McKeown Medical
167 Bath Street, Glasgow, G2 4SQ
Relfydess is one of the most talked-about and exciting new arrivals in the world of aesthetic medicine — a next-generation botulinum toxin from Galderma. Galderma claim that the 39% of patients see results in the first day and up to 75% of patients still have improvement at six months. These are considerably better statistics than we would expect with our type-A neurotoxins like Botox, Azzalure, and Bocouture.
Date posted — 26.06.25
At McKeown Medical, we were one of the first UK clinics to introduce Relfydess into clinical practice. However, we wanted to understand how the drug performs and what our patients actually think of it in the real world. Without sounding too cynical, drug companies can usually get clinical trials to say what they want them to, and so we wanted to understand what our patients think of it. In the first two weeks of its release, we treated 97 patients using this new toxin. A couple of weeks later, we sent a survey to all of them, and 51 of them replied. These are the results.
How quickly did Relfydess kick in?
The patients we treated in the first couple of weeks were predominantly patients who had complained of poor results with their previous toxin. Patients were asked to compare the time it took for Relfydess to begin working versus their previous treatments. The responses revealed:
This suggests that Relfydess performs at least as quickly, and often faster, than established toxins in most patients.
When asked, the patient was asked how the aesthetic results of Relfydess compared to previous treatments:
For one patient who was not part of the formal survey, we treated the left side with Relfydess at the standard licensed dose and the other side with Botox at the standard licensed dose. At two weeks, there was a noticeably better reduction in crow’s feet on the Relfydess side compared with the Botox side, which may explain why many patients prefer the aesthetic outcome.
Many patients searching for Botox near me are increasingly asking whether Relfydess could offer superior or longer-lasting results compared with traditional products.
A bit issue around Reflydess is that the injections appear to be more painful than regular toxins.
Was the extra pain worth it?
For the patients who felt it was more painful, we then asked if they thought the enhanced results were worth the additional discomfort.
The majority (42 patients, 88%) said that the additional discomfort was worth it for the better results they have experienced.
All of these patients were treated in the first two weeks we had the product. Since then, we’ve been adding a small amount of local anaesthetic, which seems to be making the treatment more comfortable. We will audit those results and update you on that soon!
And perhaps the most important question of all, will they continue to use Relfydess going forward, or would they prefer to go back to their previous toxin?
It is still too early for us to comment on the longevity of the new product and how that compares, but in terms of early results, our patients seem to be impressed with the new product.
Relfydess appears to offer a real advantage for a specific subset of patients, particularly those who previously reported diminished results from classic botulinum toxins.
However, it’s worth noting that many of the patients who opted to try Relfydess did so because they were dissatisfied with their outcomes from traditional products. This may skew the overall perception in favour of Relfydess, as these patients had a lower baseline of satisfaction. In individuals who already get excellent results from Botox or similar products, the difference may be less pronounced.
For patients actively searching for relfydess wrinkle relaxing injections near me, it is important to understand that suitability depends on prior response, aesthetic goals, and individual anatomy.
A growing concern among long-term users of botulinum toxin is a phenomenon often referred to as “resistance.” While true immunity, where there is no response at all, is very rare, a larger proportion of patients develop partial resistance, where the treatment still works but becomes less effective over time.
In our experience:
However, for the very small number of patients with true immunity (i.e., no effect at all from Botox or similar toxins), we have now treated three such patients with Relfydess, and none of them responded. This suggests that Relfydess may not be effective in cases of complete immunological resistance to botulinum toxin.
Relfydess is an exciting new addition to the aesthetic toolbox. Early results from our patients indicate it may:
However, for those who already do well with established toxins, the benefits may be less obvious. And for patients with complete immunity to botulinum toxin, Relfydess does not appear to overcome this barrier.
If you’ve found that your usual wrinkle treatment isn’t giving you the same results, or you’re curious about whether Relfydess could be a better fit, we’d love to hear from you. Get in touch to book a consultation and find out if this next-generation treatment is right for you.
Call us at 0141 370 0509 or start your consultation.
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Discover what ‘True Skin Age’ means, how it’s measured using VISIA, and the evidence-based ways to improve your biological skin...
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Thank you once again to another lovely patient who has allowed us to share her photos with you.
She came to see me wanting a refresh and was open to suggestions, surgical and non-surgical. Her biggest concern however was wrinkles and lines and skin texture problems.
Surgery doesn’t help with this and injectables are limited too - the gold standard here is laser resurfacing, which is what we went with. We did a full field ablation of the full face including her eyelids.
This is her a month or so later. You can see she is still a bit red, especially around the eyes where we went the deepest, but she is already loving life with her new skin.
What do you think?
The non-surgical facelift!
You might have heard us talking a lot recently about combination treatments, using different treatment modalities to create synergy in non-surgical rejuvenation. The reason this works so well is that the different layers of the face age in different ways.
We focus a lot on skin tightening, which is super important, but that’s only the outer layer of the face. Below that the fat, bone and muscle are all changing too.
This lovely lady was relatively new to aesthetics and wanted a more comprehensive rejuvenation without surgery. We decided to do the combination approach using @sofwave.uk to tighten the skin of the face and neck, whilst using HA to restore volume to the fat and bone.
This is her a few months later - her whole face looks tighter, softer, less tired - but in a way that looks completely natural. She is delighted with the result that still looks like her, just a really refreshed version.
What do you think?
HA Fillers are making a comeback! Here are my thoughts on the how and why 👀
How long does a facelift last? One of the most common questions we hear, but it doesn’t have a straightforward answer. Here is our facelift expert @bramhallplasticsurgery talking about some of the nuance.
I’ve been getting lots of questions about what I’ve been up to with my own skin recently. So here you are… the full uncensored version 👀
Introducing Julaine - a new biostimulator I am very excited about!
To explain the background, we need to start with Sculptra - which is having a bit of a moment again on socials. Sculptra is made of PLLA which stimulates your own body to create more collagen, which sounds instantly appealing especially for patients who want to avoid HA fillers.
The problem is that 1 in 5 people who have Sculptra develop nodules which is why - despite the beautiful results we often see from it - I have never used it in my practice (at least not in the face). The trade off in terms of the risk of nodules is just too high for me to feel comfortable with.
We now have a new version, called Julaine, made from a Swedish company called Nordberg. The scientists at Nordberg have refined the manufacturing process to make the PLLA particles smaller and smoother and in doing so have eliminated the problems associated with Sculptra.
I have only just recently started working with Julaine (it’s been around for a couple of years now, but I never like to be the first to use it - I always want to make sure the real world data matches up to what the pharma companies tell us). The treatment is delivered over three sessions, one month apart, with gradual tissue regeneration and volumising occurring slowly over time.
The course of 3 sessions costs £3000 and results typically last up to 2 years. It’s a great addition for other regenerative treatments like Sofwave skin tightening. It’s also great for patients who’ve had HA fillers and feel like they need something else, but aren’t quite ready for more HA yet.
What do you think?
One of Dr Kavita’s breast reduction patients sent this gorgeous bouquet of flowers after her follow up - simply because she felt so grateful for her result and the care our team provided.
Moments like this remind us why we do what we do and why ‘how’ we do it is so important. Surgery has traditionally been a very male-dominated world, but Kavita brings something different - exceptional technical skill combined with empathy, warmth and a genuine understanding of women’s bodies and aesthetics.
There can be a lot of pressure on women in surgery to abandon their femininity to fit in. Kavita hasn’t done that. She’s succeeded by being completely herself.
And that’s exactly why our patients love her (and why we do too).
We’re very proud to have her as part of the McKeown Medical team.
This patient came to the clinic thinking she needed a facelift to get what she wanted. We do facelifts - lots of them. But for this patient, her biggest issue wasn’t loose skin.
It was skin quality, which is something we see a lot of, so we suggested she fix that first. This is the result. Fully ablative resurfacing isn’t easy, but for the right patient, it can be life-changing.
The patient is delighted with her results. What do you think?
Another gorgeous result for another gorgeous patient by the very talented @bramhallplasticsurgery.
This patient is 2 months post-op and loving life with her new eyelids. As well as looking better, she can see better because the weight of the excess skin has been removed. The patient is delighted.
What do you think?