingredients or suffer from any neurological disorders. Please inform your clinician if you have any questions about this prior to the procedure.
  • Sunburned skin is difficult to treat so avoid exposure to the sun.
  • Avoid waxing, bleaching, tweezing, or the use of hair removal cream on the area to be treated.
  • Avoid the use of Alpha Hydroxy Acids higher than 10% and avoid Retinoids. Inform your clinician if you have a history of Perioral Herpes to receive advice on antiviral therapy prior to treatment.
  • Always inform your clinician of all medications you may be taking as well as your medical history.

AFTERCARE

You may have bruises in the areas treated with Dysport. This is normal. It will take up to two weeks for you to experience the full effect of the treatment. Remain patient. It takes time for the muscles to lose strength and the lines to fade following Dysport treatments. Movement of lines diminished is OK. The objective of the Dysport treatment is to improve the appearance of the lines, not necessarily paralyze the muscle. If we can achieve the improvement of the lines without complete paralysis in the area then you benefit from continued use of the subtle facial expression in that area of your face. It is best to try to exercise your treated muscles for 1-2 hours after treatment (e.g. practice frowning, raising your eyebrows, or squinting). This helps to work Dysport Cosmetic into your muscles. Although thought to help, it will NOT impact your treatment negatively if you forget to do this.

Do NOT rub or massage the treated areas for 4 hours after your treatment.

Do NOT practice Yoga or any type of strenuous exercise for 4 hours after treatment. Also, avoid facials or saunas for 4 hours after your treatment. This will minimize the risk of raising your blood pressure and therefore minimize the risk of temporary bruising. Feel free to shower and go about most other regular daily activities.

Do NOT lie down for 4 hours after treatment. This is to avoid the risk of pressure on the treated areas (from your pillow) and to avoid the risk of having the area rubbed accidentally.

Be assured that any tiny bumps or marks will go away within a few hours. If you need to apply make-up within 4 hours after your treatment, only use a GENTLE touch to avoid rubbing the treated area.

The results of your treatment may take up to 14 days to take full effect. Please wait until the 14 days have passed before assessing if you are pleased with the result.

Because Dysport Cosmetic requires a special technique in order to customise the injections to your individual muscular structure, it is important that your muscle activity recover, BUT that your skin is not creasing to the point from where you started.

Dysport Cosmetic is a temporary procedure and at first, you may find that your treatment results will last approximately 3 or 4 months. If you maintain your treatment appointments with the frequency recommended by your doctor, the duration of each treatment result may last longer than 4 months.

Initially, our clinic sees patients between the 3-month (12 weeks) and 4 months (16 weeks) time period. We are able to create the best clinical results for you during this period. If you allow Dysport Cosmetic to wear off completely, it is difficult for the doctor to be able to see how your individual muscles reacted and therefore optimal results for your face can be more difficult to achieve.

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