Botulinum toxin: treatment information and fees

Botulinum toxin type A is a prescription-only medicine injected into selected muscles to temporarily reduce their activity. It is different from dermal filler, which adds volume.

Lisa uses Bocouture. Its licensed use covers moderate to severe frown lines, crow’s feet and forehead lines in adults under 65 where those lines have an important psychological impact. Assessment is needed to establish whether it is appropriate for you.

The Bocouture product information describes onset at around two to three days for frown lines, within six days for crow’s feet and within seven days for forehead lines. Maximum effect is described at day 30, with effects lasting up to four months. Individual responses vary.

The effect is temporary. A particular result or complete removal of lines cannot be guaranteed. Repeat treatment requires reassessment; the product information specifies at least three months between treatment courses.

Treatment must not be given if you have an allergy to its ingredients, certain muscle or nerve disorders, or infection or inflammation at the injection site.

Tell Lisa about all medicines, previous reactions, swallowing difficulties and pregnancy or breastfeeding. Cosmetic treatment is not offered during pregnancy or breastfeeding. The service is for adults aged 18 and over.

Side effects can include pain, swelling or bruising where injected, headache, dry eyes, eyelid or eyebrow drooping and uneven facial movement. Some effects may last until the medicine wears off. This is not a complete list.

Rare serious reactions include severe allergy and effects from toxin spreading beyond the injection site. Seek urgent medical help for breathing, swallowing or speech difficulties. Call 999 for severe breathing difficulty or signs of a severe allergic reaction.

Lisa will discuss individual risks and provide the product leaflet and aftercare instructions before treatment. Aftercare and concerns