What is Botulinum Toxin Type A?
Botulinum Toxin Type A is a purified protein used in medical aesthetics to temporarily relax specific facial muscles. By reducing muscle movement, it softens the appearance of dynamic wrinkles (wrinkles caused by facial expressions).
Common brand names include Botox®, Bocouture®, Azzalure®, Dysport®, and others.
What areas can be treated?
Botulinum toxin is commonly used to treat:
- Frown lines (between the eyebrows)
- Forehead lines
- Crow’s feet (around the eyes)
- Bunny lines (nose)
- Brow lift
- Downturned mouth corners
- Chin dimpling
- Jaw slimming (masseter muscles)
- Neck bands (platysmal bands)
- Excessive sweating (hyperhidrosis – medical indication)
Our Specialist Nurse Prescriber will assess whether treatment is suitable for you.
How does it work?
The toxin blocks signals between nerves and muscles. This causes the treated muscle to relax, reducing muscle contraction and smoothing the overlying skin.
Results are temporary and gradually wear off.
What to expect during treatment
- Treatment usually takes 10–20 minutes
- Very fine needles are used
- Discomfort is usually minimal (a slight sting)
- No anaesthetic is usually required
- You can usually return to normal activities straight away
When will I see results?
- Initial effects may be seen within 3–5 days
- Full results typically appear within 10–14 days
- Results last around 3–4 months, sometimes longer with repeat treatments
Possible side effects
Most side effects are mild and temporary. These may include:
- Redness, swelling, or bruising at injection sites
- Mild headache
- Tenderness
- Temporary asymmetry
Less common but possible side effects:
- Drooping of the eyelid or eyebrow
- Dry eyes or excessive tearing
- Muscle weakness near the treated area
Rare but serious side effects may include allergic reactions or spread of toxin effects (very uncommon at aesthetic doses). Seek medical advice if you experience difficulty swallowing, speaking, or breathing.
Who should NOT have treatment?
You should not have botulinum toxin treatment if you:
- Are pregnant or breastfeeding
- Have a known allergy to botulinum toxin or its ingredients
- Have an active infection at the treatment site
- Have certain neuromuscular conditions (e.g. myasthenia gravis, Eaton-Lambert syndrome)
- Are unwell on the day of treatment (fever, infection)
Always disclose your full medical history and medications to your practitioner.
Aftercare advice
For the first 4–6 hours after treatment:
- Remain upright
- Avoid rubbing or massaging the treated area
- Avoid strenuous exercise
- Avoid alcohol
For 24 hours:
- Avoid saunas, steam rooms, and extreme heat
- Avoid facial treatments
Follow any specific instructions given by your practitioner.
Are the results permanent?
No. The effects of botulinum toxin are temporary. Muscles gradually regain movement and repeat treatments are required to maintain results.
Consent and safety
Botulinum toxin is a prescription-only medicine. A consultation and clinical assessment are required before treatment. Results vary between individuals, and no outcome can be guaranteed.