Botulinum toxin relaxes the specific muscles that fold the skin into expression lines. Used precisely, it softens forehead lines, frown lines and crow's feet while leaving your face mobile and expressive. Dosing at Nuance Clinic is individual and based on muscle strength, not a fixed price-per-area formula.
What it is
- Botulinum toxin type A temporarily blocks the nerve signal to selected muscles. Lines caused by repeated movement soften, and lines that have not yet formed are prevented.
- It does not fill volume, tighten loose skin or treat sun damage — those need filler, energy devices or skin treatments.
Who it suits
- Forehead lines, glabellar (frown) lines, crow's feet, bunny lines, gummy smile, chin dimpling and neck bands
- Patients seeking prevention in their late twenties and thirties
- Not suitable in pregnancy, breastfeeding, neuromuscular disease (e.g. myasthenia gravis) or known allergy
Products we use
- Original, licensed botulinum toxin brands including Botox (Allergan), Dysport and Xeomin
- Product is reconstituted fresh, in front of you where you wish, and never diluted beyond protocol
How the treatment is performed
- Dynamic assessment: we watch you frown, raise, smile and squint before deciding on injection points.
- Skin cleaned; injections with a very fine needle, typically 4–8 points per area.
- The whole session takes minutes; you can return to work immediately.
Safety
- Correct dosing and depth prevent eyelid or brow drop; this is anatomy, not luck.
- We deliberately under-treat first-time patients and add at review, because toxin cannot be removed once injected.
- Full medical history is taken — certain antibiotics and neuromuscular conditions matter.
Before your appointment
- Avoid alcohol for 24 hours.
- Tell us if you are on aminoglycoside antibiotics or have any neuromuscular disorder.
- Do not book within two weeks of a major event, so there is time to fine-tune.
Aftercare
- Stay upright for 4 hours; no lying face down.
- No rubbing or facial massage for 24 hours.
- No gym, sauna or hammam for 24 hours.
- Active facial expressions in the first hours may help uptake.
Results and longevity
- First changes at day 3, full effect at day 10–14.
- Effect lasts 3–5 months; regular treatment often extends the interval over time.
- Deep static lines etched into skin need filler, skin boosters or resurfacing in addition.
Possible side effects and risks
- Common: small bruises, brief headache, transient heaviness.
- Uncommon: brow or eyelid ptosis (temporary, weeks), asymmetry — usually correctable at review.
- Rare: allergic reaction, flu-like symptoms.
Follow-up
A two-week review is part of every toxin treatment, with adjustment where needed at no extra charge.
Questions about this treatment
Will I look frozen?
Not with individualised dosing. We aim to weaken the pull of specific muscles, not to eliminate movement — most patients keep full expression with softer lines.
Is Botox safe long term?
Botulinum toxin has decades of clinical use in medicine and aesthetics. Long-term regular use typically means needing less product over time.
How old should I be to start?
When dynamic lines start to stay visible at rest — for many people that is between 27 and 35. There is no fixed age.
Can I combine it with filler?
Yes, and it is usually the better plan: toxin handles movement, filler handles volume.