Anti Wrinkle Injections in London
Anti wrinkle injections are a non-invasive neurotoxin treatment which can address wrinkles in the face. Wrinkle relaxing injections, neuromodulators and neurotoxins all refer to the same thing. There are 3 areas where neurotoxin is particularly effective: the frown lines (lines between the eyes), the horizontal lines of the forehead and the lateral canthal lines also known as ‘crow’s feet’ at the outer aspect of the eyes. Anti-wrinkle injections function through the relaxation of dynamic wrinkles as as opposed to static wrinkles which are lines at rest. Anti-wrinkle injections are also great for relaxing the muscles responsible for facial expression such as smiling, frowning and squinting. Through achieving relaxation of the underlying facial muscles, the wrinkles are smoothened out giving rise to a more rejuvenated appearance to the face and particularly the upper third of the face.
Anti-wrinkle injections are most effective when patients start to use it at a younger age – late 20’s and early 30’s is ideal. Over time, the skin in the areas of facial expression begin to form fine lines as a result of overactivity of the involved muscles such as eyebrow raising, smiling and also squinting. Many people have found neurotoxins to be highly effective when used from the age of 20. For older patients, Anti-wrinkle injections are also incredibly useful once they start to form wrinkles at rest, also known as static wrinkles.
Expected Results after anti-wrinkle injections
- Smoothening out of wrinkles in the upper third of the face (this can occur as soon as 4-5 days after neurotoxin treatment)
- Improve the appearance of an overly prominent gummy smile
- Improvement in perioral lines
- Reduce jaw clenching through targeted relaxation of the masseter muscle and create slimming of the jawline
- Neuromodulator can create a mild brow lift effect through increasing the height of the lateral eyebrow to increase the arch in the eyebrow
- Anti-wrinkle injections work to relax the facial musculature responsible for many common facial expressions
- Results from anti-wrinkle injections can last up to four months
RealSelf Top Doctors
RealSelf top doctor status is awarded to less than 10% of the RealSelf doctor community. This status is earned by achieving consistently high patient satisfaction (from RealSelf reviews), getting excellent feedback on expert answers to patient questions, and after investing significant time in Q&A and other doctor activity. RealSelf top doctors are rated among the very best surgeons in the United Kingdom and USA.
Anti wrinkle clinic in London
Ida Bafende is a specialist aesthetic practitioner. She has over 17 years experience as a senior nurse Specialist in Dermatology at one of the major teaching hospitals in London. She has managed large teams of nurses, run nurse-led clinics and worked closely with all members of the Multidisciplinary team to ensure the best possible care is given to individual patients.
Dr Antonios Mitsakos is a fully qualified plastic and cosmetic surgeon. His name appears on the GMC register for plastic surgery (GMC number: 6148715). He completed his plastic surgery training at the world-renowned St Thomas Hospital in London. Dr Mitsakos has performed reconstructive surgery in his NHS roles and his expertise in doing this forms the foundation of his aesthetic practice.
Dr Antonios Mitsakos has extensive experience in performing all aspects of Anti Wrinkle Injections, facial rejuvenation surgery including blepharoplasty, brow lift, facelift and neck lift surgery. Dr Mitsakos regularly combines facial fat grafting with facelift surgery to volumise and create projection – restoring the natural contours of the youthful face.
Dr Antonios is also a highly regarded teacher and trainer of non-surgical aesthetic techniques to the next generation of doctors. He currently holds highest level 7 accredited trainer status. His friendly, relaxed yet confident manner is frequently remarked upon by many of his former trainees.
Dr Mitsakos specialises in minimally invasive surgical techniques to minimise scarring and is proficient in the endoscopic brow lift procedure. Meticulous preoperative planning is very important to Dr Mitsakos to achieve optimal results and he follows very strict clinical protocols for all his patients.
At consultation, Dr Mitsakos will listen to your specific needs and requirements and where appropriate will tailor a bespoke surgical solution using Crisalix 3D imaging to visualise how you could look after your procedure.
Ideal patients for anti wrinkle injections
Anti wrinkle injections are the most popular treatment for non-invasive facial rejuvenation at Centre for Surgery in London. Our practitioners perform many hundreds of treatments across a wide range of patients, both younger and older.
The ideal candidate for anti wrinkle injections:
- You are a young person looking to prevent the formation of fine lines and wrinkles
- You are an older person that has noticed the development of deeper lines and wrinkles
- You have a gummy smile
- Noticeable lines around the peri-oral or mouth region when you make certain facial expressions such as pouting of the lips
- You are not keen on the idea of more invasive surgical treatment for facial rejuvenation
Anti-wrinkle injection techniques
Facial wrinkles gradually form at right angles to the underlying muscle fibres. When the underlying muscle is activated then the overlying wrinkle becomes apparent. neurotoxin injections are precisely placed into the facial musculature which leads to weakening. Neurotoxin is never injected into the facial wrinkle itself.
At Centre for Surgery, we have some of most qualified and experienced facial injectors. The key to successful neuromodulator injection is based on:
- Having the correct constitution of neurotoxin and sterile saline – it must not be too dilute
- The actual injection process must be short and quick
- The location where anti wrinkle injections are injected
After the injection of Anti Wrinkle Injections into the facial muscle, the toxin can spread up to 2.5cm from where the injection was made. Injectors using the same injection method can still result in slightly different outcomes although these differences are minor and trivial in nature.
How do Anti Wrinkle Injections work?
Anti Wrinkle Injections are a neuromodulator which exerts it effects at the nerve ending which prevents the release of a chemical neurotransmitter known as acetylcholine. The nerve is therefore unable to exert any effect on the attached muscle. The use of neuromodulator leads to muscle relaxation in the injected facial areas.
Difference between dynamic and static wrinkles
Anti Wrinkle Injections are ideal for the reduction or removal of dynamic wrinkles in the areas of active facial animation. After injection, this means that those wrinkles will then become less visible with facial muscle contraction – an example is the crows feet area with smiling. Static wrinkles are those wrinkles which are present at rest without active facial muscle movement. Neurotoxins are ineffective for addressing static wrinkles. Dermal fillers or chemical peels or laser resurfacing may be more appropriate for the treatment of static wrinkles. Even then, neurotoxin would be used first to relax the area which then reduces the amount of subsequent filler required for satisfactory correction.
How long do Anti Wrinkle Injections last?
Many patients will notice that injections of Anti Wrinkle Injections can last for up to six months or longer. In these cases however, what has actually occurred is that the neurotoxin has actually worn off but the muscle dynamics has been altered which means the patient no longer uses that particular facial muscle as much as when they did before injections of neuromodulator.
The ideal timing of neuromodulator injections varies but it is generally accepted that the best time to get repeat injections of Anti Wrinkle Injections is before the effects of the last injection you have had begin to subside. With facial injection treatment, the objective to keep the injected muscles in a weakened condition. All our patients are highly recommended to schedule maintenance treatments of Anti Wrinkle Injections before the upper facial muscles regain the size and / or strength. Fewer wrinkles are because of muscle attenuation or weakening and it is important to maintain this to get the best results. Selected patients who have top-up injections once or twice in a year can have great results but the very best results come from wrinkle relaxing injections three to four times per year.
There are 2 key factors when it comes to Anti Wrinkle Injections: (1) how many units of neurotoxin will be injected? and (2) where will the neurotoxin be injected?
Units of Anti Wrinkle Injections
Anti Wrinkle Injections come packaged in 2 different vial formulations: 50 units and 100 units. Your practitioner will dilute your neuromodulator injection to an appropriate concentration. The effectiveness of the neurotoxin injection as well the ‘spreadability’ of the injection are both determined by the concentration of the neuromodulator solution. A more dilute formulation will require the injection of greater volume which increases the risk of unintended spread to other muscles which could lead in unintended paralysis of the wrong muscle. Practitioners at Centre for Surgery make up Anti Wrinkle Injections according to a standardised protocol of 100 units of neurotoxin in 2.5 ml of unpreserved sterile saline. We believe in being fully transparent about the injection process to ensure you get the outcomes you desire. Using this formulation also helps to minimise the number of needle pricks through the skin which makes for more precise results with minimum discomfort.
Injection sites for Anti Wrinkle Injections
As explained above, the formation of facial wrinkles is always at right angles or 90 degrees to the direction of the muscle fibre contraction. Our practitioners take great care to ensure that Anti Wrinkle Injections are injected into the muscle in the deeper layers and not wrinkle itself. The treatment objective is to selectively paralyse the facial muscles to achieve muscle relaxation, thus leading to facial rejuvenation.
Anti Wrinkle Injections for frown lines
Neurotoxin can injected into the procerus and corrugator muscle to reduce frowning
Wrinkle relaxing injections for forehead wrinkles
Neurotoxin is commonly used for transverse forehead lines which are dynamic in nature. Older patients may require fillers for static forehead lines. Anti wrinkle injections can also be used selectively on the outer eyebrow to create a subtle brow lift.
Neurotoxin for crow’s feet
Anti Wrinkle Injections can be injected into the muscle encircling the eye known as the orbicularis muscle in its outer aspect to smoothen out the crows feet line.
Anti Wrinkle Injections for bunny lines
For those who have had neurotoxin for a number of years can lead to compensatory activity of the muscles which scrunch up the nose or bunny lines. Targeted injections of neurotoxin can be used to reduce or eliminate bunny lines.
Neurotoxin for gummy smile
Patients with excessive gingival show or gummy smile can get injection of toxin into the premaxillary area or area in the upper outer lip to reduce the amount of gum showing when smiling.
Anti Wrinkle Injections for bruxism and teeth clenching
A square looking jaw can be made to look more rounded with the injection of neurotoxin directly into the masseter muscle.
Neurotoxin for droopy mouth corners
Anti Wrinkle Injections are great for treating the marionette lines at the corners of the mouth. Injection of this region leads to elevation of this area which reduces the appearance of the unhappy downturned mouth look.
Neurotoxin for chin dimpling
Overactivity of the mentalis muscle in the chin can lead to dimpling or an unsightly “peau d’orange” appearance. Neuromodulator can be used to smoothen this region.
Anti Wrinkle Injections for neck banding
The formation of prominent platysmal banding increases with advancing age. Neuromodulator can be used to effectively treat the neck banding leading to an impressive rejuvenating effect of the neck area.
Anti Wrinkle Injections before and after treatment examples
Anti Wrinkle Injections cost
There are a number of a factors which will impact on the final cost of your neurotoxin injection procedure:
- Number of units of required
- Men require more units of Anti Wrinkle Injections
- Advanced injections in the lower third of face and neck
- Complications of Anti Wrinkle Injections from another clinic
Why not call 0207 993 4849 and speak to one of our expert patient coordinators who may be able to give you a rough costing prior to wrinkle relaxing injections.
Always remember that price should never be the determining factor when it comes to choosing your provider. We feel that safety and quality of service should be your number one priority and instilling in you the confidence that our team will look after you before, during and after your procedure to the best of their ability.
Preparing for anti wrinkle treatment
2 weeks before Anti Wrinkle Injections:
It is important to minimise bruising by following certain restrictions on dietary intake. 2 weeks before neurotoxin, you should avoid fish oil supplements, seeds, nuts and medicines containing ibuprofen for aspirin and any other substances which are known to increase the risk of prolonged bleeding and subsequent bruising.
On the day of your anti-wrinkle treatment:
- Avoid wearing makeup
- Have a light meal to reduce the risk of feeling light headed during treatment
- Drink plenty of water to keep well hydrated
- Wear loose comfortable clothing
- You should arrive at least thirty minutes before your treatment time to allow for the application of numbing cream
- Schedule your next appointment for Anti Wrinkle Injections before you leave the clinic to avoid being unable to secure an appointment. Our practitioners appointment slots often get booked up 3 months in advance.
Post-procedure care after Anti Wrinkle Injections:
- It is advisable to use a cold pack applied to the area to reduce any bruising for up to 48 hours post procedure.
- Avoid strenuous exercise for 48 hours after Anti Wrinkle Injections
- Use only water based makeup to camouflage any bruising. Normal makeup can be applied the next day onwards.
- Do not attempt to massage the area in way – this could lead to diffusion of the toxin leading to unintended paralysis of uninvolved facial muscles.
- Face washing is permissible albeit gently
- Arnica tablets can be used to minimise bruising
- Pineapples and pineapple juice has been shown to reduce bruising and swelling
Recovery after Anti Wrinkle Injections
At Centre for Surgery in London. our practitioners take special care to use techniques that minimise bruising and swelling. The downtime following our treatments are renowned for being very minimal. So much so that you can have Anti Wrinkle Injections treatment during your lunch break with us before returning to work in the afternoon. Slow injections of neurotoxin lead to more potential trauma to underlying tissues which leads to additional bruising and swelling.
Recovery fast facts after anti wrinkle injections
- Minimal bruising and swelling
- Neurotoxins take up to 2 weeks to exert their full effect. Treatment effects may be noticed as early as 3 days but you will have for 2 weeks before seeing the full effect. Any treatment top-ups should only be performed at 2 weeks post-procedure.
- The effects of Anti Wrinkle Injections generally subside after 4 months. For optimal results, neurotoxin should be repeated approximately 3-4 times in a year.
- It is normal to experience some mild discomfort from the needle injection points.
Risks and potential complications of Anti wrinkle treatments
Anti wrinkle injections are recognised to be a low-risk procedure with minimal risk of complications. Your practitioner will fully assess you to ensure suitability for the procedure. During your consultation, the practitioner will outline the risks and potential complications associated with facial injection treatment.
Potential Complications of Anti wrinkle injections Treatment
- Allergy to neurotoxin
- Skin infection
- A frozen facial appearance – Neurotoxins exerts it effects by selective weakening of targeted facial muscles. Injecting neurotoxin in the wrong areas often affects inexperienced injectors creating an undesirable facial appearance
- Minor flu-like symptoms
- Mild headache especially with neuromodulator injected into forehead region
- Droopy eyebrow or double vision from inexpertly placed injection
- Prolonged muscle weakness in patients with neuromuscular conditions
Facial injection specialists at Centre for Surgery
At Centre for Surgery in London, our neuromodulator injectors are all highly experienced doctors and have been using neuromodulators such as Anti Wrinkle Injections to treat facial lines and wrinkles for many years. Every patient presents with unique features that must be taken into account when planning treatment. Every treatment must be customised to the individual patient. This is why at Centre for Surgery, we charge neurotoxin by the exact number of units used. A female patient with a small face and relatively inactive muscles of facial expression is very different to a male patient with a large face and well developed muscles of facial expression.
What are Anti Wrinkle Injections?Anti Wrinkle Injections are neurotoxins which are used to selectively weaken the muscles of facial expression leading to smoothening of dynamic lines and wrinkles.
When is the best time to have wrinkle relaxing injections?Younger patients mat derive most benefit from anti wrinkle injections as a way to prevent the onset of facial lines and wrinkles.
How often should I have anti wrinkle injections?It is recommended to have neurotoxin approximately 3-4 times in a year to ensure the facial muscles are adequately weakened to prevent the onset of facial lines and wrinkles.
Can anti wrinkle injections be used on men?Anti Wrinkle Injections are very commonly used on men, although compared with women. Men have more developed facial muscles which may require the injection of toxin for a given facial area.
Does anti wrinkle injections work for older patients?Neurotoxin does work for older patients although it is less effective for static wrinkles which is commonly found in older patients. In these cases, it may be better to make use of dermal fillers, chemical peels or laser resurfacing treatment.