Botox ® injections are used to treat wrinkles and fine lines such as forehead lines, frown lines & crows feet. Botulinum toxin has been used in hospitals around the UK since 1977 and within the cosmetic industry for over 20 years. It is used in 70 countries and is used on over 4 million patients in the USA alone, every year.
Our highly experienced practitioners at PHI use Botox ® anti wrinkle injections: the original product on the market with a large emphasis on safety. It is the result of years of studies and has been used extensively in medicine. This particular brand of botulinum toxin was first cleared by the Food and Drug Administration (FDA) in 1989, making it the first approved form of wrinkle injection in the world to target wrinkles and fine lines. These injections are a natural, purified protein used to temporarily relax facial muscles that cause fine lines and wrinkles. This injectable treatment is an established brand name and can also be used to treat conditions like hyperhidrosis (excessive sweating), a wide jaw, and even for calf slimming.Book consultation
Ageing is a definite process that results in the wrinkling of the skin. At PHI Clinic, our doctors are highly experienced with anti wrinkle injections to give you a fuller skin. To make sure that the team is always at the forefront of cosmetic treatments, we conduct doctor & nurse training days on an ongoing basis where our staff gets together for training, sharing and collaborating.
Botox injections and dermal fillers are largely unregulated in the UK. While there is an independent body who act as a watchdog over those administering treatment, there are still many injectors out there who are sub-standard and who use cheap products that have been tampered with or are not safe.
Choosing the right practitioner is crucial. You may find luring deals that offer wrinkle injections at £100 or less, but we would urge those seeking treatment not to fall into this trap. It is possibly an untrained practitioner who is performing these treatments, or they are not using the products which they advertise.
Botox ® is a branded form of botulinum toxin. Many mistake the brand as a general term for the treatment, which is simply not the case. For this very same reason, many practitioners falsely claim that they use the branded product.
Not only do you need to feel comfortable with your practitioner on a personal level, you also need to make sure that you feel confident in their abilities, skills and knowledge. We always advise prospective patients to do their research and form educated decisions.
Conditions treated with Botox
Forehead lines, vertical furrows across the forehead, are caused by the frontalis muscle. As the eyebrows are raised, this muscle contracts to cause wrinkles above the brow. A variety of factors can make these wrinkles worse, including genetics, age, and smoking.... Read on Book consultation
Wrinkles around the eyes, also known as crow’s feet or ‘smile lines’, are one of the first signs of ageing, often being the first wrinkles to appear. As we age, the body stops producing collagen (which keeps skin supple and firm) and elastin (which helps skin ‘bounce back’ after making facial expressions), meaning repetitive facial expressions like laughing and squ...Read on Book consultation
Frown lines, also called glabella lines, are the furrows between the eyebrows, generally shaped like the number 11. These lines can cause self-consciousness and lack of self-confidence in both men and women.
These expression lines can be caused by a variety of factors over the years, including sun damage, smoking, and repetitive facial movements.
At PHI Clinic, we...Read on Book consultation
Excessive sweating, also known as ‘Hyperhidrosis’ can profoundly affect self-consciousness and be a seriously embarrassing condition. When severe sweating interferes with daily activities, it can cause great emotional and psychological upset, especially when it is sweating from the underarms. It is estimated that up to 5% of the population suffers from some form of ...Read on Book consultation
Around 15% of people suffer from a gummy smile; in a perfect smile, the lip should sit just above the top of the teeth, but some people have problems with a disproportionate gum tissue to teeth ratio, leaving them self-conscious about their smile.
Book a no obligations appointment with one of our trained consultants at PHI Clinic to find out how we can help you attain th...Read on Book consultation
A wide jaw in women can be seen as a masculine or unattractive trait, manifesting as a large, square lower jaw. This condition is caused by bone, muscle, or a mixture of the two. The most obvious cause is a large jaw bone, or mandible, which is usually congenital, but can develop through conditions such as acromegaly.
Book a no obligation consultation with one of our highly experienced c...Read on Book consultation
Frequently Asked Questions
Even when treated by highly qualified practitioners, results are temporary, and treatment is on going. Patients usually have an injectable treatment every 3-4 months.
Prior to treatment to ensure your safety, a medical history will be taken and a mandatory consultation provided. The procedure itself should be virtually painless and choosing a highly qualified and experienced practitioner is an important factor in this process.
Botox injections can be used on a wide range of patients, and is primarily used for skin rejuvenation and the reduction of fine lines and wrinkles. Those who have medical conditions that can affect safety, such as damaged nerves or muscle complaints, should disclose this information during consultation, to avoid any complications. Treatment is not advisable for those who are pregnant or breastfeeding. While there are no clinical studies to show that the injection is harmful to the baby or mother, medical professionals advise against having treatment under these circumstances.
Dr Tapan Patel brings a team of highly qualified doctors and nurses. They are masters of creating a subtle, natural look by reducing wrinkles and fine lines.
Wrinkles and fine lines can be identified in two ways: expressive or static. Expressive lines are those which are evident when expressing emotion. Static lines are those which remain evident even when the face is relaxed.
The main areas that are affected by expressive and static lines and may benefit from an anti wrinkle injection are as follows:
Glabella – Frown lines
The Glabella is the area between your brows. Over time, some may find that there is a deep line that becomes quite prominent. The use of Botox can not only relax the muscle to stop you overworking that area, but can also reduce the appearance of that static groove.
Forehead – horizontal line
Likewise, the forehead is an area that we tend to get both expressive and static lines. The use of botulinum toxin relaxes the area to stop over-expression.
Crows’ Feet – Corner of the eye
This is a concern many of our patients have. Many believe the eye (and lip) area to be the most obvious sites for ageing. Not all products can be used in this area, and it is always important to check that the injector administering treatment is highly-skilled when injecting around the eyes.
Bunny Lines – Top of the nose
Bunny lines are mostly evident when smiling. They form on the bridge of the nose, near the tear duct of the eye. If in doubt, picture a bunny scrunching up its nose. While it might not be an obvious area to treat, it can be a bugbear for those who do not like the way their smile appears in photos and so on.
Brow – Lifting of the brow area
Surgery is usually the last resort for patients. They wish to get great results all the same, but would rather not go under the knife, and that is completely understandable. Botulinum toxin can be used as a non-surgical alternative to a brow lift by introducing the solution to key points, relaxing the muscles we use to frown, lifting the weight that we naturally want to push down.
Jawline – Non-surgical reshaping
If your masseter muscle (the muscle that controls jaw movement) is particularly robust, it can make your jawline rather square. If you desire a slimmer, heart-shaped jaw, botulinum toxin is a possible treatment option. This is particularly favorable among women.
While there is no real downtime or side effects associated with anti wrinkle injections, it is important to note that you may encounter some slight bruising and swelling directly after treatment, due to the needle.
This can easily be masked by makeup. Some mild discomfort may be felt during treatment, but we use ultra-fine needles at PHI, and the treatment is complete relatively quickly.
There are no long-term side effects of having wrinkle injections, meaning patients can resume their usual activities straight away, and can also fly post-treatment. For best results, avoid massaging the area that has been treated and avoid exercising the area for 2-4 hours after treatment. This will ensure that the product works to the best of its advantage, for the individual.
Results should be visible after 5 – 7 Days. If after 7 days our patients wish to return for a follow up, we are happy to add a little bit if required.
“We’re now seeing an increasing number of male patients getting Botox ®, and if we understand what it achieves, we can see why. Ultimately, the result comes down to who is injecting it, so we can give a very subtle treatment, or a stronger one. Most men are nervous about having cosmetic injections, but what we tend to do is go very light and natural with the male patient, so all we are doing is softening the expressions, rather than freezing them, which is what a lot of patients, both men and women, are worried about.” – Dr Tapan Patel
“Following treatment, it’s not unusual for our patients to ask us, “Can I have a drink tonight?” What we typically want patients to do is avoid excessive blood flow to the face, so we recommend they don’t bend over for long periods of time, engage in strenuous exercise, have alcohol, or go to steam baths or saunas. We don’t want the Botox ® that we’ve put in a very discreet place to spread around. That being said, I’ll often say to my patients, especially if it’s close to the weekend, if you want to have a small glass of wine, by all means, go ahead.” – Dr Tapan Patel
Following any treatment which involves injections into the face, we would always recommend not touching the area for at least 6 hours, though preferably waiting until the next day. It’s okay to clean the area, but we advise against the application of any makeup until 24 hours after treatment, at which point it is perfectly reasonable to use light makeup.
“Many patients will ask me questions about whether they are too young or too old to have Botox. I don’t think there is any right age, we have to remember that people will display the signs of their expression at different ages. Sometimes I will see women in their 40s and 50s with very few expression lines, and conversely, I might see a 21 year old patient with very deep expression lines. I am always looking at the patient and their concerns, not their chronological age.” – Dr Tapan Patel
“One of the biggest concerns patients come into the clinic with is whether they will be left with a shiny or fake-looking forehead. With Botox ®, it’s important to remember that the results are dose-related. Accordingly, if we put too much product in, all expression will be blunted, and the skin may develop a very smooth, shiny appearance. That being said, the vast majority of patients want a very natural result, so we put in less product, therefore retaining some expression, and avoiding that shiny appearance.” – Dr Tapan Patel
“We often get asked if there is anyone who isn’t suitable for Botox ® injections. We would never treat somebody who is pregnant or breastfeeding, but other than that, as long as the person is seeing a qualified practitioner who can assess them and ensure they are a good candidate, I wouldn’t see there being any other exclusions.”
– Dr Tapan Patel
“Along with using botulinum toxin for expression lines and excessive sweating, another very important application is to create jaw contouring. There is a number of people who notice they have excessive squaring of the jaw, usually due to an overactive muscle, called the masseter. In some people, it can give a square shape to the face, and we can use the botulinum toxin with patients to create a nicer contour to the jaw.”
– Dr Tapan Patel
Botox ® injections are FDA approved and bear the CE mark that indicates it conforms to European standards for health and safety. Initially, Botox was approved for use on glabella lines, or frown lines, and later to treat canthal lines, or crow’s feet, as well as having many more off-label uses. Hayley Goldbach, resident physician of dermatology at UCLA says “Any medication has risks, but the safety record for Botox ® is actually very robust. And consider that there have been tens of millions of patients treated with Botox ®.” Botox ® tends to remain active in the area it is injected, with very few cases of migration, acting only on muscles and sweat glands. At PHI Clinic, we also use Botox ® to address hyperhidrosis and a wide jaw caused by masseter hyperactivity. Anti wrinkle injections are only ever carried out by our experienced doctors or highly trained injectable nurses.
No, Botox ® is a brand name for botulinum toxin type A, and is listed by the FDA as non-interchangeable, meaning that no other product can call itself Botox ® or claim the same efficacy. There are other brands of botulinum toxin type A, but we exclusively use branded Botox ®, manufactured by Allergan in our clinic.
Before and after Botox treatment
Press & Media
At first she feared it. But now, on its 15th anniversary, ALICE HART-DAVIS can't live without it, as she reveals in this (literally) eye-opening account...
"Olivia Falcon speaking about treatments for her wedding"
"Very, very good," says the publisher. " Quick, give me his number before the piece goes to press."
Instead of looking like a rather sad panda, I look bright-eyed and bushy-tailed
Four weeks ago, I found myself on a couch in a Harley Street clinic, a doctor marking up my face with a Sharpie, indicating the places he was about to inject with filler.
With over 14 years experience in cosmetic dermatology, Dr Tapan Patel is live in the studio to tell us what to look out for.