Medical Training FAQ

Wrinkle Relaxing Injections
What is Botulinum toxin ?
Botulinum toxin is a natural purified protein produced by the bacterium – Clostridium Botulinum.

How does it work ?
Botulinum toxin blocks the release of acetylcholine, a neurotransmitter that is responsible for transmitting electrical impulses that cause muscle contraction. The effect is muscle relaxation or paralysis.

How long has it been used for ?
Botulinum toxin has been used for a wide variety of clinical indications. It was first used to treat blepharospasm (over active muscles in the eye) in 1978. Since then it has been used to treat other conditions such as dystonia and hemifacial spasm and treat spasticity in children with cerebral palsy. It was first used to treat facial wrinkles cosmetically in 1990. It has been used for many years with excellent effect and very few side effects.

How is the procedure performed ?
It is carried out in a safe clinical environment using an aseptic technique. No anaesthesia is required. A number of tiny injections using a fine needle are performed by the doctor into the target areas. The procedure takes approximately 10-15 minutes The procedure is relatively painless and discomfort is minimal and temporary. (Often compared to that of an insect bite).

Are there any side effects ?
There are no reports of severe complications in the literature with the use of botulinum toxin for facial injections. Very rarely (1 in 100) when injecting above the eyebrows a drooping effect of the eye called “ptosis” can occur. This is self limiting. The chances of complications are significantly reduced when the procedures are carried out by skilled practitioners. Other side effects described are headache, flu like symptoms and nausea.

What happens after the injection ?
Patients may experience slight redness or swelling at the injection site which normally settles within an hour. It is advised that the patient does not lie down or rub their eyes for 4-6 hours post injection. (This reduces the chances of ptosis or drooping of the eyelid) Improvement should be visible within a couple of days but may continue up to a week. The effects of the botox last between 3-6 months.

Are there any restrictions regarding who can have treatments ?
Patients with neuromuscular disorders such as myasthenia gravis or who are taking muscle relaxants should refrain from having botulinum toxin. Furthermore pregnant/breast feeding patients should also not have treatment. Those with infection at the site of injection or bleeding disorders should also exercise caution.

Any other advice ?
Aspirin and anti-inflammatory medications e.g. ibuprofen may exacerbate swelling and potential bruising and patients are therefore advised to refrain from taking these medications two days prior to treatments.

Dermal Fillers

What are dermal fillers ?
A dermal filler is a substance which is injected into the skin to plump it up, making it firmer softening and smoothing out lines and wrinkles. There are many fillers on the market but Aesthetox surgeons only use synthetically produced non-animal products consisting of hyaluronic acid which is a natural chemical constituent of the skin.

What is hyaluronic acid ?
Hyaluronic acid is a natural substance that is found throughout the body. For example it adds volume to the skin, lubricates the joints, and gives the eye its shape.

Are dermal fillers safe ?
Dermal fillers are extremely safe with a very low incidence of allergic reaction. You can expect some degree of redness, swelling and tenderness after the treatment which usually clears up within 1-2 days.

How are dermal filler injections performed ?
The filler is injected (sometimes with the use of topical anaesthetic cream) into the lines and defects to plump them out. The filler remains in the skin where it binds and attracts water to produce a lift and firmness to the treated areas leaving lines softened.

How long do dermal fillers take ?
Treatments usually take around 30 minutes. For lip enhancement, a local anaestheic injection is usually given to remove any discomfort.

How long do dermal fillers last ?
Typically the results can last six to nine months but this varies from one person to another. The filler is gradually broken down and absorbed by the body, so the lines, wrinkles or lips will ultimately return to their previous appearance without top up treatments.

How long does it take for dermal fillers to work ?
The effects are Hyaluronic acid is a natural substance that is found throughout the body. For example it adds volume to the skin, lubricates the joints, and gives the eye its shape.Dermal fillers are extremely safe with a very low incidence of allergic reaction. You can expect some degree of redness, swelling and tenderness after the treatment which usually clears up within 1-2 days.The filler is injected (sometimes with the use of topical anaesthetic cream) into the lines and defects to plump them out. The filler remains in the skin where it binds and attracts water to produce a lift and firmness to the treated areas leaving lines softened.Treatments usually take around 30 minutes. For lip enhancement, a local anaestheic injection is usually given to remove any discomfort.Typically the results can last six to nine months but this varies from one person to another. The filler is gradually broken down and absorbed by the body, so the lines, wrinkles or lips will ultimately return to their previous appearance without top up treatments.The effects are instant.

How often will I need a top-up ?
When the effects begin to wear off  i.e. anytime between 6-12 months.What happens if I do not have a top-up ?
Correction of the wrinkles and/or enhanced lip effect will subside gradually until it is as it was prior to treatment.

Hyperhidrosis

What is hyperhidrosis?
Hyperhidrosis is the condition of excessive sweating / perspiration.  3% of UK adults suffer from this condition which can often be unsightly (sweat patches), odorous and embarrassing.

What does the treatment entail?
Hyperhidrosis is treated with by injecting small amounts of botulinum toxin under the skin.  As the injections are so superficial within the skin, the toxin acts on the sweat glands and not on the muscles around the armpit / palm / sole. This stops the glands working leaving a dry, clean area of skin even during exercise.  The vast majority of people gain the desired  results following the injection.  A small percentage do however continue to sweat (to a lesser extent) in the treated areas.How long does the treatment take?
30-45 mins depending on area treated and length of consultation.How long do results last?
On average results last between 6-12 months.