Dr Sanjay Gheyi MBBS, MS, FRCS, FP Cert, BCAAM
Botox/ dysport/ azzalure treatment information
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why is it called hibernation treatment?
Will I lose expression?
Do you offer a consultation prior to injection?
Do you offer a follow up?
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.
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.
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
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.
No, quite the reverse, it has been called 'the
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.
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.
Yes, It is not recommended before 18 years.
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.
Yes, we offer a consultation prior to injections so that you can make an informed decision about the treatment.
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.
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.
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.
You may begin to notice some effect in 3-4 days and full effect takes up to 2 weeks.
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.
Yes, our prices include a follow-up consultation and touch-up injection, if required in 2-3weeks time.
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.
Yes, cheap treatments are available but you must ask some questions.
There usually is a catch! click here to see what our patients have to say.
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Call 0800 0430737 or fill out our appointment form to arrange your consultation
© Dr Sanjay Gheyi