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Ageing is a definite process that results in the wrinkling of the skin. At PHI Clinic, our team are highly experienced with anti wrinkle injections, to provide you a more youthful appearance. To make sure that the team is always at the forefront of cosmetic treatments, we conduct training days on an ongoing basis.

Practitioners around the world use Botox® injections as a muscle relaxant to reduce the appearance of facial wrinkles, moderate to severe frown lines, fine lines (forehead lines, frown lines, crows feet).

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Before and after Botox treatment

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Expert Practitioners Botox Doctors and Nurses in London

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 is used extensively in medicine.

The Food and Drug Administration (FDA) first cleared this particular brand of botulinum toxin 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 that temporarily relax facial muscles causing fine lines and wrinkles.

This injectable treatment is an established brand name and can treat conditions like hyperhidrosis (excessive sweating), a wide jaw and others.

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Technical Information

The UK has very few regulations around Botox injectable treatments and dermal fillers. There is an independent body who act as a watchdog over those administering treatment. However, there are still many injectors out there who are sub-standard and who use cheap products that are compromised or not safe.

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.

Botox is a highly effective injectable treatment for diminishing wrinkles and improving the skin’s overall appearance. The procedure involves relaxing the muscles beneath the skin, and helps smooth out wrinkles and soften the appearance of deeper creases. The effects of Botox may last for about three months, but the effects can be dramatic and often persist as long as seven to nine months

The highly trained team of professionals at PHI Clinic are experienced Botox specialists. Our experienced practitioners understand that beauty is highly personal, and take the time to get to know each of our patients before proceeding with any treatment. We want to help you look and feel your best, and are passionate about providing results that look natural and improve self-confidence.

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

Frequently Asked Questions

Even when treated by highly qualified practitioners, results are temporary, and treatment is ongoing. 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:

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 relax the muscle to stop you overworking that area and 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. 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 favourable 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. You may also be able to see small pinprick marks at the injection site. 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. If we put too much product in, expression will be blunted, and the skin may develop a smooth, shiny appearance. The vast majority of patients want a very natural result, so we put in less product. This way, we retain 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. Firstly, we would never treat somebody who is pregnant or breastfeeding. 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. This is 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 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 injectable nurses.

No, Botox ® is a brand name for botulinum toxin type A, and is listed by the FDA as non-interchangeable. This means 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.


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Press & Media

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Feb 2020

Catch Dr Tapan Patel on Channel 5's 10 Years Younger in 10 days, alongside a team of experts, to achieve incredible and life changing transformations.

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Apr 2017

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...

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Feb 2016

"Very, very good," says the publisher. " Quick, give me his number before the piece goes to press."

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Jan 2017

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.

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Feb 2017

With over 14 years experience in cosmetic dermatology, Dr Tapan Patel is live in the studio to tell us what to look out for.

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