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Dr Sanjay Gheyi MBBS, MS, FRCS, FP Cert, BCAAM

0800 0430737

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Botox/ dysport/ azzalure treatment information

Botox treatment testimonials Download information
Wrinkle treatments for under £100! 
Wrinkle treatment pictures
botox injections
How are Wrinkles formed?
What is Botulinum Toxin (Botox/ Dysport/Azzalure)?
Does Botox/ Dysport/ Azzalure make wrinkles worse once it wears off?
why is it called hibernation treatment?

Will I lose expression?

Is there an age limit on who can have Botox/ Dysport/ Azzalure?
What are the side-effects of ?Botox/ Dysport/ Azzalure
Do you offer a consultation prior to injection?
What happens after the injection of Botox/ Dysport/ Azzalure?
Do you offer a follow up?


How are wrinkles formed?

Every time you smile, laugh or frown, you set off a series of contractions in the underlying muscles of your face. Deep wrinkles such as crows feet and frown lines are caused by overactive muscle movement which gradually wear the collagen [supporting structure in the skin] away, causing the skin to sink and wrinkles to appear. To make matters worse, the more you use these muscles, the deeper these wrinkles and lines are likely to be. Botox® can help delay formation of wrinkles due to muscle activity. Wrinkles are also formed as a result of sun damage and natural ageing process.

What is Botulinum Toxin [Botox/ Dysport/ Azzalure]?

It is a complex protein produced by the anaerobic bacterium Clostridium botulinum.

Discovered in 1895, botulinum toxin type A was isolated in purified form in the 1920s.

Botox, which has been used to treat a variety of medical conditions for nearly 15 years, is also FDA-approved as BOTOX® Cosmetic. Vistabel® is approved in the UK for treatment of frown lines. We also use Dysport® at Coltishall Cosmetic Clinic.

Is Botox/ Dysport/ Azzalure Safe?

Botulinum toxin has been used to treat many medical conditions associated with muscle spasm. It has been used to treat blepharospasm, cervical dystonia, spasm in cerebral palsy, hemifacial spasm, focal spasticity associated with strokes and hyperhidrosis of axillae [excess armpit sweating] benefits have been observed in treatment of migraines and tension type headaches. More than 1 million patients in over 66 countries have been treated with Botulinum toxin
Although any procedure carries small risks, muscle relaxing injections are a very safe treatment in skilled hands.

Can all wrinkles be treated?

Botox is used to rejuvenate dynamic wrinkles and cannot improve face wrinkles cause by sun damage and age. It cannot improve sagging skin either. We recommend IPL photorejuvenation for sun-damaged skin. IPL and botox together produce excellent results.

Does Botox/ Dysport/ Azzalure make wrinkles worse once it wears off?

No, quite the reverse, it has been called 'the hibernation treatment'
The Hibernation treatment is a preventative treatment. It temporarily freezes the muscle. The aim is to break the habits that cause our facial lines to form. this should soften your face and make you look younger. So, it has preventative value and it slows down the wrinkle formation and preserves youthful appearance

Will I lose expression?

The extent to which facial expression is affected will depend on where the muscle relaxant is injected and how much of the substance is used. We favour subtle effects of a partial reduction in muscle activity, which will smooth out the lines but allow residual muscle movements and avoid artificial look. We can, however help to achieve the result you desire such as complete smoothing of the forehead or a brow lifting effect.

Who should not have Botox/ Dysport/ Azzalure?

botox should not be used in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any ingredient in the formulation.

Patients with neurological disorders such as amyotrophic lateral sclerosis (ALS), myasthenia gravis, or Lambert-Eaton syndrome.
Patients on aminoglycoside antibiotics or other agents interfering with neuromuscular transmission.
Not recommended during pregnancy or breast feeding.

Is there an age limit on who can have Botox/ Dysport/ Azzalure?

Yes, It is not recommended before 18 years.

What are the side-effects of Botox/ Dysport/ Azzalure?

Side-effects are very uncommon, rare side effects include headache, respiratory infection, flu like symptoms, temporary eyelid droop, and nausea.
Other side effects include pain and redness where the medicine was injected, pain in the face, and muscle weakness.
Serious and/or immediate hypersensitivity reactions are very rare. These reactions include urticaria, soft tissue oedema, and dyspnoea. If such a reaction occurs, further injection of Botox® should be discontinued and appropriate medical therapy immediately instituted.

Do you offer a consultation prior to injection?

Yes, we offer a consultation prior to injections so that you can make an informed decision about the treatment.

How is Botox/ Dysport/ Azzalure administered?

You will be lying down with head end of the couch in a raised position. The doctor will give you a mirror and plan the treatment with you. A very fine needle and syringe will be used to administer the injections.

Is Botox/ Dysport/ Azzalure painful?

No. it is administered with a very fine needle and in small amounts. Some patients feel a small scratch or an inset bite type feeling. Local anaesthesia is not required during the procedure.

What happens after injection of Botox/ Dysport/ Azzalure ?

You may notice a slight swelling/ redness at the site of injection. It lasts a few minutes and you can than return to normal activities. It is a 'no-downtime' procedure.

How long does Botox/ Dysport/ Azzalure take to work?

You may begin to notice some effect in 3-4 days and full effect takes up to 2 weeks.

How long does the effect of Botox/ Dysport/ Azzalure last?

It varies from person to person and how many times you have had it. It may range from to 2 to 6 months initially and longer after repeated treatments. Most patients experience that it lasts longer after first few treatments. Regular treatments before your lines appear fully are most effective for long term prevention of wrinkles.

Do you offer a follow up after injection of Botox/ Dysport/ Azzalure?

Yes, our prices include a follow-up consultation and touch-up injection, if required in 2-3weeks time.

How much do you charge for Botox/ Dysport/ Azzalure ?

Treatment prices depend on areas treated, dose and desired effects. Commonly treated areas are-'forehead worry lines', 'frown lines between eyebrows' and 'crow's feet around eyes'. We can also inject 'bunny lines' around the nose and areas on lower face, mouth, chin, neck and chest.

Botox treatment starts from £200 for facial or neck treatments. We offer customised treatments and individual prices quotations are only provided after a medical consultation. Click here for Hyperhidrosis treatment. Operator experience and skill however is the most important factor for treatment success.

I have heard that you can have Botox/ Dysport/ Azzalure for under £100

Yes, cheap treatments are available but you must ask some questions.
1] Are you being treated with a genuine product? There are counterfeit injections available and there have been case reports of serious harm resulting from their use. It is not worth risking your health to save money. There are more than 100 different products available today. We only ever use safe, research based products which are not the cheapest.
2] Do I have a come back if things go wrong? Do they offer a free follow up if results are poor or asymmetric and can they rectify the situation? We offer continuity of care and look after you very well.
3] How long will the results last? [Dilute botox will not last] Our patients typically see results lasting from 4-5 months and sometimes longer.
4] Who is administering the treatment? Are they qualified, trained and insured? All our injectable treatments are carried out by our medical director Dr Sanjay Gheyi MBBS MS FRCS BCAAM who has performed thousands of successful treatments.

There usually is a catch! click here to see what our patients have to say.

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© Dr Sanjay Gheyi