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.

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.

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.

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.

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.

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”.