If you are considering Botulinum (often referred to as “Botox”), please read our information about it first or download the leaflet, here.
What is Botulinum Toxin?
Botulinum toxin is a naturally occurring protein that has been around for millions of years – along with the bacteria that produce it. Over the past 40 years it has been increasingly purified and is now used extensively and safely in the medical and aesthetic fields. Like many drugs such as Penicillin it is very safe when used appropriately by properly qualified doctors, dentists and nurses.
Why You Should Only Use A Licensed Expert?
You should only be using the services of a licensed doctor, dentist or prescribing nurse in a registered clinic.
It is not only illegal, but potentially unsafe for anyone outside of these groups to prescribe or use botulinum. None of the reputable pharmaceutical companies will supply their purified toxin to any medically unqualified personnel. Doctors who prescribe remotely for sole nurse practitioners risk being struck off. There is considerable concern about the widespread use of dubiously sourced and impure toxin from China and elsewhere. If it is too cheap to be true then it is probably dangerous and you should not be risking your health.
All botulinum toxins are prescription only medicines (POM) and can only be prescribed by doctors, dentists and nurses with a prescribing qualification, following a face to face assessment and consultation.
Botox® is a registered trademark of Allergan. Other licensed brands include Azzalure®, Dysport®, Xeomin® Bocouture® . The Doctors Laser Clinic is very proud to use Bocouture manufactured by Merz Aesthetics in Germany to the very highest of purity standards.
How Does it Work?
Botulinum toxin Type A works by blocking the nerve impulses to muscles which relaxes them for around 8-12 weeks after the injection. The higher the dose the greater the effect. The skill is getting the muscle to relax but not be paralysed ending up with a mask like face. Less is more! We can always top up but can’t take away.
What are the Benefits?
- Looking younger and healthier
- Smooth fresh wrinkle free skin
- Added self-confidence
- Clinical trials have shown it to reduce anxiety and depression
- A great psychological boost
- Long lasting effect 2-4 months
- Quick and easy return straight to work afterwards
Does it Hurt?
Most patients do not mind the small individual pin-pricks. Good technique reduces discomfort. There is sometimes a popping or crunching sensation that is felt.
Who and What do we Treat?
Almost everyone is suitable so long as you aren’t pregnant or breastfeeding. Very few people need Botox® under the age of 25 years.
Bocouture is formally licensed for the treatment of upper face dynamic frown lines and crow’s feet. It does not treat deep static lines although with long term and repeated use these lines often diminish in the same way that hanging a crumpled shirt in an airing cupboard helps.
After appropriate discussion with your practitioner there are of-label treatments such as horizontal brow lines, lip lines, chin dimpling, to lift the mouth corners, improve the jaw line and platysmal bands to smooth the appearance of the neck. We can also treat hyperhidrosis.
An initial consultation with a cooling off period for first timers is very important so that we can make sure we fully understand what can and cannot be achieved using botulinum. It may well be that some problems will need fillers, laser treatments, plastic surgery or a combination of all four!
It is important you tell your practitioner about any medicines or dietary supplements you are taking, some medicines can adversely affect the way the toxin works or increase your risk of bruising.
Supplements such as Vitamin A, C or E, Gingko Biloba, garlic, fish oils, St. John’s Wort and medicines such as aspirin or ibuprofen can increase the risk of bruising. You are advised to stop taking them a few days beforehand. Do not drink alcohol the night before your treatment.
Make-up will need to be wiped off prior to treatment. Foundation can be safely applied soon after.
Aftercare and Follow-up
You will be encouraged to keep the injected muscle groups active for a few hours after injection. To get maximum effect we do not want the toxin to be washed away too soon. The advice is: no vigorous exercise, no hot baths, saunas or showers, no massage to the area, no lying on the area and no alcohol for 4-5 hours.
The effect does not usually develop for 2-3 days, sometimes longer. Optimum results are at 2-3 weeks at which point we offer a review appointment for a free top-up if necessary. Our Policy is ‘less is more’!
How Long Will it Last?
On average 3 months – worst 2 months often 4 months. Movement starts to recover from 8 weeks. Repeating treatment when movement almost fully recovers gives optimum results over time.
Should you experience any unexpected side effects or any that concern you, please contact the clinic.
Common Side Effects
Common side effects associated with the injections include;
- A stinging sensation when the injection is performed younger and healthier
- A bit of redness, tenderness
- Bleeding at the sites of injection
- Temporary bruising – usually very slight and easily covered up with foundation
- Numbness or itching
All of the above usually resolve spontaneously within hours or days, but may persist for longer.
Uncommon Side Effects
Eye lid ptosis (a drooping or heaviness of the eyelid, one or both), brow ptosis (lowering of the brow). When ptosis rarely occurs, it may take 3 or more weeks to resolve. stinging sensation when the injection is performed younger and healthier
- Asymmetry of expression – it is not always possible to get perfect symmetry.
- Dry mouth
- Altered skin sensation, muscle twitching or spasm in the treated area
- Swelling/ puffiness around the eyes
- Lack of strength
- Eye pain, dry eyes, tearing, sensitivity to light
- Flu like symptoms
- Itching or dry skin
- Muscles not targeted may be effected
- Facial pain
Any adverse reactions usually occur within a few days of treatment. They are often transient but in very rare cases can last for months.
A natural, younger, less tired healthy look! Definitely not a frozen face or eyebrows that look like Spock!
The Doctors Laser Clinic offers a highly personalised service to its clients. For the record we set out below our business terms which govern your Treatment Contract.
Appointments and Cancellations
We appreciate all clients filling in the online consultation forms prior to arrival.
As far as possible we try to guarantee continuity of care with your own Doctor or Nurse. All are trained to a high standard by The Doctors and by external certifying agencies. All have continuing supervision and training. If it does become necessary to change practitioner you can be assured of the same quality of treatment.
We require at least 24 hours’ notice of cancellation of appointments. In the event of late cancellation you will be required to pay the full fee of the missed appointment before resuming therapy.
We schedule our appointments to allow adequate time for form filling so there is no need to arrive more than 5-10 minutes in advance. Late arrival reduces the time available for a full treatment so it may be necessary to reschedule. In the event of The Doctors Laser Clinic needing to cancel or reschedule your appointment we shall make every effort to contact you well in advance. If it is within 24 hours you will be entitled to an extra free treatment session.
Please be sure to read our instructions on what to do to prepare for your appointment. Details of our Botox®, Fillers, Aesthetic Laser treatments and Hair Removal services are in other leaflets.
Payment is taken at the end of the first treatment session.
Prices are as currently advertised here.
We do not charge for an initial appointment. If however you do not attend for an initial consultation we will ask for a £75 cancellation fee.
Payment is taken at the end of the first treatment session.
Prices are as currently advertised on our website.
The Doctors Laser Clinic will not be liable in contract, tort or otherwise for any economic loss (including, without limitation, loss of profit), or for any other special, indirect or consequential loss or damage arising out of, or in connection with, its provision of any goods and/or services to the client.
It is the client’s responsibility to ensure that he or she provide The Doctors Laser Clinic with all relevant medical details prior to each treatment. The Doctors Laser Clinic will not be liable for any damage that occurs as a result of the client’s failure to disclose such details.
The client agrees to comply with all instructions and/or recommendations given to them by, or on behalf of, The Doctors Laser Clinic regarding the care of a treated area. Nothing in these terms of business shall exclude or limit The Doctors Laser Clinic liability for death or any personal injury resulting from The Doctors Laser Clinic negligence.
Our policies regarding Confidentiality, Medical Records Management, Insurance, Training, Audit and much else is available on our website.
Our full complaints policy is published on our website.
The Doctors Laser Clinic has built its reputation on openness, honesty and guaranteed results. We are very keen to address any worries or concerns at the time they arise and do everything in our power to ensure fair play and address concerns. Any complaint will be immediately passed to one of the Clinical Directors who will personally reply within 5 days and launch an investigation.
During the course of the investigation, The Doctors Laser Clinic may require you to attend an additional consultation with the practitioner involved in your treatment and one of the doctors. You are welcome to be accompanied by a friend or colleague if you wish. If you are not satisfied with this initial attempt at resolution, or have any objection to being seen by this practitioner, The Clinical Director will review your case personally.