I have seen a beauty/hair salon that is much cheaper, why should I see a Doctor?

Botulinum toxin is a prescription-only medicine that should only be prescribed and given by an appropriately trained healthcare professional, such as a doctor, dentist, pharmacist prescriber, or nurse prescriber.

Legally, the prescriber can delegate the administration of the injections to another person, but they are responsible for ensuring it is given safely and must see each client before prescribing.

If you are offered a much cheaper quote, I would question whether enough product was being used to achieve good results and longevity.

Is the toxin being diluted correctly and not over diluted? Would the practitioner be experienced and available to deal with any adverse reactions? I recommend researching several practitioners and getting a general over view of what the majority charge, not just opting for the cheapest. It’s your face and your health that is the priority and this should not be compromised in any way.

Are Dermal Fillers Safe?

Most cases where fillers have gone badly wrong in the past, silicone based fillers were used which were permanent. They are very rarely used today and have no relationship at all to Hyaluronic Acid dermal fillers used now in aesthetic procedures.

Hyaluronic Acid fillers are well tested and safe with side effects being very rare. Any concerns can be discussed thoroughly at your consultation.

General risks of dermal fillers include:

  • Common: Redness, swelling and bruising
  • Rare: Lumps (requiring massage)
  • Very Rare: Infection at the injection site, migration of the filler over time, allergic reaction, occlusion of a blood vessel (requiring dissolving of the filler)
    • Rashes, swelling, itching and bruising
    • Infection at the injection site
    • The filler moving away from the intended treatment area over time
    • (in rare cases) the filler forming lumps under the skin – this may need to be treated with surgery or medication
    • (in rare cases) the filler blocking a blood vessel – this can lead to tissue death, permanent blindness or a pulmonary embolism

Which areas can be treated with Dermal Fillers?

Dermal filler treatments are used to smooth away facial lines and wrinkles, create fuller lips and shape facial contours, such as cheeks.

The filler also encourages re-hydration of the skin improving its appearance.

The most common areas treated are:

  • Nasolabial folds (lines between the nose and corner of the mouth)
  • Marionette lines (from the corner of the mouth downwards)
  • Lips (Enhance the shape, definition and volume of lips)
  • Cheeks (Contouring to improve shape and replacing volume lost
    through ageing)

What is involved with Dermal Fillers?


Everyone is unique and has different expectations and aesthetic needs. It is therefore important to carry out a face-to-face consultation to achieve the correct result for each patient. The clients’ expectations and medical history will be obtained and their face carefully assessed for treatability and likely outcome. The correct product will be selected, price discussed and any questions answered.


The dermal filler is gently injected into specific areas of your skin to reduce the depth of the skin crease. The exact depth and number of injections will be customised to give you the most natural result.

Different dermal fillers can be used in different areas of your face to produce the most effective result.

The procedure takes about 15-30 minutes and the results are immediately visible. Patients can continue with their normal day after treatment.


You should leave the treated area alone for 48 hours to let it settle. We advise that you do not have a facial or similar treatment that may disturb the products or expose the newly-treated areas to strong sunlight for 2-3 days.

In the days after the treatment there may be some redness and minimal swelling, which normally settles in 1-2 days. Very occasionally patients can suffer some bruising at the injection site.

A review will be arranged two weeks after your treatment.

How long do the effects of a Dermal Filler treament last?

One of the great advantages of dermal filler treatment is that the effects are long lasting but not permanent. Duration depends on many factors, such as the area treated, individual’s skin type, skin condition lifestyle and age. Generally, the effects can last between 6-12 months, sometimes longer in clients who have had treatment several times before.

Does Dermal Filler treatment need pain releif?

Most clients experience the treatment as a mild discomfort and require no pain relief. All of the dermal fillers I work with contain local anaesthetic which eases any discomfort.

Topical local anaesthetic cream can also be used and needs to be applied 30 minutes or so prior to treatment.

The lips are extremely sensitive and as such cause most discomfort. As a dentist I can inject a local anaesthetic to completely numb the lips allowing pain free filler application.

Can I have Dermal Fillers or BOTOX if I am pregnant or breast feeding?

You shouldn’t have fillers if you’re pregnant or breastfeeding, since the effects on the baby aren’t known.

What should I expect during a BOTOX injection?

Botox is a rapid cosmetic treatment that takes just minutes to perform. The injection is administered using a very fine needle that induces only mild discomfort. You can return to work immediately after the injection although it is best to avoid exercise until the next day.

How long do results last with BOTOX?

You will begin to notice the effects of your Botox injection within just a few days. The results will continue to improve over the course of approximately 2 weeks and may remain for up to 4-6 months.

Can there be any side effects to Botox injections?

Botulinum injections are extremely safe and have been performed for various medical and cosmetic conditions for decades.

Most common side effects are:

  • Slight bleeding, redness
  • Headache for first 24 hours after injection

Less common side effects:

  • Bruising
  • Flu-like symptoms
  • Uneven muscle relaxing (requiring top-up)

Very-rare side effects:

  • Infection at the injection site
  • Allergic reaction
  • Spread of toxin into surrounding muscles (causing temporary eyelid ptosis/drooping)
  • Dry eyes


What happens after BOTOX injections?

You won’t see any difference straight away: it takes about three to five days before the injections take effect, and up to four weeks for the full effect to be seen.

Avoid massaging or rubbing the treated areas for up to three days.

Avoid facials, sun beds/saunas for 2 weeks after injection.

If this was your first experience of BOTOX® a review is advised after 2 weeks to assess the effects and make any adjustments if necessary. A review will help tailor the treatment correctly for future treatments.

The effects generally last for about four to six months. If you want to maintain the effect, you’ll need regular follow-up injections.