Procedure Dynamic (=temporary) lines in the face are caused by facial muscle action wrinkling the overlying skin. Neurotoxin injections improve these lines for about 3 months. It is less effective in patients over 60 years or in patients where these lines are more static (=permanent). This treatment is best for frown lines, forehead lines and crows' feet. Neurotoxin smoothens the skin, lifts and reshapes eyebrows and makes facial impressions appear more friendly if frowning is a problem. The procedure is typically done in a clinic appointment. The treatment starts to work after about a week.
Scars None
Operation time No surgery – Procedure time 30min
Anaesthesia None
Hospital Stay None
Benefits Cosmetic, Psychological
Risks Bleeding, Infection, Pain, Nerve injury (Numbness, weakness), Bruising, Swelling, Redness, Discomfort, Headache, Nausea, Tinnitus, Dizziness, Syncope, Overcorrection, Undercorrection, Asymmetry, Delayed onset (about one week), Recurrent or remaining lines (Neurotoxin injections last about 3 months), Cosmetic imperfections, Eye injury, Droopy eyelids or eyebrows, Double vision, Corneal exposure, Flu–like symptoms, Problems with breathing / swallowing / speech, Allergic reaction
N.B. Most complications are unlikely and serious risks are rare
Risk factors Pregnancy, Breast feeding, Local infection, Certain antibiotics, Allergies, Impaired blood clotting, Chemotherapy, Neurological disease (e.g. myasthenia gravis) or cardiovascular disease (affecting nerves, heart and blood vessels), non-advised massage and manipulation
Optimising factors After the injection, it is advisable to exercise the injected facial muscles.
Touching, massaging and lying down for the 4 following hours should be avoided.
Discomfort Not significant
Bruising Unusual, 1 week if present
Recovery 4 hours
Acceptable appearance After 1–2 weeks
Final result After 1 week for about 3 months
Alternatives No injection, Relaxation exercises, Make–up, Brow lift surgery

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