Anti-Wrinkle Injections

Anti-wrinkle injections are a treatment that uses botulinum toxin to reduce the movement of the muscles, thereby reducing the signs of ageing. Dr Pippa believes that aesthetic treatments should be used to enhance the natural beauty in a beautifully subtle way.


Please follow the links below to find out more about some of our more popular treatments.

For a full list of treatments offered, please see our price list.  If you have any other questions, or to enquire about treatments not listed, please do not hesitate to contact us.

Anti-wrinkle injections

Botulinum toxin is a neurotoxic protein produced by the bacterium Clostridium botulinum. It prevents the release of the neurotransmitter acetylcholine from nerve endings at the neuromuscular junction, causing temporary paralysis of the muscle.

Many of the signs of ageing on the face occur due to the repetitive movement of muscles over time. This is particuarly true of the lines across the forehead, the frown lines (or 11's) and the crows feet around the eyes. When these muscles contract they form lines and wrinkles in the skin, so botulinum toxin works to reduce the movement of the muscles, thereby reducing the lines and wrinkles that are seen. A small amount of toxin can reduce the movement and lines somewhat, a larger amount of toxin can often completely get rid of the movement and lines. 

Forehead Botox Dermal Fillers
Frown Lines Botox Dermal Fillers

There are 4 brands of botulinum toxin type A that are currently licenced in the UK: Botox (Vistabel), Azzalure (Dyspost), Bocouture (Xeomin), and Nuceiva. There are few clinical differences between the different brands, with research showing that efficacy and longevity are similar across the board, however due to diffusion and potential for reduced risk of immunogenicity, Dr Pippa works with Botox® and Bocouture®

Botox Allergan

Botulinum toxin doses are measured in units, with different people requiring a different number of units, depending on the strength of their muscle and the result they wish to achieve. Please note that the units are not always comparable between different botulinum toxin brands, so if you have had treatment with a different brand previously, we may be using a different number of units to get the same desired result. Different injectors will used different injections patterns as well, so if you are new to Dr Pippa, she may be using a slightly different approach to your treatment.

Crows Feet Botox Dermal Fillers

Botulinum toxin treatment does not have an immediate effect. It usually takes about 3 - 4 days to start to take effect, but can take 2 to 3 weeks for the full effects to be seen. This means that at your first treatment, we are somewhat estimating how many units you will require to achieve your desired result. We always recommend starting cautiously as 2 weeks after treatment, when the botulinum toxin has fully kicked in, we can always add more units to improve the results, however if treatment is 'over-done', then it is just a case of waiting for the botulinum toxin to wear off over time. On average, treatment will last around 3 months, though for some people this will be less and for some people this will be more. If you continue to have treatments regularly, then you may find that treatments start to last a bit longer. Higher doses of treatment will also help the longevity of treatment. Treatments are not without risks, however most risks with botulinum toxin treatments are short-lived and self-limiting and will be discussed at your consultation.

As well as the forehead, frown and crows feet, botulinum toxin is also utilised in other areas for the following treatments:


  • Brow Lift
  • Tip of the Nose: reduce the downturned tip of the nose
  • Bunny Lines / Lateral Nasal Lines
  • Neck: Reduce the vertical strain lines 
  • Lip Flip: Evert the lips slightly to appear more volumised
  • Chin: Reduce the cobblestone appearance and help to bring the chin out and down
  • Corners of the Mouth: Lift the corners of the mouth and make you look less sad
  • Gummy Smile: Lower the smile line for people who show too much gum when they smile broadly
  • Masseters / Jaw Slimming: Slim the face for people with hypertrophic masseter muscles
  • Clenching / Grinding: Treatment to some of the facial muscles that are involved when we clench or grind our teeth can help to reduce pain, headaches and tension that is associated with parafunction
  • Underarms / Hyperhydrosis: Injections into the underarms can help to reduce or stop sweating and smelling in the underarm area for up to 6 - 12 months. Perfect for those summer months!


Book your virtual consultation with Dr Pippa today and she will discuss your concerns and advise you how best to treat your problem areas. 

Jaw Slimming Botox Dermal Fillers