Fine line & wrinkle treatment (Azzalure® - Botox®) 


Botulinum toxin can be used to treat all wrinkles which are the result of normal facial movement. When it is injected into a specific muscle in the face it blocks the signal from the nerve to the muscle. This means that the nerve ending cannot tell the muscle to move, hence there will be less wrinkling of the skin in the areas treated. The upper third of the face is where the best treatment results are obtained, commonly for the reduction in crow's feet around the eyes and wrinkles on the forehead and between the eyebrows. Depending on the area treated, dose used, and how you respond, repeat treatments will be required around every 3 - 6months


Q & A


Is Azzalure / Botox® Safe?

Both products have an excellent safety profile.

Botulinum Toxin type A can be used in a variety of therapeutic areas.  It is one of the few treatments that can be given to treat children over 2 years of age to treat Cerebral Palsy.

Botox® has been actively used for over 10 years in tens of thousands of patients worldwide


When will treatment start to work?

From day 2 in some patients through to 14 days to see the full effect.


How long will my treatment last?

Results can last from 3 to 4 months following initial treatment

Subsequent treatments can last much longer.


Will the treatment work for me?

The majority of patients treated by an experienced injector are satisfied with the result of their treatment


Will my lines look worse if I do not continue my treatment?

Should you discontinue treatment, your lines will gradually revert to their pre-treatment appearance.


Will it affect my whole face?

It only relaxes the muscle it is injected into.

It is used in miniscule quantities to treat facial lines.

Appropriate injections of Azzalure or BOTOX ® will ensure you still have natural facial expression


Who makes Botox®?

Botox® is the brand name for the most popular form of this treatment worldwide.  It is manufactured by Allergan, a specialist pharmaceutical company.


Who makes Azzalure?

It is manufactured by Galderma (UK) Ltd. a pharmaceutical company.


What are the risks and potential complications from Botulinum Toxin treatment?

Most patients find that Botox® injections cause little discomfort. Many compare the feeling to a little insect bite! As the treatment is very quick, the needles used are tiny and only minute amounts of liquid are being injected into the skin; few patients experience any significant pain.


Other risks or side effects include a small amount of temporary bleeding or mild swelling which may occur at the injection site. In some cases more extensive bruising may occur, especially around the eyes, but this can usually be covered up with make-up, and is only temporary.


Occasionally, patients experience a headache after treatment, and, very rarely, double vision.


When botulinum toxin is injected into the forehead area, there is a very slight possibility that it may cause weakness of the muscle holding up the eyelid causing a “partial ptosis” or drooping of the upper eyelid. In experienced hands this tends to happen in less than 1% of patients and will disappear over a period of 2 - 10 weeks.

If the forehead muscles are relaxed too much, especially in patients with looser skin, the treatment may cause the eyebrows to drop slightly. Again, this is only a temporary condition and will vanish usually within several weeks.


Sometimes, the eyebrow position may alter so that the edges of the eyebrows become elevated. Some people like this effect, but it is generally unwanted in men. It is easily corrected with a small amount of botulinum toxin injected above the raised area of the eyebrow to help change its position.


All patients should remember that because the results of botulinum toxin are not permanent, any unwanted effects will disappear usually within a 3 month period