Anti-wrinkle injections are non-surgical cosmetic procedures that use botulinum toxin (commonly referred to by brand names such as Botox, Dysport, or Xeomin) to temporarily relax the muscles responsible for the formation of wrinkles. Botulinum toxin is a neurotoxin that blocks nerve signals to the muscles, effectively reducing their ability to contract and causing the overlying skin to smooth out. These injections are primarily used for aesthetic purposes but are also used for medical conditions such as excessive sweating (hyperhidrosis), migraines, and muscle spasticity.
When used for wrinkle treatment, botulinum toxin is most commonly injected into areas where dynamic wrinkles appear—wrinkles formed by muscle movement—such as:
Forehead lines
Crow’s feet (lines around the eyes)
Frown lines (between the eyebrows)
Bunny lines (on the nose)
Lip lines (smoker’s lines)
The effect is a more relaxed, smoother appearance, which can give the face a more youthful, refreshed look. The procedure is minimally invasive with no downtime, and the results typically last between 3-6 months.
Indications:
Dynamic wrinkles: Wrinkles caused by repeated facial muscle movements (such as frowning, squinting, or raising the eyebrows).
Forehead lines: Horizontal lines that develop across the forehead.
Frown lines (glabellar lines): Vertical lines between the eyebrows, often referred to as “11s”.
Crow’s feet: Fine lines around the outer corners of the eyes.
Bunny lines: Small lines that appear on the bridge of the nose when you scrunch it.
Perioral lines (smoker’s lines): Fine vertical lines around the lips that can form even without smoking.
Neck bands: Horizontal lines on the neck caused by muscle contractions.
Jawline slimming: When injected into the masseter muscle, botulinum toxin can help slim the jawline by reducing the muscle’s bulk.
Excessive sweating (hyperhidrosis): Used to block sweat glands in areas like the armpits, hands, feet, and face.
Migraine management: In some cases, botulinum toxin can be used to reduce the frequency and severity of chronic migraines.
Contraindications:
Allergy or hypersensitivity to botulinum toxin: Individuals who have shown a hypersensitivity to botulinum toxin or any of its components should not undergo the procedure.
Pregnancy and breastfeeding: The safety of botulinum toxin injections during pregnancy and breastfeeding has not been established, so it is generally avoided.
Neurological disorders: Conditions such as myasthenia gravis, Lambert-Eaton syndrome, or other disorders that affect nerve-muscle communication should avoid botulinum toxin treatments.
Active skin infections or inflammation at the injection site: Infections or severe irritation should be cleared up before treatment.
Bleeding disorders or use of blood thinners: Individuals with bleeding disorders or those who are taking anticoagulants (unless directed by a doctor) are at higher risk for bruising or complications.
Severe facial muscle weakness: If there is already significant muscle weakness in the treated area, the treatment may exacerbate the condition.
Previous allergic reaction to injectable treatments: Any history of an adverse reaction to botulinum toxin or other injectable treatments should be discussed with the practitioner before treatment.
Aftercare:
Do not lie down for 4 hours: After treatment, avoid lying down or bending over excessively for at least 4 hours to prevent the toxin from migrating to unintended areas.
Avoid rubbing or massaging the treated area: Do not touch, rub, or massage the injection site immediately after the procedure, as this can spread the toxin to other areas.
Exercise caution with facial treatments: Avoid facials, facial massages, or other aesthetic treatments on the face for 24 hours after the procedure.
Avoid strenuous exercise: Refrain from vigorous physical activity or exercise for 24 hours to minimize the risk of bruising and to allow the toxin to settle in the muscles properly.
Minimise sun exposure: Protect the treated area from excessive sun exposure and use sunscreen to prevent irritation or pigmentation issues.
No alcohol: Refrain from consuming alcohol for at least 24 hours before and after the treatment to reduce the risk of bruising.
Head elevation: It is advisable to sleep with your head elevated for the first night to reduce swelling.
No makeup immediately after treatment: Avoid applying makeup to the treated areas for a few hours to minimise risk of infection or irritation.
Follow-up appointment: If necessary, a follow-up appointment may be scheduled within 1-2 weeks after treatment to assess the results and determine if additional injections are needed.
