Botox® is a medicine only available on prescription. It is injected into muscles to stop forceful contraction. It was developed during the 1970s and received full FDA approval in 1997 for cosmetic use (Vistabel)in frown lines. The approved brands of Botulinum Toxin available in the UK include Botox®, Vistabel, Xeomin, Dysport and Azzalure.

Botox® has been proven to be useful in many medical conditions, including cosmetic treatments such as removing frown lines. In addition to the treatment of frown lines and wrinkles, Botox® is also used to treat migraines, excessive and painful teeth grinding, headaches and hyperhidrosis (excessive sweating). Botox® has been linked to having a highly positive psychological affect in several clinical studies. In practise, many patients notice that treatment does improve their psychological state and self-esteem.

Botox® treatments are virtually painless. Anaesthetic cream and ice can help to calm particularly nervous patients at their first treatment session.

Results will start to show after 3-10 days and will last 3-4 months. Patients who have treatments 2 or 3 times per year tend to find the results may last longer after the first 2 years of Botox® treatments. When combined with other skincare treatments, it is an essential component of anti-ageing. Hyperhidrosis (anti-sweating) effects can last up to 6 months. The results are temporary because the muscles regain their strength again over 3-6 months.

• Frown lines (glabella)
• Forehead lines
• “Crows feet” (eye wrinkles)
• “Brow lift” (gives a more open eyed look)
• “Bunny lines” (nose wrinkles)
• “Gummy Smile” (upper lip retraction)
• Jaw spasm and Jawline smoothing
• Neck lines Neck lift (Nefertiti lift)
• Migraines
• Headaches
• Hyperhidrosis to underarms, forehead, scalp (excessive sweating)
• Facial asymmetry (patients suffering from facial nerve injury)

Hundreds of clinical studies have proven the long-term safety of Botox® treatment over the last 20 years. All medical treatments have potential side-effects, however these are rare and include: Swelling and redness briefly after the treatment Bruising (uncommon) Headache can last 2-3 days (uncommon) Eyebrow or eyelid droop can last few weeks (rare)

All questions & aftercare are discussed during the medical consultation. In the 6 hours following treatment: Avoid lying down or excessive bending Avoid strenuous exercise Avoid hair washing or massage to the area Avoid alcohol

Due to its long safety record, millions of people have Botox® treatments every year. It is rare that patients are not suitable for treatment. However patients not suitable include:

• Pregnant or breast-feeding patients
• Patients with a history of muscle disorders eg. Myasthenia Gravis
• Patients with a current infection treated with antibiotics (particularly erythromycin) should wait until the course is finished and the infection has fully resolved

Prices start from £175

• Smile lines
• Lip lines
• Scar improvement (traumatic scars, surgical scars, chicken pox scars, sunken scars etc)
• Re-volumisation of facial fat
• Re-building/contouring facial volume following medical illnesses
• Lip enhancement
• Sleep lines
• Nasolabial folds (nose to mouth lines)
• Jawline definition, jowl softening
• Deep folds, wrinkles
• Cheekbone enhancement
• Sunken cheeks
• Decolletage lines
• Nose re-shaping
• Chin re-balancing
• Acne scarring
• Temple hollowing
• HIV patients that suffer from facial wasting

Treatment can take as little as 15mins to an hour. You will be able to return to normal activity immediately.

Juvederm® Ultra, Juvederm® Smile , Restylane and Perlane contain lidocaine, a local anaesthetic which has been proven to minimise any discomfort. Ice, anaesthetic cream and a very fine needle are used to ensure the most painless experience possible.

Only safe, proven and temporary products are used. However minor risks include bruising, swelling, and redness. These tend to settle over a few days. All questions & aftercare are discussed during the medical consultation.

Juvederm® Ultra has been proven to last up to one year. Duration of effects depends on different factors:

• Age
• The area treated
• Quantity of Juvederm®® ULTRA
• injected Quality of skin
• Lifestyle
• Illnesses

• Excessive sun exposure (eg sunbeds)
• You are advised to avoid using aspirin or other non-steroidal anti-inflammatory drugs (eg ibuprofen) a few of days before your anti-wrinkle treatment (unless they are taken for chronic medical conditions). Avoiding these medications will reduce the risk of bruising and bleeding at the point of injection.
• No make-up for at least 12 hours after the treatment

• Pregnant or breast-feeding patients
• Patients suffering with active coldsores (herpes) at the time of treatment
• Patients with a current infection treated with antibiotics should wait until the infection has fully resolved

Patients suffering from certain chronic medical illnesses or skin conditions may not be suitable or need a specialised treatment regime, however this will be discussed in full at the medical consultation.

Prices start from £190

The number of treatments required depends upon several factors:

type and severity of the scars

affected area

age

general health

The response to the healing process is monitored over months and the treatments tailored to each individuals needs. Most patients with moderate to severe scarring will need a course of at least 4 treatments
Does it Hurt and how long does The Microlift Procedure take?
An anaesthetic cream is applied for at least an hour prior to the procedure. This numbs the area and minimises any discomfort. Following consultation, The Microlift Procedure takes 30 – 45 mins.

Treatments are 6 – 8 weeks apart for the full Microlift Procedure. However, most patients benefit from sessions of the Hyaluronic Acid Mesotherapy in between sessions.

Most patients can return to work or normal, non-strenuous activity almost immediately. Redness is common for 24hours. Bruising and swelling can occur but is uncommon and rarely lasts longer than 48hours.

A detailed medical consultation will be carried out by Miss Chantrey which will include a full scarring assessment and scarring family history. This will rule out any patients who are not suitable for treatment. In suitable patients the treatment is very safe as it consists of fully approved medical devices and techniques.

Risks include:

Redness, bruising, swelling and infection (rare). Some patients may require more than 4 sessions. Sun protection and avoidance is essential as with any skin treatment to prevent further sun damage or pigmentation.