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Diary of Botulinum Toxin Injections

Updated: Oct 29, 2023

Botulinum toxin is big business and one of our most popular aesthetic procedures. But how does it work and – more importantly – how does it feel? Lisa shares her diary.

Diary of Botulinum Toxin Injections

First things first, what is Botulinum toxin?

It’s a naturally occurring protein widely used for therapeutic and cosmetic purposes due to its ability to relax muscle contractions. Injections are typically administered in extremely small, controlled doses to enhance facial aesthetics.

How Does It Work?

Put simply, it blocks signals between nerves and muscles. When injected into specific facial muscles – the ones responsible for frown lines and crow's feet – it interferes with the release of acetylcholine, a neurotransmitter that triggers contractions. As a result, the treated muscles experience temporary paralysis, relaxing the skin overlying them and reducing the appearance of wrinkles and lines.

Why Did I Choose The Procedure?

I’d had a few injectable treatments at the hugely experienced hands of Dr Julia Sen, including Profhilo, Fillers and Morpheus8. So despite the fact I’m a very nervous patient, I’m not adverse to the idea of a few little tweakments. However, my overarching concern is always that they look natural. At 52, I really don’t want that “over-worked” look and so had previously steered clear of Botulinum Toxin injections. Or at least until now, that is! I’d noticed over the last year the lines on my forehead and my crow’s feet had become more pronounced and really wanted something that would smooth them out a little.

Injection Day:

My appointment is with Julia’s nurse Zoë, and she explains what she’ll be doing and we discuss the kind of results I’d like. I’m asked to pull a few exaggerated faces – hard frowning and smiling – so she can plot dots across my forehead and to the side of my eyes.

Over the next few minutes she carefully carries out a serious of tiny injections. There’s a very slight sting but thanks to Zoë’s skill with a needle (I also opted for anaesthetic cream) it’s certainly not painful and is over in a matter of minutes. There were a few places that bled a little, but these are easily wiped away. Once I’m back home, I resist the temptation to take an afternoon nap (you’re advised not to lie down for a few hours afterwards). Later in the evening I gently wash my face and apply a little hyaluronic serum to my face.

The Day After My Treatment:

There was no discomfort overnight and I’m off out today so I apply my makeup as usual. I do have a couple of very small bruises – one of my forehead and one to the left of my eye – but they are easily covered with foundation. I’d read about the so-called “Botox headache” but I haven’t experiences this.

Day Four:

While the last few days I haven’t noticed any differences, today the effects have really started to kick in. I have tight feeling across my forehead, a bit like I’m wearing a headband, which is a bit weird but it’s definitely looking a lot smoother. I’m fascinated by the fact my vertical frown lines (glabellar lines) have disappeared.

Day Seven:

A week after my injections and I can really notice improvements. My forehead is looking so much smoother, as are the crow's feet lines at the side of my eyes (see before and after photo below). There’s still a tight feeling, but that seems to be waring off. I’m delighted I don’t look like I have had work done, and I imagine most people wouldn’t notice any differences. But I can; it’s given me a real lift and looks totally natural.

Diary of Botulinum Toxin Injections

Safety and Considerations:

Botulinum toxin is considered safe when administered by licensed and trained professionals. However, like any medical procedure, there can be potential side effects, such as bruising, redness, or temporary weakness in nearby muscles. For this reason, it is essential to consult with a qualified medical professional.

The procedure usually takes around ten minutes and is generally well-tolerated with minimal discomfort. Afterward, you might experience mild redness or swelling at the injection sites, but these typically resolve quickly. Results take a few days to appear, and the full effect can be seen within one-two weeks and generally last for three-six months (this can vary depending on individual factors). Make sure you follow any post-procedure instructions for optimal results and to avoid any potential complications.



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