Anti-wrinkle treatment: Everything You Need to Know Before and after Your First Treatment

Oxford Cosmetic Clinic
Jan 9
5 min read

Updated: Jan 16

What Is Botulinum toxin (Botox)? A Medical Overview

Botulinum toxin (Botox) has become one of the most sought-after non-surgical cosmetic treatments in the UK, especially for reducing the appearance of dynamic (movement) wrinkles and fine lines. Medically, Botox refers to a purified form of botulinum toxin type A, a neurotoxic protein that temporarily blocks specific nerve signals to muscles, causing them to relax and softening the overlying skin’s creases. The effects of Botulinum toxin (Botox) treatment generaly wear off after 3-6 months

In the UK, botulinum toxin products, including well-known brands like Botox®, are classified as prescription-only medicines (POM) regulated by the Medicines and Healthcare products Regulatory Agency (MHRA). It is a legal requirement that botulinum toxin is prescribed by a registered health care profession (doctor, dentist, nurse or pharmacist) and can only be administered by an appropriately trained clinician. As of 2025 it is also a legal requirement to have a face to face by the prescriber before having Botulinum toxin (Botox) treatment. Remote prescribing (via telephone, video, or email) is not allowed.

Botulinum toxin is not only used for cosmetic reasons. In the UK, it is also prescribed within the NHS to treat medical conditions such as chronic migraines, bladder conditions, muscle spasms, excessive sweating (hyperhidrosis), and certain movement disorders.

In cosmetic treatments, botulinum toxin (Botox) is most commonly used to reduce the appearance of dynamic wrinkles in areas such as;

Forehead (horizontal lines)
Between eyebrows (frown or “11” lines)
Around the eyes (crow’s feet)
Bridge of nose (bunny lines)
Lines around the mouth and lips
Lift the eyebrows
Dimpled chin
Neck lines/ band (Nefertiti neck lift)
Jawline slimming
Treat teeth grinding (bruxism)
Hyperhidrosis

It’s important to understand the difference between botulinum toxin and other injectable treatments, such as dermal fillers. Botulinum toxin relaxes muscles to reduce wrinkles caused by movement. Dermal fillers, on the other hand, add volume and structure to the face and are used to fill deeper lines, restore volume loss and enhance facial contours. Although they are often mentioned together, they work in completely different ways.

Why Safety and Practitioner Qualifications Matter

Botulinum toxin is a prescription medical treatment that affects nerves and muscles, making proper administration essential for safety and effective results. Qualified medical professionals have the training needed to understand facial anatomy, determine accurate dosing, and place injections precisely to achieve natural-looking outcomes.

It is essential that the clinician should assesses a patient’s medical history to identify contraindications and reduce the risk of complications such as drooping, asymmetry, or difficulty swallowing. Their expertise ensures strict hygiene standards are followed and that any adverse reactions can be promptly and appropriately managed.

Choosing a licensed and experienced medical professional for botulinum toxin treatment helps protect patient health, ensures ethical and legal accountability, and delivers safer, more predictable results.

At our doctor-led clinic in Ardington (Wantage, Oxfordshire), all treatments are delivered by our highly trained and experienced doctors. This level of expertise allows for a deeper understanding of facial anatomy, dosing, and complication management- something that is especially important when working with botulinum toxin. Doctor-led care also means that patient safety, ethical practice, and evidence-based medicine are always prioritised over quick or cosmetic-only outcomes.

Choosing the Right Cosmetic Clinic in Oxfordshire

If you’re searching for clinic, choosing a safe, reputable clinic is just as important as the treatment itself. With increasing numbers of providers offering anti-wrinkle injections, knowing what to look for can help you avoid unregulated or unsafe practice and ensure the best possible results.

Checklist for Patients Considering Botox

Verified medical qualifications always check that your injector is a registered medical professional. Depending on their role, they should be registered with one of the following UK regulatory bodies (this can be checked up online)
- GMC (General Medical Council) – doctors
- NMC (Nursing & Midwifery Council) – nurses
- GDC (General Dental Council) – dentists
- GPhC (General Pharmaceutical Council) – pharmacist prescribers

Additionally, they should be able to provide evidence of formal training in cosmetic treatments through certificates issued by nationally accredited training providers.

A clean, professional clinical setting a reputable clinic should operate from a hygienic, medical-grade environment. The clinic should follow strict infection control procedures and feel professional from consultation to aftercare.
MHRA-licensed botulinum products; ask which product is being used and ensure it is licensed for use in the UK. Approved brands include Botox® (Allergan), Azzalure® (Galderma), and Bocouture® (Merz). Local authority warnings have highlighted risks linked to unlicensed or illegally sourced anti-wrinkle injections, which may increase the chance of complications and poor outcomes.
Insurance, consent and aftercare; Clinicians in a trusted and reputable cosmetic clinic should hold appropriate medical indemnity insurance, provide clear consent forms, and offer structured aftercare advice and follow-up support. Your should not feel 'pressured' into making a decision and be given time to consider options. You should also be told who to contact if you experience any concerns after treatment.

Choosing a doctor-led, medically regulated Botox clinic ensures your treatment meets UK safety standards and gives you confidence that your care is focused on both results and patient wellbeing.

What to Expect at Your First Botox Appointment

If you’re considering anti-wrinkle treatment in our clinic, knowing what to expect at your first appointment can help ease nerves and ensure a smooth experience. Botulinum toxin injection is a medical procedure, so appointments follow structured clinical guidelines to prioritise safety and effectiveness.

Pre-Treatment Consultation

Face-to-face consultation with either Dr Ben Soukup or Dr Josh Pincombe. Our doctors will review your medical history, including any medications, allergies, or previous treatments. The injector will also assess your facial anatomy, discuss your aesthetic goals, and explain the expected results, risks, and aftercare.

Planning Your Treatment

Our doctors will map the target muscles and decide on the correct dose to achieve natural-looking results. This planning stage is especially where advanced anatomical knowledge allows precise treatment.

The Injection Process

Botox injections are quick and given with a very small needle. Most patients experience only mild discomfort, often described as 'pinpricks'. The procedure is minimally invasive and does not require anaesthesia. Initial effects are usually seen within 3–5 days, with results continuing to develop over time. Full results typically appear at around 10–14 days after treatment.

Immediate Aftercare

Our doctors will provide speicific guidance on post-treatment care. This is likely to include;

Avoid rubbing the area or applying skin products for 12 hours
Avoid alcohol, ibuprofen (nurofen), aspirin, NSAIDs as this increases the risk of bruising
Remain upright for at least 3 hours after treatment to reduce the risk of the botulinum toxin moving
Avoid strenuous exercise, extremes of heat
No facials or other cosmetics treatemtns for 2 weeks

Risks & Possible Side Effects of Botox

While botulinum toxin (Botox) is generally safe when administered by a qualified medical professional, it is still a medical treatment and can carries some risks. Understanding potential side effects helps patients make informed decisions and ensures prompt management if issues arise.

Common / Mild Side Effects

Most patients experience mild and temporary reactions following treatment. These may include:

Redness or swelling at the injection site which tend to settle after 3 hours
Tenderness or slight discomfort
Bruising
Headache

Less Common / More Serious Side Effects

Some patients may experience temporary weakness of unintended muscles, which can lead to:

Eyelid or brow drooping (ptosis)
Facial asymmetry or uneven expressions
Skin infection

Proper injection technique by a trained, doctor-led team significantly reduces these risks.

Rare / Severe Risks

In very rare cases, botulinum toxin can spread beyond the injection site, causing systemic effects. Symptoms to watch for include:

Difficulty swallowing or speaking
Breathing problems or severe muscle weakness

If any of these occur, seek immediate medical attention by contacting your clinician and calling NHS 111 / emergency services.

Choosing a doctor-led cosmetic clinic with experienced clinicans that uses MHRA-licensed medications and follows strict safety protocols can minimise risks and ensure any complications are managed promptly, giving you peace of mind.

Book Your Free Doctor-Led Consultation

Book your consultation today to discuss your goals, explore options, and experience safe, professional treatments for natural and predictable results.