What are anti-wrinkle injections?

Anti-wrinkle injections are small injections of a substance, botulinum toxin, into muscle or skin, to weaken the muscles responsible for wrinkles and lines caused by repeated muscle action over the years. The most common uses of anti-wrinkle injections are forehead lines, frown lines, eye wrinkles (crow’s feet) and smokers lines around the mouth (with or without filler)

Treatment summary

No. of treatments
Usually 1
Recovery time
Final results
Up to 4 - 6 weeks
Procedure time
30 mins
Not necessary
Duration of results
3 - 4 months
Discomfort level
Cost from

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What is Botulinum Toxin?

Botulinum toxin is a protein derived from a bacterium, Clostridium Botulinum, and is the neurotoxin responsible for the muscle paralysis that results from botulism. The main brands in the UK are Botox, Dysport, Azzalure, Xeomin and Bocouture for the type A toxins and Neurobloc for the type B toxins.

Don’t be alarmed though, the protein is highly purified and used in negligible doses in cosmetic use. To kill Dr. Fab for example you’d have to give him 3500 units (of Botox). The average dose for treating 3 areas in the face is 60-90 units.

Botulinum toxin administered by a medical expert is extremely safe in cosmetic use.

Anti-Wrinkle FAQs

How does Botulinum Toxin work?

When a muscle contracts there is a signal from a nerve to each muscle fibre. This signal is a chemical called acetylcholine, which is present in nerve cells and when releaced to the connected muscle fibre causes the muscle fibre to contract. Botulinum toxin works in the nerve to prevent the release of this chemical signal.
In time the nerve repairs itself and starts sending acetycholine to the muscles again. Recovery is the rule and this is why treatment with botulinum toxin is never permanent

When will I see results from my Botulinum Toxin treatment?

Lines and wrinkles are caused by the long term action of muscle on skin associated with the loss of skin elasticity with aging. On average it takes 4-7 days for the muscle weakness to kick in. Lines start to fade from 2 weeks but as skin turnover is 4-6 weeks wrinkles continue to improve. Deeper creases may need a few treatment cycles. As nerve recovery takes 3 months on average then treatment needs repeating every 3 months initially. Some people after regular treatment may find that their treatments last longer
For various reasons results vary from person to person. These are discussed at consultation with Dr. Fab, for example results of treatment with botulinum toxin are always better when volume loss has been compensated for with Dermal Fillers.

What side effects could I experience with Botox?

The most common side effects after botox injections are bruising or temporary swelling at the injection site. Less common side effects are temporary drooping of the eyelid, drooping of eyebrows, blurred vision, double vision, dry eyes, headaches and flu like symptoms.

Is treatment painful?

Dr. Fab does not use insulin syringes to inject as they have no business being in the face! Only ultra fine 33 gauge needles are used so the procedure is virtually painless. More nervous people can have anaesthetic cream to numb the skin if they wish.

Will my facial expressions look natural after treatment?

Done properly, treatment with Botox should look natural. There are some variables but these can be addressed at the mandatory check up appointment we offer after 2 weeks. Botox can also be used to lift up eyebrows, mouth corners, improve appearance of gummy smiles and correct some facial asymmetries.

How long has Botox been in use?

As long ago as 1978, Botox was used as a treatment for patients with eye squints by weakening the overactive eye muscle. Since then it has been used in a variety of therapeutic areas such as blepharospasm, headaches, spasmodic neck, writer’s cramp, tics, multiple sclerosis, facial spasms, Parkinson’s Disease, cerebral palsy, overactive bladder and vaginismus to name but a few.
Historically botulinum toxin dates back to 1817 when a German physician, Justinus Kerner, first described the symptoms of an outbreak of botulism as a result of dodgy sausages.
In 1987 a chance discovery by a Canadian ophthalmologist, Jean Carruthers, led to the use of botulinum toxin cosmetically. A patient who was being treated for blepharospasm with botulinum toxin noted the appearance of her crow’s feet were much improved.

Is there a difference between the brands?

To cut a long story short…!
Although Dr. Fab uses the Botox brand of botulinum toxin, how good the results are depend on the skill of the injector and dosing the chosen brand properly.

Before and After Anti-Wrinkle Injections

Forehead lines before

Forehead lines after

More before and afters

Forehead Lines





Crows Feet



Gummy Smile



Treatment Enquiry

Book a free consultation today! Please note if you would like to book a consultation with Dr Fab Equizi specifically there will be a £50 consultation charge, this includes a £25 non-refundable deposit at booking and £25 on the day.

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Enhance Clinispa
353 Park Rd,
Greater Manchester,

Phone: 01942 811355

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