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Linda Briggs BOTOX® | Things You Need to Know About BOTOX®


Who does botox in the UK?

This page is for information purposes only, it is not an advertisement and does not contravene The Medicines (Advertising) Regulations 1994

Botox practitioners in the UK -
Click Here.   For any other country please ask Linda Briggs



Read about Azzalure here

What is Botox?
Botox is a brand name for the purified form of a plant bacterium called botulinum toxin type A, which is produced by the bacteria, clostridium botulinum.  In large doses it is a potentially lethal toxin. Vegans should note that, I believe the bacteria is fed on meat during the fermentation process.

How long has Botox been used?
Botox has been used for various conditions for over 15 years in 60 countries.

How does Botox work? When we laugh or frown, the brain sends a signal to the muscles to make the expression lines appear in the face.   Botox blocks the signals from the nerve to the facial muscles to stop them contracting, leaving the skin looking smooth.  Botox is not a wrinkle remover; it can only work on expression lines that are controlled by muscles. It will work on the specific muscles that have been injected leaving the surrounding muscles to work normally. It cannot make the lines disappear completely but it will make an improvement to areas being treated.

The Procedure.
The Botox powder is supplied to the surgeon who reconstitutes it in a saline solution. It is then injected using a disposable syringe with a fine needle.

  • How Long Does Botox Take? - The surgeon will ask some questions about your medical history and make sure you have realistic expectations of the outcome. You may also be asked to sign a consent and disclaimer form. The whole procedure usually takes 15 minutes but no more than half an hour.
  • Selecting the sites for Botox - The surgeon will sometimes mark with a pen the areas that need injecting. Some will use an EMG machine to tell them the correct place to inject, while others will go straight ahead and inject the sites that they have already agreed with the patient.
  • Injecting the sites with Botox- You will be asked to frown hard so the surgeon can see the areas to treat. They will then inject the sites (some patients say this resembles an ant sting) and each site is injected very precisely. Anaesthetic is not generally required but some surgeons will apply Emla cream to numb the area first, or put ice on before and after.

Can I go straight back to work?
Normal activities can resume immediately but read the aftercare instructions carefully.

Botox before and after pictures

Before and after Botox 1

Female 40 Frowning before and after

Before and after Botox 2

Female 32 Frowning before and after

Before and after Botox 3

Female 42 Crows feet before and after

These are some of the before and after photographs of patients treated with Botox. It works particularly well on the vertical lines above the nose.

Botox before and after pictures

Before and after Botox 4

Female 35 Crows feet before and after

Before and after Botox 5

Female 40 Forehead lines before and after

Before and after Botox 6

Male 40 Forehead lines before and after

Botox can also give a good result for men but a larger dose is usually needed because of the size of the muscles.

Mix and Match Treatments

Crown feet with laser before

The picture left shows the same woman after laser treatment. You will notice the fine lines and some wrinkles have gone but this has now left her with bigger expression lines.

Crows feet with laser after

My own eyes were left like these as can be seen in my photo diary but with Botox treatment the lines have now gone.

Some surgeons will treat the eye area with Botox prior to laser treatment to give a better overall effect.

Botox and fillers?
After correction of my crow's-feet with Botox following laser treatment, I decided to work on the lower half of my face. I had Botox in the chin to help correct the position of the muscle that I messed up in a riding accident in 1990. Once this was straightened, I could see the lines left at the side of my mouth and nose. These are currently being treated with Artecoll, with the first session in August 2000.

Many non-surgical treatments can be carried out together as they can complement each other depending on what you are trying to achieve.

Referring to Professor Nicholas Lowe's book "Skin Secrets" and having Botox at least two weeks before a filler can double the life of the effect of the temporary filler.

How long does a Botox treatment last?  
The effects can last for 3 to 5 months or sometimes longer depending on the individual. If you like the effects, you will need repeat treatments 2 to 3 times per year. Clinical trials have shown that over time the duration of the effect increases, resulting in less treatments being needed to maintain the result.

Other uses?

  • Botox was originally used for eye spasms called blepharospasm and it was noticed that while treating the patients with this condition, their crow's-feet began to disappear.
  • To correct crossed eyes in children.
  • To help muscle disorders.
  • Botox is used in cases of bad sweating, a condition called hyperhidrosis.
  • Necks can also be treated with Botox. The risks involved are that Botox may spread to the swallowing muscles and this could cause choking. It is unlikely with the doses used but the surgeon should discuss this point with you.



  • It usually takes 2 to 3 days to begin to working, with the full effect coming at 7 days.
  • Use lots of facial expressions to work the Botox into the muscles for the first day.
  • Do not massage or rub the area as this can cause the toxin to spread beyond the treated area.
  • Do not lie down for four hours after the injections.


Other Information.
According to the American Society for Aesthetic Plastic Surgery, Botox is the fastest growing
cosmetic procedure and is the second most common procedure after face peels.


  • During Pregnancy. It is not recommended that pregnant women and those breast feeding use Botox, as there are insufficient trials to show that it does not harm the baby.
  • Eyelid droop is rare and can last for up to 4 weeks.
  • Double vision is also rare and can also last for up to 6 months until the effects have worn off. With a skilled surgeon, this is unlikely to happen.
  • Bruising of the injection site. Taking Arnica can reduce this.
  • Avoid Botox if there is an existing drooping of the eyelid.
  • Always disclose current medication at every appointment, particularly antibiotics.
  • Always declare muscle disorders.

Possible Disadvantages.

  • According to Professor Lowe in his book Skin Secrets, a very small percentage of patients are resistant to Botox. Probably because they have unknowingly had a slight bout of botulism leaving them with antibodies to it.
  • Some patients will have to go back for a top-up treatment if the treatment has not worked. It is better to start with a smaller amount and then increase to a larger dose, than to give too high a dose in the first instance.

Possible Advantages.
It is thought that Botox can help reduce headaches but this has not yet been proved.


Costs range from £175 provincially and £200 in London. Charges can be made for each individual injection or for a site, which may need three injections. Ask exactly what you are getting for your money before the treatment starts.


Surgeons are trained in the basic uses of Botox for cosmetic purposes. These are usually the brow and crow's-feet. The advanced course will include the chin and neck. The more Botox treatments the surgeon undertakes, the more skilled they will become.  Ask the surgeon how long he has been treating with Botox and if there is anyone you can speak to about their treatment.


Beware of cut-price treatments: the Botox could have been watered down and the results will not last as long.

Linda Briggs has information on surgeons who have been trained to use Botox and have been using it with good results for years.



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Cosmetic Surgery Abroad   |   Page last updated 30  January 2024