| 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 |
Anstey Hall
Maris Lane
Cambridge
CB2 9LN
