Medical treatments

Botulinum toxin (Botox)

An injectable treatment that temporarily reduces activity in selected muscles. For expression-related lines, the assessment considers movement as well as the face at rest.

Discuss this treatmentYour treatment pathway
Editorial illustration of an unlabelled vial and capped syringe for injectable treatments.

Your care, step by step.

  1. Assess expression

    Observe movement, asymmetry and your priorities.

  2. Targeted treatment

    Discuss the product and risks before the planned injections.

  3. Allow the effect

    Follow the specific aftercare as the effect develops.

  4. Review movement

    Assess the response before considering any further treatment.

What to plan for

The effect develops over several days. The product, areas, dose and review date are individual; treatment does not address every type of wrinkle.

The sequence, session count and intervals are agreed individually. This is a pathway, not a fixed calendar.

An informed choice.

What the evidence can tell you — and where its limits matter.

Sources checked

Evidence & expectations

Botulinum toxin acts on muscle activity; it does not replace lost volume. For expression-related facial lines, the AAD describes an effect beginning over several days and often lasting around three to four months. The product, area and individual response matter.[1]

Preparation & recovery

Bring a list of medicines and supplements and describe previous procedures. Tell the clinician if you are pregnant or planning pregnancy. Individual medical history can change whether treatment should proceed.[2]

Discuss previous injections, medicines and your medical history before treatment. Many people resume usual activities promptly, although bruising can remain visible. Follow the specific aftercare provided; do not rub treated areas.[3]

Risks & limitations

Temporary soreness, swelling or bruising can occur. Unwanted weakness in nearby muscles can cause asymmetry or eyelid droop. Difficulty breathing or swallowing needs urgent medical help. A low reported frequency does not mean a risk is absent.[3]

Compare your options

Compare muscle-related lines with volume-related folds and changes in skin texture. A filler or a laser has a different target; neither is an automatic substitute. Keeping your current appearance is also a valid choice.[1]

Different approaches to discuss

These links explain different targets. They are not personalised recommendations.

Hyaluronic acidPicoSure Pro Focus

Sources & further reading

  1. Professional guidanceBotulinum toxin therapy: overviewAmerican Academy of Dermatology
  2. Professional guidanceBotulinum toxin therapy: preparationAmerican Academy of Dermatology
  3. Professional guidanceBotulinum toxin therapy: FAQsAmerican Academy of Dermatology
How we use evidence

A controlled trial compares interventions in defined groups; an uncontrolled cohort cannot, alone, establish causality. A review depends on the quality of its included studies. We distinguish these sources from manufacturer information and identify when findings do not directly apply to the platform or protocol.

The date records when sources were checked for this guide. It is not a statement of individual clinical review, product authorisation or confirmation of the clinic’s available configuration.

This guide supports a conversation with your clinician. It does not determine your suitability or replace individual aftercare instructions.

Start with your priorities.

Discuss suitability, alternatives, expected recovery and costs at your medical assessment.

Book an assessment