Wrinkle Reduction Treatments

Wrinkle Reduction Treatments

Injections for Upper Facial lines (Botulinum Toxin (Type A) & Dermal filler injections)

The structure of the skin changes with time and it becomes less elastic and flexible. Muscles in the face also begin to sag and the skin becomes creased and folded. Older skin is drier and it renews itself less quickly than younger skin. All these factors affect how facial skin looks and can result in frown lines and wrinkles which can make you look more tired, angry or older than you really are.

Many people wish to look and feel as good as possible for their age whilst maintaining a natural look.  Following a consultation and examination we will discuss the options available for you, e.g. Peels, Dermal fillers, Profhilo, Collagen Stimulation or injections of botulinum toxin may be recommended following your consultation to help achieve this. The aim is to produce a natural relaxed look without the “frozen’ appearance.

There are different types of products available and  Mr Humzah Consultant Plastic Surgeon or the Medical Practitioner  will discuss this with you. The specific uses and possible outcomes will be discussed in detail during your consultation. In the UK there are 3  botulinum toxins available: Botox® , Azalure®, and Bocoutoure®. These have slightly different on-label use and we will discuss these with you.

Other preparations such as dermal fillers are also available to manage facial lines and Mr Humzah Consultant Plastic Surgeon or the Medical Practitioner  will discuss the various cosmetic treatments (surgical and non-surgical) and their differences with you.

What is Botulinum Toxin?

Botulinum toxin is a protein that blocks the release of acetylcholine, the substance responsible for transmitting electrical pulses that elicit muscle contraction. In medicine, Botulinum toxin is  a Prescription Only Medicine and has to be prescribed by a registered Medical practitioner is injected directly into hyperactivemuscles. It has been safely and effectively used for treatment of strabismus(cross-eye) and blepharospasm (lid spasm) since the early Eighties.

How does Botulinum toxin work?

Hyperactivity of the facial expression muscles often results in the development of deep frown lines, forehead lines and/or crow’s feet. Injecting Botulinum toxin into the affected area temporarily paralyzes the underlying muscles responsible for wrinkling, giving the face a more relaxed and pleasant appearance. The wrinkles become smoother and disappear altogether. Botulinum toxin therapy cannot replace wrinkle correction methods such as collagen stimulation, laser peeling or autologous fat transplantation when these are necessary; the Aesthetic Team will explain these procedures as well.

When and how long does botulinum toxin work?

The initial effects of treatment may become visible within 48 to 72 hours. The maximum effect is reached in about 1 to 2 weeks. The smoothing effect of the first treatment with the injection usually lasts for up to 4 months. Your facial expression will become more relaxed but by no means mask-like. The overall result is very natural. The effect of the treatment generally lasts for 4 to 6 months. Re-treatment is then required.

How is the treatment performed?

A minute quantity of botulinum is injected into the muscles that cause dynamic lines, for example frown lines. The botulinum injection temporarily prevents nerve signals from reaching the muscle and, as a result, the muscle relaxes. As the muscles relaxes, the skin smoothes out. Treatment with botulinum can take as little as 10 minutes and most people return to normal activities immediately afterwards.

Mr Humzah uses the worlds thinnest needle (TSK Invisible Needle) to help reduce the pain of injection and to make sure you get an accurate dose he may also use the specially designed 3-Dose Syringe.the 3-Dose Unit Injector to achieve accurate dosage during the procedure.

The current regulations stipulate that there must be a “cooling off” period following the consultation for new patients. You will therefore not be able to have your treatment on the same day as your consultation if you are a new patient.

How much does this treatment cost?

The fee for this treatment is a guide; variations do exist between Medical Practitioner-led and Consultant-led treatments, fees will be individually calculated for you after your consultation.

Guide Price:  From £ 180.00 – One area (Medical Practitioner-led)

Treatment for Sweating / Migraine 

Sweating affecting the underarms, hands or feet can be a major problem to 3% of people. This can now be controlled by using botulinum toxin. This will reduce the area of sweating and is effective for 4 – 6 months.

Botulinum toxin has also been recommended for Chronic Migraine (NICE Guideline)

How much does this treatment cost?

The fee for this treatment is a guide; variations do exist between Medical Practitioner-led and Consultant-led treatment, fees will be individually calculated for you after your consultation.

Guide Price:  From £400

Dermal fillers/facial contouring

Facial contouring and or  revolumisation is now possible using products such as dermal fillers / injectable implants. The ageing process may result in loss of skin tone, contour changes and wrinkles (“laughter lines”), we  can discuss your requirements and provide you with possible treatments. Traditionally these have been treated by plastic / cosmetic surgical techniques, e.g. facelift. However, there are now many non-surgical cosmetic techniques that can achieve similar results without the risks, recovery time and costs associated with surgery. 

Dermal fillers have become popular in treating contour defects and lines associated with ageing. There are many different types of dermal fillers available and it is important that you are aware of these differences before proceeding with treatment. The different products will be discussed with you and a decision made as to which are suitable for you. It is possible to combine this with other cosmetic procedures – for example BOTOX®, Azalure®, or Bocoutoure®.

Types of dermal fillers

Dermal fillers may be regarded as either temporary or long-lasting.

Temporary fillers are injected under the skin and, in general, will need to be topped up every 3 to 6 months. These fillers are produced from a variety of sources. They are usually injected by trained doctors or nurses. Mr Humzah and our Medical Practitioners offers several different fillers to suit you specifically e.g. RestylaneJuvedermBelotero or Radiesse.

Long-lasting are a new group that have recently become available e.g. Radiesse or Ellanse.

How is the treatment performed?

The procedure will be fully explained to you. The injection is relatively painless or only mildly uncomfortable. A combination of needles or canulas (blunt needle) will be used in treating your facial areas. If a large area is to be treated Mr Humzah Consultant Plastic Surgeon or the Medical Practitioner treating you may recommend a staged approach.

Which areas can be treated?

Many facial areas may be addressed with fillers, Mr Humzah  and the Medical Practitioner treating you will assess your requirements and provide you with a detailed programme of treatment.

How much does this treatment cost?

The fee for this treatment is a guide; variations do exist between Medical Practitioner-led and Consultant-led treatment and fees will be individually calculated for you after your consultation.

Guide Price:  From £ 200.00 (Medical Practitioner led)


During your consultation you may be recommended Profhilo®

What is Profhilo®

Profhilo® is a unique hybrid complex hyaluronic acid treatment, made with the patented NAHYCO® technology. This results in a unique hybrid cooperative complex hyaluronic acid injectable gel, which has a prolonged stimulating activity on the dermal cells including keratinocytes and fibroblasts. When injected into skin, Profhilo® stimulates the skin cell receptors to improve skin laxity and and restore firmness of the skin.

Profhilo® has one of the highest concentrations of hyaluronic acid on the market, Profhilo® not only hydrates the skin, but also remodels ageing and sagging tissue. The most common areas of treatment include the face, neck, décolletage,hands and can also be used in the new formulation Profhilo Body® for the arms, knees and abdomen area where it would effectively treat skin laxity. The treatment is suitable for men and women as well as offering skin benefits for patients of all ages.

What does Profhilo® do to my face?

Treatment with Profhilo® improves skin tone, texture, hydration and overall radiance. It will help to increase firmness of your tissues, elasticity and promote a healthier and softer-looking  and feeling skin. There are several published studies that demonstrate the effects of Profhilo® on the cells in your skin to produce more collagen, elastin and extracellular matrix.

How long will Profhilo® last?

Following your treatment programme the improvement in the firmness, elasticity and overall quality of your skin should last up to 6 months, following this you should have a further treatment to maintain the effect.

How often do I need Profhilo?

It is recommended that you have at least 2 sessions (one month apart)  up to 3 sessions may sometimes be required to achieve the maximum results. Then  to  maintain the results, one treatment session is advised every 6 months.

Are there any side effects of Profhilo®

Common side-effects of Profhilo® are similar to other types of fillers and include mild bruising and swelling. Risks are the same as other fillers and can include allergic reaction or infection though these are exceptionally rare. A study has been published in 2020  looking at the overall postmarketing experience after 3 years of use and more than 40,000 patients treated with Profhilo® concluded that as side effects seen were local reactions of hypersensitivity and/or due to inappropriate injection techniques,  in no case was Profhilo® held liable for direct damage.