Anti Wrinkle Injections
What are anti-wrinkle injections?
Anti-wrinkle injections are prescription only and use Botulinum Toxin a naturally occurring protein that is produced by the bacterium Clostridium botulinum. There are two types of Botulinum Toxin available in the UK:
Type A: BOTOX®, Dysport®/ Azzalure and Xeomin®/ Bocouture – common preparations in the UK
Type B: Neurobloc® – not currently licensed for use in cosmetics
The brand most commonly known in the UK is BOTOX®, but Dysport®/ Azzalure and Xeomin®/ Bocouture are all licensed within the UK, but for different indications. They all have different concentrations of the clostridial protein +/- complexing proteins:
BOTOX®: contains 5ng of clostridial protein/ 100u vial, human albumin and a higher amount of complexing proteins. This gives a greater immune response.
Dysport®/Azzalure®: contains 4.35 ng of clostridial protein/ 500u vial, human albumin, lactose and a lower amount of complexing proteins. These products are often used when some individuals do not respond effectively to Botox®.
Xeomin®/Bocouture: ® contains 0.6ng of clostridial protein/ 100u vial, human albumin, sucrose and no complexing proteins. This product gives a softer look and is good for sensitive patients.
All Anti-wrinkle injections regardless of the brand require a prescription. Therefore, a face to face consultation, with a prescribing health professional, will be required prior to any treatment being given.
What treatments can be achieved by using anti-wrinkle injections
Anti-wrinkle treatment smooths out existing skin creases and results in preventing premature lines and wrinkles.
Anti-wrinkle injections can be used to relax the muscles mostly in the upper third of your face:
Glabella (the smooth part of the forehead, above and between the eyebrows): to smooth frown lines between your eyebrows
Forehead lines: to eliminate horizontal forehead lines
Crow’s feet: to target those ageing smile lines around your eyes.
Anti-wrinkle injections can also be used to relax muscles in the lower face and neck:
Eyebrows: to lift the edge of your brows and to open-up your eyes for a more refreshed appearance
Bunny lines: to treat lines at the side of the upper nose
Perioral lines: to banish lines around your lips caused by lip pursing or smoking
Bruxism: to prevent teeth grinding and clenching teeth by relaxing the jaw muscles
Gummy smile: to fix excessive gum visibility for a more confident smile
Lips: to correct down turning lip corners and a drooping mouth, and to plump lips for lip enhancement
Dimpled chin: to minimise the appearance of chin dimples caused by the unevenness of the chin on movement
Platysmal bands: to treat those unwanted horizontal neck creases which appear as stringy vertical bands in the neck, sometimes known as ‘necklace lines’ or ‘vertical ridges’.
Anti-wrinkle injections can also be used to decrease excessive sweating:
Underarms: to treat excessive sweating (axillary hyperhidrosis) by preventing the nerve signals from stimulating the sweat glands.
How are anti-wrinkle injections performed?
An Avanthills qualified Healthcare Professional will carry out an initial detailed consultation to examine the areas to treat and decide in collaboration with you, the best course of treatment for you. You will then have a cooling off period to decide whether you wish to go ahead with the treatment.
As we age, permanent creases can arise through a combination of repetitive muscle movement, skin creasing and skin matrix degeneration (loss of collagen). The anti-wrinkle injection temporarily prevents nerve signals from reaching the specific muscle, so that it becomes inactive, and the relaxes the skin overlying the area needing treatment so that wrinkles soften. Untreated muscles can move as normal so that your facial expressions still appear natural. The Botulinum Toxin A protein used has no effect on the body or central nervous system, only on the specific muscle injected.
An Avanthills qualified heath professional will inject a small amount of the purified protein solution into specific areas of your face with a very fine needle. The anti-wrinkle treatment can take a few minutes and you can resume most normal daily activities immediately afterwards. No anaesthetic is usually needed as any discomfort is only mild, however should this be required it can be prescribed.
How soon will you see results?
After anti-wrinkle treatment, the muscles will begin to relax over a period of 3-14 days. A further treatment may be needed at 14 days to maximise the anti-wrinkling effect. The result will be a softer and more relaxed looking you.
How long do anti-wrinkle injections last?
Anti-wrinkle treatments typically last between 3 to 4 months (however this is may differ from person to person) and can be repeated when needed. Most patients require less frequent treatments over time as the muscles ‘re-train’ and weaken from disuse.
Points to consider
Any clinical procedure carries a risk of complications, which is why it is always highly advisable to have non-surgical cosmetic treatments safely performed in a clean environment, using infection control protocols and carried out by a qualified health professional. Avanthills practitioners are all highly qualified health professionals.
Avanthills Aesthetic Skin & Laser Clinic follows strict guidelines in making patients fully aware of any possible cautions and complications, and in offering post treatment advice. A qualified health professional will undertake a full consultation before any treatment can be given.
Are there any side effects to this treatment?
The short-lived side effects associated with the injection process include bleeding, swelling and redness which settle within an hour, and bruising which settles within a few days. Occasionally a mild headache may develop for 48 hours, depending on the extent of treatment carried out.
There is a minimal risk of infection as the injections break the natural barrier to infection when creating a small wound in the skin. Please therefore avoid touching the area treated, or using any unsterile make-up, for 6 hours after treatment, although mineral make-up or sterile medical make up can be used immediately.
There is a risk that the solution injected could diffuse into neighbouring muscles, causing their paralysis. If this occurs, the resulting paralysis is temporary for between 2-3 weeks, and can cause ptosis (drooping) of the upper eyelid or eyebrow, or diplopia (double vision) when looking to the side. To minimise this risk, it is important to not bend down or lie down for 6 hours, do any strenuous exercise for 24 hours or massage the area for 72 hours after treatment.
Please avoid flying for 72 hours following treatment. If you’re an overseas patient, advance booking is highly recommended in case a course of treatments is required.
Contraindications of using/not using anti-wrinkle injections
While pregnant or breast feeding
If you are highly sensitive/ allergic to ingredients in the compound
In generalised disorders of muscle activity: muscular dystrophy/ myasthenia gravis
In current Bell’s palsy
In bleeding disorders
If the areas to be injected are inflamed or infected
In combination with certain medications: anticoagulants/ aminoglycosides/ steroids/ aspirin/anti-inflammatories.