Botulinum toxin treatment, commonly known as botox, temporarily reduces the contraction of the muscles of facial expression and so softens lines on the forehead, between the brows and around the eyes.

When does the effect begin, and how long does it last?

The effect of botulinum toxin usually starts to show within 2–3 days and settles fully within 10–14 days. It lasts 3–4 months on average; after that, muscle movement gradually returns and the treatment can be repeated.

Which areas is it used on?

It is most often used for forehead lines, frown lines between the brows and the fine lines at the outer corners of the eyes (crow’s feet). It can also be used for lines at the sides of the nose, dimpling of the chin and neck bands; we decide together at the consultation which area suits you.

Who should not have it (pregnancy, muscle disorders)?

It is not given during pregnancy or breastfeeding. Nor is it given to people with a neuromuscular disease such as myasthenia gravis, where there is an active infection in the treatment area, or to anyone with a known allergic reaction to botulinum toxin.

What should you be careful about afterwards?

I recommend not lying down or bending forward for the first 4 hours — this prevents the product spreading to unwanted areas. It is also important to avoid strenuous exercise, sauna and alcohol for the first 24 hours, and not to rub or massage the treated area.