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Treatment with botulinum toxin is becoming increasingly popular, and with good reason. In many cases, botulinum toxin is a very effective method for reducing wrinkles.

What are the benefits?

Botulinum toxin can be used to smooth wrinkles in the forehead and around the eyes to create a more youthful appearance. Removing wrinkles from between the eyes can dramatically change a person's look from one of permanent anger or sadness to one of contentment and rest. It is also frequently used on the thin wrinkles that surround the eyes (often called crows feet).

'Botulinum A toxin' is a purified protein made from botulism bacteria. This solution temporarily paralyses nerves of the facial muscles so that they cannot contract and cause wrinkles in the area being treated.

Botulinum toxin may also be helpful in treating excess sweating of the palms and underarms.

Botulinum toxin treatments are unique in that they can be used to remove dynamic wrinkles - the wrinkles that are produced by facial movement.

Treatments are brief and simple. Very small amounts of Botulinum toxin are strategically injected in different parts of the forehead/face. This is accomplished with thin needles that cause very little pain.

What will happen at the consultation?

During the consultation, you and your surgeon will discuss the changes that you would like to make in your appearance. Your doctor will explain the procedure. At this time, he will also ask about your medical history and perform an examination.

How is the procedure performed?

Botulinum toxin treatments can be performed in the clinic. Anaesthesia is not needed. There is some discomfort involved with the injections, but the discomfort is slight. After the procedure, there is virtually no pain.

How long does the operation take?

Depending on the number of injections needed, the treatment may take 10 to 30 minutes.

How long do I have to stay in the hospital for?

The procedure is performed in the out-patient clinic without the need for anaesthesia.

What can I expect afterwards?

The results of the procedure are generally visible within 10-14 days. Although results vary, the results of an individual treatment last for about 4 to 6 months. The procedure may be repeated and, with each new treatment, the results tend to last longer.

You'll probably be able to return to work or home immediately after the procedure. However, care must be taken to keep the head upright and avoid massaging the treated area, so that the botulinum toxin affects only the desired areas.

Most people are very pleased with the results. For long-term results, the procedure will most likely need to be repeated.

What are the long-term results?

Although results vary, the results of an individual treatment last for about 4 to 6 months.

What are the risks?

Mild bruising or swelling may occur at the site of the injection. The treatment may also cause a brief headache. In rare cases, the injections may cause the eyebrow or upper eyelid to droop, but this condition is temporary and corrects itself without treatment within 2 to 3 weeks.

The British Association of Aesthetic Plastic Surgeons The British Association of Plastic, Reconstructive and Aesthetic Surgeons