Anti-Wrinkle treatmenT
Welcome to Dr Paul Elgey Aesthetics, your trusted destination in London for natural, tailored anti-wrinkle injections. If the lines on your forehead, between your brows, or around your eyes are starting to make you look more tired, stressed or older than you feel, you’re not alone. Many people come to us wanting a softer, smoother look, but in a way that still feels like you.
Our philosophy is simple: enhancement, not transformation. We take time to listen, assess your facial anatomy and skin behaviour, and co-create a treatment plan that respects your expression and personality. Because wrinkle-relaxing treatments can look beautiful when used thoughtfully, not frozen or artificial.
In your initial consultation, we’ll discuss your concerns, expectations, and medical history. We’ll explain how our treatments work to relax specific muscle groups gently, reducing dynamic wrinkles while preserving your ability to express. Many patients begin to see subtle improvement within days, with full effect around two weeks. Results typically last several months, but each person is unique, and follow-up sessions are adjusted accordingly.
At our London clinic, we welcome patients from Marylebone, Harley Street, Mayfair, and beyond. Whether you’re taking your first step into aesthetics or have experience, our goal is to ensure you feel informed, respected, safe and confident throughout your journey.
What Are Anti-Wrinkle (Neurotoxin) Injections?
Anti-wrinkle injections (commonly referred to as Botox®, but also using contemporary neurotoxins) work by temporarily relaxing specific facial muscles. By reducing repetitive contraction, dynamic lines like frown lines, forehead creases, and crow’s feet soften and become less visible.
These injections act not by filling, but by modulating muscle movement.
Over time, the surrounding skin benefits from reduced stress and improved appearance.
Results begin to show in 3–7 days, with full effects around 10–14 days.
Common Treatment Areas
Botulinum toxin can be used to treat the frontalis muscle, located on the forehead, and is a highly effective treatment for reducing horizontal lines and wrinkles. By carefully administering botulinum toxin injections into this muscle, we can temporarily relax it, leading to a smoother and more youthful appearance. The procedure is quick, minimally invasive, and involves little to no downtime. If you are looking for expert Botox treatments in London, Dublin, or Dubai, then speak to us about how we can help you.
Botulinum toxin treatment for frown lines, also known as glabellar lines or 11's, effectively diminishes the vertical lines that form between the eyebrows due to repeated muscle contractions. By injecting Botulinum toxin into the muscles responsible for these expressions, we can temporarily relax them, resulting in a smoother and more relaxed appearance. The procedure is quick, minimally invasive, and requires little to no recovery time.
Botulinum toxin for crow's feet targets the fine lines and wrinkles that appear at the outer corners of the eyes, commonly caused by smiling and squinting. By injecting Botox into the muscles around the eyes, we can temporarily relax them, leading to a smoother and more youthful eye area. This quick, minimally invasive procedure requires little to no downtime, allowing patients to resume their daily activities immediately.
Botulinum toxin injections for a brow lift is an effective treatment that elevates the eyebrows, creating a more open and refreshed appearance. By carefully administering injections into specific muscles around the brow area, we can temporarily relax the muscles that pull the brows downward. This allows the muscles that lift the brows to become more dominant, resulting in a subtle, natural-looking lift. The procedure is quick, minimally invasive, and involves little to no downtime. Patients usually see noticeable improvements within a few days, with results lasting three to four months.
Botulinum toxin treatment for bunny lines addresses the fine lines that appear on the sides of the nose when you scrunch or wrinkle it. By injecting Botulinum toxin into the muscles responsible for these lines, we can temporarily relax them, leading to a smoother and more youthful nose area. The procedure is quick, minimally invasive, and involves little to no downtime. Patients typically notice significant improvements within a few days, with results lasting three to four months.
Botulinum toxin treatments for a gummy smile and a lip lift effectively enhances your smile by reducing excessive gum exposure and subtly elevating the upper lip. For a gummy smile, botulinum toxin is injected into the muscles that cause the upper lip to rise excessively, resulting in a more balanced and aesthetically pleasing smile. For a lip lift, botulinum toxin is used to relax the muscles around the upper lip, allowing it to gently lift and create a fuller appearance. These procedures are quick, minimally invasive, and require little to no downtime.
Masseter botulinum toxin is an effective treatment for facial shaping and managing bruxism (teeth grinding). By injecting botulinum toxin into the masseter muscles, which are located at the jawline, we can temporarily relax these muscles. This has a dual benefit: it helps reduce the square or bulky appearance of the jaw, resulting in a slimmer, more contoured facial shape, and it alleviates the tension and discomfort associated with bruxism. The procedure is quick, minimally invasive, and involves little to no downtime. Patients typically notice improvements in bruxism in 1-2 weeks and facial shaping in 6-8 weeks, with results lasting 6 to 9 months.
Botulinum toxin treatment for jawline tightening and neck lift with platysma muscle relaxation offers a non-surgical solution for a more defined and youthful neck and jawline. By injecting botulinum toxin into the platysma muscles, which run vertically along the neck, we can temporarily relax these muscles, reducing the appearance of neck bands and lifting the jawline. This procedure helps to create a smoother, tighter, and more contoured appearance. The treatment is quick, minimally invasive, and involves little to no downtime. Patients typically see noticeable improvements within a few days, with results lasting three to four months.
Botulinum toxin treatment for chin dimpling effectively smooths the appearance of a bumpy or dimpled chin. By injecting into the mentalis muscle, which is responsible for causing the dimpling, we can temporarily relax it, leading to a smoother and more refined chin surface. The procedure is quick, minimally invasive, and involves little to no downtime. Patients usually notice significant improvements within a few days, with results lasting three to four months.
Injections of botulinum toxin can significantly reduce sweating if you perspire excessively under the arms or on the palms of the hands. Our London-based experts provide effective treatments for hyperhidrosis, helping you manage excessive sweating and improve your quality of life. This treatment offers long-lasting relief and enhances your confidence.
The Procedure: What to Expect & Timeline
Stage | What Happens | Typical Duration |
|---|---|---|
Consultation & facial assessment | Medical history, goals, photo documentation, discuss expectations | 15–20 min |
Preparation & marking | Cleansing, optional topical anaesthetic, marking injection sites | 10 min |
Injection | Microdoses into precise points | 10–20 min |
Immediate post-treatment | Mild redness/swelling possible, ice applied | 5–10 min |
Follow-up | Review result at ~14 days, touch-up if needed | Optional |
Longevity, Maintenance & When to Start
Results typically last 3–6 months, depending on factors like muscle strength, metabolism, and lifestyle.
Many patients start in their late 20s or early 30s for preventive treatment, especially those with expressive faces.
Over time, regular use may reduce muscle strength and extend intervals between treatments.
Maintenance sessions are recommended before lines fully return, for smoother continuity.
Risks, Side Effects & Safety
When performed by a qualified medical professional, anti-wrinkle injections have a strong safety profile.
Common / mild side effects:
Redness or tiny pinprick marks
Mild bruising
Temporary swelling
Minor headaches (rare)
Less common / avoidable risks:
Drooping eyebrows or eyelids (ptosis)
Asymmetry
Over-relaxation — unnatural smoothness (should be avoided)
In rare cases, diffusion to adjacent muscles causing mild weakness
Contraindications include:
Pregnancy or breastfeeding
Neuromuscular conditions (e.g. myasthenia gravis)
Known allergy to neurotoxin components
Active infection at injection site
Your consultation will include a complete medical review and informed consent process.
Why Choose Dr Paul Elgey Aesthetics?
Medical doctor with aesthetic specialisation — treatments performed personally, with anatomy knowledge.
Natural philosophy — we prioritise expression retention and subtle results.
Safety-first protocol — photographic records, emergency protocols, and staged treatments.
Local London clinic — serving Harley Street, Marylebone, Mayfair, and beyond.
Aftercare & follow-up — we ensure results are optimal and address any concerns.
How quickly will I see results?
Initial softening often appears in 3–7 days, with full effect by around day 10–14.
How long do the effects last?
Generally 3 to 6 months, depending on lifestyle, frequency of injections and dose.
Does it hurt?
Most patients report mild discomfort. We use micro-fine needles and can apply numbing cream if needed.
Can I combine Botox with fillers or other treatments?
Absolutely. Many patients combine anti-wrinkle injections with fillers, skin boosters, lasers or threads in a holistic plan.
Is there downtime?
No significant downtime. Avoid strenuous exercise, alcohol, and lying flat for 4–6 hours post-treatment.
Who is not a candidate?
Pregnant or breastfeeding women, individuals with neuromuscular disorders, or those with hypersensitivity to ingredients. Full medical review ensures safety.
Can results be reversed?
Neurotoxin effects wear naturally with time. There’s no “antidote” in aesthetic doses, but function returns gradually.
Will I lose facial expression?
When done conservatively, movements remain natural. Our approach always aims to preserve your individual expressions.
Are anti-wrinkle injections safe?
Yes, in experienced hands. We follow strict protocols, use approved products, and have emergency protocols in place.