Botox Injections- Botulinum Toxin

female face with wrinkles on her forehead

At Cedars we have significant expertise in Botulinum Toxin injections for wrinkles and also for excess sweating (hyperhidrosis). Some of our consultants are recognised national experts in this field.  They take tertiary referrals for difficult cases and manage complications of other practitioners.

We use the full range of toxins available including Botox®, Vistabel®, Dysport® Azzalure®, Bocouture®, Xeomin® and Neurobloc®

In addition to routine treatments we take on more difficult cases such as hyperhidrosis of the face, palms and soles and cosmetic treatments where toxins are becoming less effective. We see and treat complications of treatments done elsewhere and also provide expert witnesses reports for medicolegal cases involving cosmetic dermatology treatments.

What is botulinum toxin treatment and how does it work?

Botulinum toxin is a powerful chemical agent derived from a bacterium that blocks the release of acetylcholine (Ach), the substance which is responsible for transmitting electrical impulses which elicit muscle contraction. The substance has been used safely and effectively for treatment of Strabismus (cross-eye) and blepharospasm (lid spasm) for decades. Botulinum Toxin is also very useful in controlling muscle spasm, pain, hyperhidrosis (excessive sweating) and urinary incontinence. Activity of the facial expression muscles over a long period of time results in the development of deep frown lines, forehead lines and/or crow’s feet. An injection of a tiny quantity of Botulinum Toxin into the affected area initiates temporary weakening of the underlying muscles of the face, the effect is a more relaxed and pleasing appearance to the face. When used cosmetically, the treatment aims to reduce the visible signs of aged skin. Trade names for Botulinum Toxin include Botox®, Vistabel®, Dysport® Azzalure®, Bocouture®, Xeomin® and Neurobloc®.

How long does botulinum toxin last for?

Whilst the initial effects of treatment can be visible within 48 to 72 hours, it can take up to 1 to 2 weeks for the treatment to reach its maximum effect. Your facial expression will become more relaxed but by no means mask-like, the intended overall result is very natural and subtle. The overall effect of treatment generally lasts for 4 to 6 months. With each successive treatment many patients find that the muscles become progressively more susceptible to treatments, i.e. the injections last longer and longer. The best results are demonstrated when regular botulinum toxin injections are administered.

Are there any risks associated with botulinum toxin?

Botulinum toxin injection is generally a safe and very effective procedure. Nevertheless, certain side effects can occur but they are mostly reversible. Your doctor will inform you of potential side effects, you should feel free to voice any initial concerns you might have with your doctor during consultation. Any procedure incurs a certain degree of risk, it is important that you evaluate the potential risk compared to the overall benefit and the consequences of Botulinum toxin injections. Some potential side effects are:

  • Bruising or swelling at the injection site
  • Headache (usually wears off after a couple of hours)
  • Slight feeling of nausea
  • Tiredness, pain in the arms and legs
  • Temporary drooping of the eyebrow or eyelid (when injected into face)
  • Brief visual disturbances
  • Dryness of the eyes
  • Skin rash
  • Itching or Allergic reactions
  • Dry mouth
  • Muscle atrophy
  • Excess compensatory sweating elsewhere (when used to treat sweating)

If you notice any side effects which persist or feel you are suffering from an allergic reaction, you must contact your doctor as soon as possible- generally complications are easier to treat earlier than later. Most people suffer no side effects at all, and many people are able to continue normally after receiving the injections without anyone realizing they have had the procedure.

What should I do after the procedure?

  • Do not have a facial, rub, massage or chemical peel around the treated areas for up to 24 hours.
  • Do not lie down for 90 minutes after the treatment. Avoid excessive exercise, using a sauna or hot tub for 24 hours after your treatment.
  • Some patients experience a mild headache shortly after Botulinum toxin treatment; you may wish to take Paracetamol as needed. Avoid taking any anti-inflammatory drug such as Aspirin, Ibuprofen or Neurofen as this might increase bruising.
  • Any tiny bumps or marks will go away within a few hours of treatment. There is a small risk of bruising and of this does occur, it will be temporary and can be easily covered with make-up.

Is a botulinum toxin right for me?

You should alert your doctor before receiving Botulinum Toxin:

  • if you are Pregnant or Breast-feeding
  • if you suffer from Myasthenia gravis
  • if you suffer from Lambert-Eaton syndrome
  • if you have any Blood coagulation disorder

Drug interactions can occur if botulinum toxin is used concomitantly with other medications. Please ensure your doctor is aware of any medications you are taking. It is also recommended that you disscuss your optimum outcomes and expectations of treatment with your doctor at consultation. Although, botulinum toxin injections are not permanent, it is important that your doctor is aware of the extent of treatment that you wish for.

Information Videos

Type your question in the field below or browse through our channels and playlists.

Tag Seach:

Search Keyword:

  

10 results
share
Powered by Answerpack
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
 0:32  
0:32
4
TOTAL
VIEWS
Video Description

Laser treatments can improve the signs of ageing, notes Dr Anjali Mahto. Cedars Dermatology can use a combination of devices like intense pulse light, which can rejuvenate the skin and improve pigmentation or redness. http://www.cedarsderm.co.uk

Cedars Dermatology is a leading group of London dermatologists that offers treatments for moles, skin cancers, acne, rosacea, psoriasis, eczema and other skin conditions for both adults and children.

4
TOTAL
VIEWS
 0:32   ChannelAgeing PlaylistAgeing FAQ  

Laser treatments can be used to improve the signs of ageing. We can use a combination of light devices like intense pulse light, which can rejuvenate the skin but also improve pigmentation or redness. And then there are other lasers that can be used to improve pigmentation marks but also find blood vessels that can develop over time.

read more view less

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Consultant Dermatologist
Anjali is a Consultant Dermatologist at the London North West Hospitals NHS Trust where she is also lead for paediatric dermatology services and dermatology clinical governance. She is a spokesperson for the British Skin Foundation. She is quoted in the national press on a range of skin issues. She has trained at some of UK's leading teaching hospitals including Imperial College Healthcare and the Royal Free Hospital. She is actively involved in undergraduate and postgraduate medical education and has presented at national and international conferences. She is happy to consult on any skin, hair and nail disorders in adults or children. Read full bio view less


share

Thank you for your feedback.

Did the video answer your question?


loading

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
 0:33  
0:33
9
TOTAL
VIEWS
Video Description

Botulinum toxin can be injected into the muscle to relax the it and soften lines and wrinkles that develop over time, says Dr Anjali Mahto of Cedars Dermatology in London. http://www.cedarsderm.co.uk

Cedars Dermatology is a leading group of London dermatologists that offers treatments for moles, skin cancers, acne, rosacea, psoriasis, eczema and other skin conditions for both adults and children.

9
TOTAL
VIEWS
 0:33   ChannelAgeing PlaylistAgeing FAQ  

Botulinum toxin can be used to improve the signs of ageing. As we get older, we tend to repetitively use a lot of our facial muscles and that can result in lines and creases developing on the skin. Botulinum toxin can be injected into the muscle to relax the muscle, and soften those lines and wrinkles that develop overtime.

read more view less

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Consultant Dermatologist
Anjali is a Consultant Dermatologist at the London North West Hospitals NHS Trust where she is also lead for paediatric dermatology services and dermatology clinical governance. She is a spokesperson for the British Skin Foundation. She is quoted in the national press on a range of skin issues. She has trained at some of UK's leading teaching hospitals including Imperial College Healthcare and the Royal Free Hospital. She is actively involved in undergraduate and postgraduate medical education and has presented at national and international conferences. She is happy to consult on any skin, hair and nail disorders in adults or children. Read full bio view less


share

Thank you for your feedback.

Did the video answer your question?


loading

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
 0:44  
0:44
2
TOTAL
VIEWS
Video Description

Dr Anjali Mahto of Cedars explains that depending on the depth of skin peels that you do, the courses can vary. You may choose some as and when you've got a big event coming up. http://www.cedarsderm.co.uk

Cedars Dermatology is a leading group of London dermatologists that offers treatments for moles, skin cancers, acne, rosacea, psoriasis, eczema and other skin conditions for both adults and children.

2
TOTAL
VIEWS
 0:44   ChannelAgeing PlaylistAgeing FAQ  

Depending on the depth of skin peels that you do, the courses can vary. So if you are doing chemical peels purely to brighten your complexion up, you may just choose to do those as and when you've got a big event coming up. If there is a specific reason that you are choosing to do a chemical peel, for example, if you've got quite severe pigmentation, you may need a course of three to six in combination with using sun protection. Chemical peels, if they are being carried out, you have to stay out of the sun for four weeks. Otherwise, you may get problems with tanning and pigmentation.

read more view less

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Consultant Dermatologist
Anjali is a Consultant Dermatologist at the London North West Hospitals NHS Trust where she is also lead for paediatric dermatology services and dermatology clinical governance. She is a spokesperson for the British Skin Foundation. She is quoted in the national press on a range of skin issues. She has trained at some of UK's leading teaching hospitals including Imperial College Healthcare and the Royal Free Hospital. She is actively involved in undergraduate and postgraduate medical education and has presented at national and international conferences. She is happy to consult on any skin, hair and nail disorders in adults or children. Read full bio view less


share

Thank you for your feedback.

Did the video answer your question?


loading

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
 0:36  
0:36
6
TOTAL
VIEWS
Video Description

Chemical peels can be used to improve the signs of ageing, says dermatologist Dr Anjali Mahto. The deeper the peel, potentially the more likely you are to get a good result over a course of treatments. http://www.cedarsderm.co.uk

Cedars Dermatology is a leading group of London dermatologists that offers treatments for moles, skin cancers, acne, rosacea, psoriasis, eczema and other skin conditions for both adults and children.

6
TOTAL
VIEWS
 0:36   ChannelAgeing PlaylistAgeing FAQ  

Chemical peels can be used to improve the signs of ageing. Chemical peels com in varying depths, so you can have very light ones which will only remove the upper dead layer of skin cells or your stratum corneum, and then you can have peels that will go deeper than that. The deeper the peel, potentially the more downtime there is, but you're likely to get a good result over a course of treatments that improving fine lines and pigmentation.

read more view less

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Consultant Dermatologist
Anjali is a Consultant Dermatologist at the London North West Hospitals NHS Trust where she is also lead for paediatric dermatology services and dermatology clinical governance. She is a spokesperson for the British Skin Foundation. She is quoted in the national press on a range of skin issues. She has trained at some of UK's leading teaching hospitals including Imperial College Healthcare and the Royal Free Hospital. She is actively involved in undergraduate and postgraduate medical education and has presented at national and international conferences. She is happy to consult on any skin, hair and nail disorders in adults or children. Read full bio view less


share

Thank you for your feedback.

Did the video answer your question?


loading

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
 0:27  
0:27
5
TOTAL
VIEWS
Video Description

Chemical peels are very safe if they are done by a trained individual says Dr Anjali Mahto. A dermatologist will be able to guide you on the right type of peel for your skin type and problem. http://www.cedarsderm.co.uk

Cedars Dermatology is a leading group of London dermatologists that offers treatments for moles, skin cancers, acne, rosacea, psoriasis, eczema and other skin conditions for both adults and children.

5
TOTAL
VIEWS
 0:27   ChannelAgeing PlaylistAgeing FAQ  

Chemical peels are very safe if they are done by a trained individual. Again, a dermatologist will be able to guide you on the right type of peel for your skin type and your skin problem, and also how many courses you are likely to need over a period of time.

read more view less

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Consultant Dermatologist
Anjali is a Consultant Dermatologist at the London North West Hospitals NHS Trust where she is also lead for paediatric dermatology services and dermatology clinical governance. She is a spokesperson for the British Skin Foundation. She is quoted in the national press on a range of skin issues. She has trained at some of UK's leading teaching hospitals including Imperial College Healthcare and the Royal Free Hospital. She is actively involved in undergraduate and postgraduate medical education and has presented at national and international conferences. She is happy to consult on any skin, hair and nail disorders in adults or children. Read full bio view less


share

Thank you for your feedback.

Did the video answer your question?


loading

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
 0:35  
0:35
7
TOTAL
VIEWS
Video Description

Dr Anjali Mahto of Cedars Dermatology explains that chemical peels are usually acidic solutions that are applied to the skin, which dissolve the upper-layer skin. The top layer of skin is removed and healthy skin grows underneath. http://www.cedarsderm.co.uk

Cedars Dermatology is a leading group of London dermatologists that offers treatments for moles, skin cancers, acne, rosacea, psoriasis, eczema and other skin conditions for both adults and children.

7
TOTAL
VIEWS
 0:35   ChannelAgeing PlaylistAgeing FAQ  

Chemical peels are usually acidic solutions that are applied to the skin, and what they do is they dissolve the upper layer skin. And then you use a neutralising agent, which is usually used to then...which is normally alkali, which then neutralises the acid, and then you get an exfoliation of the skin. So the top layer of skin is removed and healthy skin then grows underneath.

read more view less

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Consultant Dermatologist
Anjali is a Consultant Dermatologist at the London North West Hospitals NHS Trust where she is also lead for paediatric dermatology services and dermatology clinical governance. She is a spokesperson for the British Skin Foundation. She is quoted in the national press on a range of skin issues. She has trained at some of UK's leading teaching hospitals including Imperial College Healthcare and the Royal Free Hospital. She is actively involved in undergraduate and postgraduate medical education and has presented at national and international conferences. She is happy to consult on any skin, hair and nail disorders in adults or children. Read full bio view less


share

Thank you for your feedback.

Did the video answer your question?


loading

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
 0:36  
0:36
6
TOTAL
VIEWS
Video Description

Dermatologist Dr Anjali Mahto at Cedars says there are a number of ways to get rid of age spots such as cream treatments, but if the skin doesn't respond there are light or laser therapies. http://www.cedarsderm.co.uk

Cedars Dermatology is a leading group of London dermatologists that offers treatments for moles, skin cancers, acne, rosacea, psoriasis, eczema and other skin conditions for both adults and children.

6
TOTAL
VIEWS
 0:36   ChannelAgeing PlaylistAgeing FAQ  

There are a number of ways to get rid of age spots. The first method and the most simplest method is to use cream treatments. So there are creams, particularly retinoid creams, which are high doses of vitamin A that can be used to fade brown spots that develop in sun-exposed sites. If the pigmentation doesn't respond to cream treatments, the next step really would be looking at light or laser therapies.

read more view less

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Consultant Dermatologist
Anjali is a Consultant Dermatologist at the London North West Hospitals NHS Trust where she is also lead for paediatric dermatology services and dermatology clinical governance. She is a spokesperson for the British Skin Foundation. She is quoted in the national press on a range of skin issues. She has trained at some of UK's leading teaching hospitals including Imperial College Healthcare and the Royal Free Hospital. She is actively involved in undergraduate and postgraduate medical education and has presented at national and international conferences. She is happy to consult on any skin, hair and nail disorders in adults or children. Read full bio view less


share

Thank you for your feedback.

Did the video answer your question?


loading

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
 0:39  
0:39
7
TOTAL
VIEWS
Video Description

How many chemical peel sessions you need will vary, says Dr Anjali Mahto. It depends on the depth of peel that you have and the skin problem that you're trying to treat and the patient's skin type. http://www.cedarsderm.co.uk

Cedars Dermatology is a leading group of London dermatologists that offers treatments for moles, skin cancers, acne, rosacea, psoriasis, eczema and other skin conditions for both adults and children.

7
TOTAL
VIEWS
 0:39   ChannelAgeing PlaylistAgeing FAQ  

Chemical peels and their courses and how many sessions you need vary. It depends on the depth of peel that you have and the skin problem that you're trying to treat and the patient's skin type, as well. The important thing with chemical peels are, generally speaking, they work better as a course because you get continued improvement each time with each treatment. It's not that one treatment won't do any good, but you will get a better result if you have three to six.

read more view less

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Consultant Dermatologist
Anjali is a Consultant Dermatologist at the London North West Hospitals NHS Trust where she is also lead for paediatric dermatology services and dermatology clinical governance. She is a spokesperson for the British Skin Foundation. She is quoted in the national press on a range of skin issues. She has trained at some of UK's leading teaching hospitals including Imperial College Healthcare and the Royal Free Hospital. She is actively involved in undergraduate and postgraduate medical education and has presented at national and international conferences. She is happy to consult on any skin, hair and nail disorders in adults or children. Read full bio view less


share

Thank you for your feedback.

Did the video answer your question?


loading

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
 0:37  
0:37
6
TOTAL
VIEWS
Video Description

About 90% of ageing will occur directly as a result of ultraviolet light exposure, says Dr Anjali Mahto, consultant dermatologist at Cedars Dermatology, so wearing some protection is absolutely key to preventing premature ageing. http://www.cedarsderm.co.uk

Cedars Dermatology is a leading group of London dermatologists that offers treatments for moles, skin cancers, acne, rosacea, psoriasis, eczema and other skin conditions for both adults and children.

6
TOTAL
VIEWS
 0:37   ChannelAgeing PlaylistAgeing FAQ  

So about 90% of ageing will occur directly as a result of ultraviolet light exposure, so wearing some protection is absolutely key to preventing premature ageing. What happens as we get older is we start developing fine lines and wrinkles and pigmentation, and both of those things can be slowed down. You can't stop chronological ageing, but you can slow it down by some protection.

read more view less

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Consultant Dermatologist
Anjali is a Consultant Dermatologist at the London North West Hospitals NHS Trust where she is also lead for paediatric dermatology services and dermatology clinical governance. She is a spokesperson for the British Skin Foundation. She is quoted in the national press on a range of skin issues. She has trained at some of UK's leading teaching hospitals including Imperial College Healthcare and the Royal Free Hospital. She is actively involved in undergraduate and postgraduate medical education and has presented at national and international conferences. She is happy to consult on any skin, hair and nail disorders in adults or children. Read full bio view less


share

Thank you for your feedback.

Did the video answer your question?


loading

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
 0:22  
0:22
6
TOTAL
VIEWS
Video Description

Botulinum toxin lasts, on average, about three months, explains Dr Anjali Mahto of Cedars Dermatology in London. So, if you have a treatment, you are likely to need treatments again in three to six months' time. http://www.cedarsderm.co.uk

Cedars Dermatology is a leading group of London dermatologists that offers treatments for moles, skin cancers, acne, rosacea, psoriasis, eczema and other skin conditions for both adults and children.

6
TOTAL
VIEWS
 0:22   ChannelAgeing PlaylistAgeing FAQ  

Botulinum toxin lasts, on average, about three months. So, if you have a treatment, you are likely to need treatments again in three to six months' time.

read more view less

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Consultant Dermatologist
Anjali is a Consultant Dermatologist at the London North West Hospitals NHS Trust where she is also lead for paediatric dermatology services and dermatology clinical governance. She is a spokesperson for the British Skin Foundation. She is quoted in the national press on a range of skin issues. She has trained at some of UK's leading teaching hospitals including Imperial College Healthcare and the Royal Free Hospital. She is actively involved in undergraduate and postgraduate medical education and has presented at national and international conferences. She is happy to consult on any skin, hair and nail disorders in adults or children. Read full bio view less


share

Thank you for your feedback.

Did the video answer your question?


loading

Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)
Dr Anjali Mahto MBBS, MRCP(UK), CCST(Derm)

To make an appointment call us on 0207 307 7467

Other treatments and services

  • Children’s Dermatology

    Paediatric dermatology encompasses skin, hair and nail problems affecting children, including newborns and infants

  • Cosmetic Dermatology

    Cosmetic dermatology represents that aspect of diagnosing, treating, and preventing the changes to the skin that are aesthetically not pleasing to the patient.

  • Fillers

    Cedars dermatologists are highly experienced in a range of dermal filler treatments. Some of our consultants are recognised national experts in this field. They take tertiary referrals for difficult cases and manage complications of other practitioners.

  • Intense Pulsed Light (IPL)

    IPL is a good treatment for many skin conditions particularly rosacea, hair removal and some pigmentation problems. We have access to 3 IPL machines including the Soprano IPL

  • Confocal Microscopy

    This is the latest validated technology in skin cancer diagnosis. It involves the use of a laser-assisted microscope.

  • International Patients

    Patients visit us from around the world for help with their skin issues