Botox London

Clinic in Harley Street

Unrivalled quality with natural, long-lasting results

The first signs of the ageing process are usually noticeable in the face. As we age, our skin loses its elasticity and lines begin to form.

Wrinkles often occur in areas of the face where expression lines are the strongest. Botox® (Botulinum Toxin) is a safe and proven treatment to effectively rejuvenate the face.

Skilled Injectors for Natural-Looking Results

The Harley Street Face Clinic for Non-Surgical Luxury Beauty has a highly skilled and dedicated team of Botox® injectors that are committed to helping clients achieve long-lasting, natural results with our range of non-surgical treatments.

We know how to apply just the right amount of Botox® in very small dosages, targeting specific areas of the face to achieve a natural-looking, younger version of you.

What is Botulinum Toxin (Botox®)?

Botox® is a medicine that acts as a muscle relaxing injection and is used by millions around the world to improve the appearance of facial lines associated with movement. Botox® is the brand name for Botulinum Toxin, a protein that is produced by the clostridium botulinum bacterium.

This popular cosmetic injection effectively smooths out fine lines and wrinkles, restoring a youthful, rejuvenated appearance. The treatment can also lift eyebrows and the corners of the mouth.

A non-surgical treatment, it relaxes the skin due to the paralysing effect that the injections have on the facial muscles. It has been used for many years in the medical and cosmetic industries and is proven to be both safe and effective.

Botox London Treatment Overview

Why? Reduce facial lines caused by expressions (Crow’s feet, frown, forehead)

How? Botulinum toxin, Gold-Standard Original Botox®

Safety? Medical history, Facial Specialist Expertise

Duration? 3-6 months (exact duration varies from person to person)

Cost? Quantity dependent, Average 3 areas

Pain? Special topical Anaesthesia, Super-Fine needle, Minimal discomfort

Risks? Mild redness, swelling (hours), occasional bruising), rare droopy eyelid

Recovery? Same Day

Complementary Techniques? Facial Fillers, Skin Rejuvenation

Alternative? No surgical alternative for lines associated with facial movemen

How does Botox® work?

Botox® helps relax muscles that when contracted create lines and wrinkles. The injections are one of the most affordable, fastest working, safe and effective non-surgical ageing treatments available.

During treatment at our comfortable London clinic, Botox® is injected into a defined area. It is strongly diluted and placed in extremely small quantities directly into the muscle fibres that are responsible for the lines that arise during facial expressions.

For example, it can be injected into the forehead, frown lines, crow’s feet and lines around the mouth area. The injections block the stimulus transfer from nerves to muscles, resulting in a relaxing effect that smoothes out wrinkles, lines, and creases. It can also be used to decrease the facial volume or lift certain features, such as the eyebrows.

What areas can be treated at our London Botox clinic?

Botox® treatments are mainly used to reduce wrinkles, fine lines and creases on the face, specifically:

  • Glabellar lines between eyebrows
  • Horizontal lines in the forehead
  • Crow’s feet at the corner of the eyes
  • Bunny lines at the top of the nose
  • Upper lip wrinkles
  • Upturning the corners of the lips
  • Perioral lines (lines around the lips)
  • Nasolabial folds (lines from nose to mouth)
  • Marionette lines (from mouth to chin)

Treatments are used to address volume issues as well, such as:

  • Skin reduction
  • Reduction of a wide jaw
  • Chin reduction

Furthermore, this wrinkle-relaxing treatment can be used to lift the skin in the following areas:

  • Eyebrow lift
  • Mouth lift (corners of the mouth)

Other treatments include:

  • Décolletage
  • Jawline tightening
  • Chin dimpling with movement
  • Nefertiti lift
  • Excessive sweating (Hyperhydrosis)
How does Botulinum Toxin work?

Botulinum toxin is regarded as a non-surgical treatment. The treatment involves several tiny injections of Botox® that are administered directly into the skin to facial lines associated with movement. Treatment typically takes around 15 minutes and no anaesthetic is necessary as discomfort is minimal.

At The Harley Street Face Clinic we will give you specific aftercare instructions that will give you the best outcome. We also recommend you book a post-treatment appointment after 2 weeks so that we can assess the results and perform a free top-up if necessary.

When will I see the results from Botox?

Botox® treatments usually take effect after 3-5 days and take 2 weeks for the maximum effect to come. There is a small possibility of minor bruising, this will resolve over a few days.

After two weeks, the effects of the treatment softens. The effect lasts between 3 to 6 months (average 4 months). Patients who have had several injections often find the effect persists longer in specific areas such as the forehead.

What are the possible Side Effects of Botox®?

Side effects of treatment are generally relatively mild, temporary and resolved without additional treatment. There may be mild discomfort or a stinging sensation as the injection is administered. Some mild redness and swelling for several hours after treatment are common, and uncommonly (less than 5%) a bruise.

Occasionally there can be asymmetry, and at two weeks a minor touch up treatment can be completed. Very rarely, there can be a temporary mild weakness of the upper eyelid or brow (termed ptosis) with drooping of the eyelid or brow, typically lasting a week. This is temporary and eye drops can be prescribed to counter this effect. All side effects are temporary and resolved without additional treatment.

Can other treatments be used at the same time as Botox®?

Over time our cheeks can flatten and our original natural cheek curvature can start to soften and appear lower. Ageing changes also take place under the surface of the skin where the gradual loss of supportive tissue structures and the long-term effects of gravity means that larger areas of your face lose volume and shape. These changes particularly affect the cheeks and chin.

Carefully placed filler treatments add volume to beauty points or replace volume where it has been lost. Advanced dermal fillers can, therefore, restore our ageing loss of volume in the cheeks, help replenish hollows, and work to build up cheekbones.

Although different HA Filler products can be used (including Restylane®, Juvederm®, Voluma® and Volbella®) these have characteristics that favour improving the cheeks and are designed to tackle larger areas of volume loss for a flattering and refreshed look that lasts.

What does Botox® Treatment involve at The Harley Street Face Clinic?

At The Harley Street Face Clinic we have pioneered the use of customised Botox® to each individual person. We use a range of treatments to reduce discomfort from the procedure, including cooling agents and numbing cream specially made for The Harley Street Face Clinic, designed in Beverly Hills and manufactured in Germany.

At The Harley Street Face Clinic we only use the “Gold-Standard” original brand of Botox® and a new vial is used for every patient. We use ‘Fast-Healing’ techniques that utilize a super-fine needle for most patients to administer the injection, which results in less bruising and discomfort than older needle-based techniques.

Will I Look Natural with Botox®?

At The Harley Street Face Clinic, we believe in a natural augmentation of the face and specialise in natural-looking results. Additionally, dermal fillers can be used for other facial areas at the same time to give an enhanced natural result.

For some patients we provide super conservative treatments, these maintain some movement while softening facial lines. These specialist treatments provide a more natural result but tend to last for less than four months.

Our facial plastic surgery background has enabled us to pioneer research in the area of facial beauty and this has been published in the mainstream media and multiple TV Channels. The Harley Street Face Clinic developed the application of the Phi Golden Ratio (used in many of the most famous Renaissance paintings of Leonardo Da Vinci) to the human face and has multiple trained specialists at The Harley Street Face Clinic to apply the principles of this facial balance and beautification.

We have treated many celebrities and A-listers with these techniques to enhance natural beauty, a term we describe as beautification of the face, enhancing the natural Phi Golden Ratio Lines. We do not like uplifted tails to your eyebrow that has a done appearance. If you have already had a treatment that has been excessive it may be necessary to wait for the existing treatment to resolve.

Will I experience any discomfort or pain?

We use a combination of measures to minimise discomfort. These include the use of:

  • a powerful numbing local anaesthetic cream that is specially made for The Harley Street Face Clinic
  • a state-of-the-art super fine needle made in Japan to minimise discomfort
  • an additional numbing and vibration device that uses Nobel Prize-winning research on ‘The Gate Control Theory of Pain”.

Client Reviews

"The procedure that I had with Dr De Silva went very well and I am happy with the results. Dr De Silva and his team spent a lot of time with me: they were good listeners and their answers gave me a lot of reassurance."


"I always felt well looked after and I'm very happy with the results. The entire experience was premium from initial consultation to follow ups. I would recommend paying more to be confident in the safety of your procedure."


"The whole process from start to finish has been outstanding. Dr Julian De Silva acted professionally from the outset, he listened very carefully to what I wanted and most importantly, delivered the best results I could have possibly asked for."



23 Harley Street
W1G 9QN , UK

Call: 020 8016 6045


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Dr Julian De Silva
5 stars based on 458 reviews

Renowned expert in Facial Cosmetic and Plastic Surgery. Signature techniques in Blepharoplasty, Rhinoplasty and Facelift surgery. Expert in revision surgery and in natural looking results