1. Firstly, contact me to arrange a face-to-face consultation and treatment at a time convenient for you.
  2. I’ll need to fully understand your medical history to ensure that giving the chosen treatment will be safe.
  3. After that, we can discuss what you would like to achieve from the treatment and prepare you for the injections.
  4. Botox and dermal filler injections are not usually painful; hence most people can tolerate them well.
  5. The lips can, however, be an extremely sensitive area to inject.  Some people tolerate any discomfort using only an anaesthetic numbing cream.  However, if you feel that the pain might be too much for you, I can inject a local anaesthetic to completely numb the lips.
  6. The injections will take about 10 – 15 minutes.
  7. Post treatment, we can then discuss aftercare and arrange any follow up reviews.
  • Most patients will notice the effect of Botox injections after 3 – 5 days, with best results after 14 days.
  • Botox lasts about 3 – 6 months, but your first treatment might wear off slightly faster.
  • Results last longer after several sessions because the skin has more time to regenerate collagen and fill in those lines and wrinkles. 
  • The impact of dermal fillers will be noticeable straight away; however, you will not see the full results until any swelling has subsided.
  • Fillers and lip enhancements can last on average between 6 – 12 months, depending on the amount used and areas injected. 
  • To prevent infection, try not to touch the area and surrounding areas for 24 hours.
  • Do not consume excessive alcohol for 24 hours, as this can increase the risk of bleeding and bruising at the treated site(s).
  • Avoid exercise / excessive sweating for 24 hours.  
  • Try not to lie down or lean forward for 2 – 4 hours after treatment.
  • Limit wearing makeup or concealer straight after the treatment to help prevent infection.
  • For 1 week, do not have facial massages or apply excessive pressure to the treated areas.  This should include avoiding tight fitting hats or motorbike helmets.
  • For the first 1 – 2 hours after treatment, without rubbing or massaging the area, try to use the injected muscles: practice frowning, raising your eyebrows and squinting.  This can help work the Botox into your muscles.
  • Avoid direct sun, sunbeds, and saunas for 3 – 4 days after the procedure.

  • And remember to use your sun screen every day!  The sun is the single most cause for early ageing of the skin – it is much cheaper to prevent wrinkles than treat them.  
  • You are pregnant or breastfeeding, as the effects on the baby are not known.
  • Below the age of 18.
  • Suffering from a cold, flu, or other illnesses.
  • About to fly within 48 hours after the procedure.
  • Have a skin infection or dermatosis (e.g. psoriasis or eczema) or are suffering from a cold sore at the time of treatment.
  • Taking certain medicines.
  • Suffer from certain allergies.
  • It is also important to inform me of any previous lip filler injections within the last 2 years and the brand of filler used (i.e. Juvederm, Teosyal, Restyalne, etc).  There are minimum timescales for when you can use two different brand types of fillers after each other.
  • Botox is a prescription-only medicine, and Dermal Fillers do have risks, subsequently, if not used correctly there can be serious consequences.   
  • Beware of going down the bargain-basement path.  Always ensure that your aesthetic practitioner is a medically trained professional and aware of how to treat complications.
  • As Botox and fillers wear off over time, most side effects are only temporary.
  • Possible side effects of Botox and fillers include:
    Drooping of the eyelid or brow if injected near the eye
    Weakness or paralysis of nearby muscles
    Hive, rashes, or itching
    Pain, bleeding, bruising, swelling, numbness, or redness
    Dry mouth
    Flu-like symptoms
    Trouble swallowing, speaking, or breathing
    Blurry vision or vision problems
    Movement of the filler from one area to another
  • Very occasionally the treatment may fail to work because your body’s own antibodies naturally try and fight the toxin: however, this happens in less than 1 percent of the people who have repeated Botox treatments.
  • It is especially important not to rub or massage the area of the injection after having Botox treatment.  If you do, it could spread the toxin to the surrounding skin, causing muscle drooping or other problems.
  • Choose a qualified medical professional to perform the procedure.
  • Botox is a prescription only medicine.  By law, the person prescribing Botox should be a doctor, nurse prescriber, dentist, or prescribing pharmacist.  Guidelines by the General Medical Council (GMC) state that they should meet you face to face (Skype does not count) or risk being struck off.  
  • Be aware that in a lot of cases, this is not always happening.  Some practitioners still give Botox without referring clients to prescribers at all.  In other cases, prescribers are issuing client prescriptions based on just a phone call.
  • Remember – whilst the person prescribing the treatment can delegate the injections to another person, they are still responsible to ensure they are given safely.  If they are not present, walk away.
  • Ask for a treatment plan to outline how much work you need, how often you will need to return and what aftercare you’ll need to undertake.