Before your Appointment

1. Please stop using topical Retinols, Glycolic Acid, Lactic Acids, Salicylic Acid and Tretinoin 5 days before your treatment. This will minimise pain and bruising. However, if you have been using these for a long time and your skin is likely to flare up without them, you do not need to stop them. If you are on Roaccutane, please get in touch before your appointment so we can discuss it and give individual advice.

2. Please stop using any Vitamin E supplements and Ibuprofen/Neurofen 5 days before your treatment. Please do not stop using any Aspirin (or any other medication) prescribed by your GP.

3. Laser treatments for the face, microneedling and chemical peels have to be avoided 1 week before and after the treatment.

4. Please do not drink alcohol 24 hours before and after the procedure.

5. Make sure you eat something before your appointment and are well hydrated. This prevents feeling lightheaded during the procedure.

6. It is advisable to take 1 g of Paracetamol (2 tablets) 30 mins - 1 hour before your appointment as it will significantly reduce any discomfort during the procedure.

7. Please attend the appointment alone. There is limited space in the clinic and anybody with you will be asked to wait outside.

8. Please come to the appointment with makeup removed and minimal jewellery.

9. Please note, we are not able to carry out any Dermal Filler treatments if you are due to fly in the next 3 days. This is because of the small risk of vascular occlusion in the first 48 hours. Anti wrinkle injections, Profhilo and Aqualyx are fine.

Looking after your anti wrinkle injections

Please do not apply any pressure to the areas treated for the first 24 hours. The wrinkle relaxing injections has been placed into specific muscles very carefully and pressure can dislodge it.

Please stay upright for the next 4 hours after treatment

No exercise for 24 hours and avoid very intense exercise for the next 3 days

Please be careful with wearing hats and caps for the first 24 hours as that can also apply pressure.

No facials or facial massages/devices for one week. No eyebrow treatments ideally for 2 weeks.

f you have fairly good skin tightness and lip volume, we would recommend you try wrinkle relaxing injections first to see how much of an improvement you can get. Anti wrinkle injections takes 2 weeks to work and we would always see you for a review appointment to check the result.

If there has been loss of volume within or above the lips and increase in skin laxity then we would recommend that you get a fine filler. Often the best result will be with wrinkle relaxing injections and fillers combined.

Usually we are not able to erase the lines completely. We should be able to soften them significantly and also slow down the ageing process by adding some structural support and softening the muscle. There is a limit to how much you can inject for each patient and we favour more natural style lips.

As we age the lips can lose volume and the texture can start to look ‘crinkled’. The filler is able to add that volume back into the lips and smoothen out the skin making the lips a lot more fresh and youthful. This has a huge impact on your overall appearance.

If you have just wrinkle relaxing injections then there is very minimal downtime. Just a small amount of redness that resolves the same day. Filler in the upper lip area can cause mild swelling and bruising and the downtime is minimal.

If we have also done lip fillers then you will have significant swelling and bruising. Please see the Lip Fillers treatment page for more information. It is also normal to have subtle bumps and irregularities when you first get fillers done, most of this is swelling and will resolve.

We do not recommend massage after fillers as it will make the swelling worse.

As with all medical treatments, there are side effects and risks. Mild bruising is common as are headaches and cold-like symptoms. Sometimes the result can be slightly asymmetrical, especially if you had some asymmetry to begin with. This is usually simple to correct at your follow up appointment.

Crows feet wrinkle relaxing injections are a low risk area for any complications. One of the issues that can arise is people feel they cannot smile fully as the muscles around the eyes are often involved in smiling. This wears off after a few weeks and does not last the duration of the anti wrinkle injections.

Some people also feel their cheeks look a bit more prominent; this happens as there is restricted muscle activity around the eyes so the cheek muscles compensate. Again, this issue wears off after a few weeks. An extremely rare complication is restricted movement of your eyes.

Again, this is also temporary as anti wrinkle injections always wear off. We minimise these risks by always injecting lower doses at your first appointment if you are a new patient. It takes 2 weeks for anti wrinkle injections to kick in, so it is therefore difficult to know exactly how much your muscles can take. W

e recommend all new patients come for a review follow up appointment between 2-3 weeks and we can check and inject more at this point without any extra charge.

We will then understand your anatomy better and will usually only need one appointment in the future. It’s for this reason that it’s helpful to stick to the same aesthetic practitioner who learns how your face reacts.

It is important to follow the aftercare to minimise these risks and ensure you get the best result.

This treatment is suitable for most people that suffer from this problem.

However, if the lines are very deep then we have to manage expectations as it will not be possible to erase them. If you naturally have a full or long/prominent upper lip area (philtrum) then filler here may not be right for you.

It is best to come for a consultation to assess further. If you have a history of anaphylaxis or allergy to wasp stings, fillers may not be suitable for you.

This is because you are likely to be allergic to the filler dissolving enzyme. We always have to ensure we are able to dissolve the filler in an emergency (see below for risks and side effects).

You will have small bumps that will take a few hours to resolve. You may have a small bruise.

Most people can go out and socialise the same evening. It takes 2 weeks for the anti wrinkle injections to kick in.

Most patients notice it starts taking effect from day 5.

We’ll start with an assessment of your whole face and check how it appears at rest and facial expression. We take photographs and then mark out the area to be treated.

Numbing cream is usually not needed. for Botox It feels slightly cold as the liquid is injected. Most people say it feels like a pinch and the treatment is usually complete in 5 minutes.

On average barcode filler will last for 6-12 months. However, this is an average time and for some people, the filler may dissolve more quickly because of their metabolism and for some people it may last longer.

We find that with subsequent treatments, the results often last longer. After the first 3 sessions you may find you do not need to come back for a couple of years.

Most people do not need numbing cream for the upper lip area. The wrinkle relaxing injection needles are tiny. The filler has local anaesthetic which numbs the area.

Numbing cream is needed for lip filler as it is a very sensitive area.The numbing cream will hugely help alleviate the majority of the pain.

If you are apprehensive about pain or have a low threshold to pain, please ensure you take 1g of Paracetamol 1 hour before the procedure.

For patients who still cannot tolerate it, we offer numbing injections that are similar to the injections you have at the dentist.