Wrinkle Relaxing Injections (Botulinum Toxin A)

This a prescription only medication and is cited as the most widely used cosmetic medical treatment for facial lines and wrinkles. In the UK, the most commonly area’s treated are crow’s feet, frown lines & forehead creases. We see it used very successfully in combination with other rejuvenation treatments such as Dermal Fillers. This treatment can only be prescribed legally by our nurse prescriber after a face to face consultation.

What are Wrinkle Relaxing Injections? (WRI)

WRI is a formulation of botulinum toxin type A derived from the bacterium Clostridium botulinum. The active ingredient in WRI is a protein that blocks the release of acetylcholine and relaxes muscles. When facial muscles are relaxed the skin above them tends to smooth out, giving you a less lined appearance. WRI has been used for various conditions for over 30 years in 60 countries.

What is it used for?

WRI used in cosmetic practice is typically injected into the facial area. These injections relax the underlying muscles, preventing the action of muscle contraction on the skin. This includes treatment of glabellar lines (the lines you get between the eyebrows), the forehead and around the eyes (crows’ feet). WRI is currently licensed in the UK for a variety of other indications such as excessive sweating (hyperhidrosis), uncontrollable blinking (blephrospasm), movement disorders (cervical dystonia), paediatric cerebal palsy, and limb spasticity. It is also a useful treatment for migraines.

What is involved?

You will be consulted and treated by Wendy Dudley. Wendy will advise you about what is possible in terms of treatment and answer any questions you may have. You will be asked to fill in a short medical history and both the benefits and possible side-effects of treatment will be discussed. You will be asked to sign a consent form and will be photographed prior to being injected. The photographs will be kept in your medical records for future reference and will not be used in promotional or advertorial material without your express consent.

Will it hurt?

Treatments are carried out in a clinical environment. You will be asked to lie down comfortably whilst you are treated. The needles used in administering WRI are extremely fine so discomfort is kept to a minimum. The injections are relatively quick too, so if you do feel them they are soon over with.

How long will it last?

The majority of WRI treatments last for 3 – 6 months. It is worth noting that the first treatment may be evident for a shorter length of time, e.g. 3 months, but once you have been treated again, you are more likely to see the results lasting longer.

How long until I see the result?

The results of your treatment may take up to 14 days, however many people see a reduction in their lines and wrinkles 3 -5 days post-treatment.

How many treatments will I need?

Repeat injections are needed every 3 – 6 months. Clinical trials report that people who have regular treatment over a 12 month period may only need further injections twice a year. It should also be noted that people who have these injections regularly can stave off the formation of new wrinkles.

Why should I come to you?

The clinic is run by Wendy Dudley, a registered midwife and Independent Nurse Prescriber, accountable to the Nursing and Midwifery Council (NMC). Be reassured this clinic is also a member of the ACE Group (Aesthetics Complications Expert Group), with certification from the internationally renowned CISC School of Cosmetology. Wendy has also trained under leader in aesthetics, Dr. Tim Pearce MBChB MRCGP BSc (hons). Please note that many nurses offering the same services are working illegally and are not licensed to do so. Always check that the nurse or midwife is a registered prescriber. If you are in any doubt contact the Nursing and Midwifery Council (www.nmc-uk.org), General & Registration Enquiries 0207 333 9333.

What is the cost?

Wendy will advise you on the best treatment plan for your needs. Costs at present are Female One area - £125, Two areas - £198, Three areas - £250. Male One area £140, Two areas - £240, Three areas - £290. Extra areas from £35.