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Botox is well-known for freezing facial muscles to soften lines, such as frown lines and crow's feet. It can also help to correct facial symmetry and reshape features without surgery in the forehead, around the eyes and mouth and in the neck. For example, Botox can help to raise an eyebrow or prevent your mouth turning down at the corners by paralysing the muscles that drag features down.
It is often used in conjunction with an eyelid lift (blepharoplasty), chemical peel or fillers. It can even be used to combat excess sweating.
Before it was adopted for aesthetic procedures, Botox had been used for many years to treat tics and other medical disorders. As well as using Botox in cosmetic procedures, Raman Malhotra runs a botulinim toxin clinic (Facial Dystonia Clinic) at the Queen Victoria Hospital NHS Trust in East Grinstead, where he treats patients with:
Botox is injected into a muscle with a fine needle, causing a temporary paralysis that allows lines to soften. Effects are usually seen between three and five days and last for approximately six months. Repeated injections lead to a gradual weakening of the muscles.
A local anaesthetic cream can be applied 45 minutes before treatment to reduce any pain from the injections, although this is usually unnecessary. Cooling with ice packs helps reduce any discomfort.
All procedures begin with a consultation. For full information about what to do before and after surgery, see Patient information.
Benign eyelid lump — Chalazion
Benign eyelid lump — Chalazion — Patient information
Cataracts — Patient information
Drooping upper eyelids — Ptosis
Drooping upper eyelids — Ptosis — Patient information
Excessive, involuntary blinking — Blepharospasm
Excessive, involuntary blinking — Blepharospasm — Patient information
Eye bags/heavy eyelids — Blepharoplasty
Eyelid skin cancer — Patient information
Facial paralysis — Facial palsy
Facial paralysis — Facial palsy — Patient information
Inward-turning eyelid — Entropion
Inward-turning eyelid — Entropion — Patient information
Outward-turning lower eyelids — Ectropion
Outward-turning lower eyelids — Ectropion — Patient information
Thyroid eye disease — Patient information
Watery eye — Epiphora — Patient information
Artificial eyes and orbital implants
Artificial eyes and orbital implants — Patient information
Asian eyelid surgery — Patient information
Brow lift — Patient information
Cataract removal and lens replacement
Chemical peel — Patient information
Eyelid lift — Blepharoplasty — Patient information
Cheek and facial contouring — Patient information
Lip filling and shaping — Patient information
Tear trough fillers — Patient information
Upper eyelid contouring — Patient information
Mohs surgery — Patient information