Anti-wrinkle injections

How it works

Botulinum toxin temporarily reduces the signal from nerve to muscle, softening the muscle action that creates dynamic lines. It treats lines caused by movement. It does not treat lines etched into the skin at rest, volume loss or laxity, and being clear about that distinction prevents disappointed patients.

Assessment and planning

Before treatment, Dr Babamiri assesses your muscle strength and movement pattern, brow position and shape, existing asymmetry — which almost everyone has — and eyelid position. A heavy or low brow, or pre-existing lid laxity, changes what can safely be treated in the forehead.

Common areas include the frown lines, forehead, crow’s feet, and selected lower-face and neck applications. Not every area suits every face. Where treating a requested area would produce a poor result, you will be told before rather than after.

Medical uses

The same medicine has established therapeutic applications, including bruxism and jaw clenching, chronic migraine under appropriate specialist care, and excessive sweating of the underarms, palms and soles. These are treated as medical problems with medical assessment.

Timing and duration

Onset is gradual over three to fourteen days. Effect wears off over a period of months and varies between individuals and treated areas. A review after the first treatment allows dose refinement, and is included rather than charged as a further visit.

Treating more frequently than the effect requires does not improve results.

Risks and limitations

No treatment is without risk, and you are entitled to the full picture before you decide rather than a summary afterwards. These are discussed with you individually at consultation, in the context of your own history.

• Bruising, swelling and pinpoint bleeding at injection sites
• Headache in the days after treatment
• Eyelid or brow droop, usually temporary but persisting for weeks if it occurs
• Asymmetry requiring adjustment
• Unwanted weakness in adjacent muscles, affecting expression or, rarely, swallowing
• Reduced or absent response in a minority of people
• Not suitable in pregnancy, breastfeeding, or with certain neuromuscular conditions

Where you would be seen

Assessment and treatment are available at CLNQ Manchester at Deansgate Square in the city centre, and at CLNQ Knutsford on King Street in Cheshire — convenient for patients across Greater Manchester, Altrincham, Hale, Wilmslow, Alderley Edge and Macclesfield.

Both sites hold hyaluronidase on the premises with a written protocol for its use, which is the relevant question to ask any clinic offering filler. Complications arising from treatment performed elsewhere in the North West are also assessed here.

• CLNQ Manchester — Deansgate Square 11 Owen Street, Manchester M15 4YB Ground floor of the South Tower at Deansgate Square, Manchester city centre.
• CLNQ Knutsford — Cheshire 49-51 King Street, Knutsford WA16 6DX King Street, Knutsford, serving Cheshire and the surrounding area.

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