Botulinum toxin A or Botox™

Botulinum toxin A, a potent naturally occurring neurotoxin is an effective muscle relaxant for the treatment of facial wrinkles.

Who is it suitable for?

To smooth out facial wrinkles and to treat excessive sweating in the underarm area. It is useful for wrinkles in the brow (frown lines), forehead, around the eyes (crow’s feet), nose and neck. It can also be used to make the jawline appear slimmer, making the face appear more oval in shape, smooth out the pebbled appearance of the chin and lift the corners of the mouth.

What is involved?

It is injected in tiny amounts in very specific areas, using a very fine needle to relax the muscles. It takes about 7 days to see the effect and lasts for about 3 months. With continued use, the effect can last six or more months. Repeat injections can be done after 3 months when the effects start to wear off.

Frequently asked questions

How do I know if this procedure is right for me?
It is important for you to be fully assessed and understand the likely outcome, if your expectations can be achieved, possible unwanted effects, risks, costs and downtime before making a decision about having any treatment. Please discuss what you wish to achieve during your consultation.
How long does the procedure take?
Less than half an hour.
How much does this procedure cost?
From £250.
Are there any potential side effects?

Possible side effects include redness, headache, bruising (that settles within a few days and can be camouflaged with make-up), drooping of the eyelid (in some cases can be treated with eye-drops or will settle when the toxin wears off) and asymmetry (imbalance) that may be addressed with further injections at 2-3 weeks.


Botulinum toxin is not given to women who are pregnant or breast feeding or if there is a history of allergy, muscle or nerve disorders or those taking aspirin, certain antibiotics (aminoglycosides such as gentamicin or streptomycin) or other blood thinning drugs because of the increased risk of bleeding and bruising.

It is essential to remain in the upright position for at least 4 hours after the treatment and advisable to exercise the injected area for the toxin to bind to the muscles for optimal effect.

Make up should not be applied for 4 hours after the procedure.

Find out more

+44 (0)20 4540 1733


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Based in London, Dr Lewis is a highly respected surgeon, with over 30 years experience in helping women feel good about their bodies.

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