Consultation for Botox Treatment
Thank you for your interest in having your treatment with the Dr Tatiana Aesthetic Clinic.
We feel it is important that our clients have a good understanding of their treatment, what it involves and what the potential risks are, before going ahead. So we would like to welcome you for a complimentary consultation prior to deciding on your treatment. All new patients are encouraged to come for an initial consultation with Dr Tatiana prior to booking their first treatment.
About Botulinum Toxin type A
The therapeutic benefit of Botulinum Toxin type A (colloquially known as ‘Botox’) was first tested in the early 1970s. Since then, the applications for Botox have grown and it is now ranking as the most popular cosmetic treatment in the US. Botox is injected into the skin to relax the movement of muscles that cause lines and wrinkles. By relaxing the muscles, we anticipate that the skin becomes smoother and the wrinkles gradually disappear. Botox only works on lines that have formed as a result of muscle movement. We commonly use Botox to treat:
- Forehead lines
- Frown lines
- Crow’s feet
- Bunny lines
- Lip lines
- Gummy smile
- Cobblestone chin
- Marionette lines
- Masseter hypertrophy
- Neck bands
The results of the treatment are dose-dependent, meaning that the higher the dose, the longer the effect. However, other factors such as muscle strength, muscle activity and individual factors also play a part. We typically expect the results of a treatment to last for 3-6 months.
Our aim: To improve aspects of your physical so that you may have better confidence, self-esteem and hence a better quality of life.
Botox has been used for many decades and is widely believed to be safe and effective. However, as with any treatment there are certain risks and side-effects. It is also worth noting that many of the treatments using Botox are ‘off license’, meaning that the treatments are done at the discretion of the practitioner and are not covered by a product license.
Possible Complications (affecting between 1-10% of people)
Relating to the process of injections: you may experience some pain, soreness, stinging, itching, swelling, redness and bruising at and around the sites of injection.
Relating to the spread of BoTN-A: Headache, blurry vision, dry eyes, drooping eyelids, lid swelling, drooping brows, drooping lips, difficulty with smiling, speaking or chewing, facial asymmetry. These are temporary and are likely to resolve in 2-6 weeks following treatment. To reduce the risks of such complications, your practitioner will take precautions such as using a lower-dose, a smaller-dilution and using safe zones for injection.
Uncommon Complications (between 0.1-1% of people)
Infection: due to the skin having been pierced and therefore more susceptible to infection.
Other side effects of BoTN-A spreading to surrounding structures e.g. dry eyes, dry mouth.
Development of immunity to the toxin, making the toxin no longer effective for you.
Allergic reactions to the toxin or any other products we may use. These may be mild, moderate or severe.
Relating to the further spread of toxin: problems such as muscle weakness, difficulty swallowing, speaking or breathing which may increase the risk of aspiration.
There are circumstances when BoTN-A treatment would not be safe. It is important that you tell us about all your current and previous health problems as this may impact the safety of your treatment.
Reasons why we may not proceed with treatment include:
- prior allergic reaction
- current infection or inflammation in the area to be treated
- pregnancy, breastfeeding or currently trying for a pregnancy
Also, other potential reasons may include:
Neurological problems such as Bell’s palsy, Myasthenia Gravis, Eaton Lambert syndrome, AML, Myopathy and Chronic Fatigue syndrome.
- Antibiotics: Aminoglycoside (Gentamicin) & Polymyxins (Trimethoprim)
- Blood pressure drugs: Calcium channel blockers (e.g. Nifedipine, Amlodipine)
- Epsom salts (Magnesium sulfate, often used for constipation)
- Penicillamine (a DMARD drug used for Rheumatoid Arthritis)
- Antimalarial drugs: Quinine (also used for leg cramps)
You will be provided with aftercare instructions.
These will include:
- Not drinking alcohol, not pressing the skin, avoiding hot showers and exercise for 24 hours
- Not taking any long-haul flights for 48 hours
- Not having any facials, skin treatments or other cosmetic treatments such as threading or micro-blading for 14 days after treatment.
If you feel any of these may be a problem for you, please inform the doctor before the treatment.
We are here to make your treatment easy, comfortable and safe. If there’s anything we can do to make sure you have an exceptional experience with us, please do let us know.
Dr Tatiana and the Team