McKeown Medical
167 Bath Street, Glasgow, G2 4SQ
Date posted — 21.10.24
If you are researching your options for aesthetic treatments, then you’ve probably come across the term ‘anti-wrinkle injections’. But what does that even mean? What are ‘anti-wrinkle injections’? How does it compare with other aesthetic treatments you’ve been reading about?
In this article, I’m going to demystify anti-wrinkle injections. We’ll delve into the science behind the treatment, explain the procedure, and discuss potential benefits and risks.
Anti-wrinkle injections could technically refer to a whole range of different types of treatment. In most day-to-day contexts, however, it refers to injecting a muscle relaxant into muscles that are responsible for causing certain wrinkles, causing the muscle to relax and, therefore, reducing the appearance of the overlying wrinkles.
The primary component in most anti-wrinkle injections is botulinum toxin. This neurotoxic protein temporarily relaxes muscles, smoothing out wrinkles and giving the skin a more youthful appearance.
Anti-wrinkle injections are most effective for treating dynamic wrinkles. These are wrinkles caused by repeated facial movements such as frowning, squinting, or smiling. They are less effective for static wrinkles that are present when the face is at rest, although early treatment may help prevent these lines from deepening.
Botulinum toxin is licensed for cosmetic use in treating frown lines, crow’s feet, and forehead lines. It is also frequently used off-label in other areas of the face and neck. For example, carefully placed injections may be used as an upper lip line treatment to soften vertical lines around the mouth when appropriate.
Botulinum toxin, the active ingredient, is a neurotoxic protein. It works in a specific location in the nerve endings – stopping the nerve endings from releasing the molecule it normally produces to ‘talk’ to the muscle cells, telling them to contract. Because this communication between the nerve and muscle is blocked, it means the muscle will relax, causing the overlying skin to smooth out.
The effects of the toxin are localized. This means they only affect the specific muscles where the toxin was injected. The rest of the body is not affected.
The process is straightforward and typically takes only a few minutes.
The injection is administered using a very fine needle. In our practice, we use a needle that is even finer than the one diabetics use every day. The finest needles cost a little more, but we think it’s worth the investment for our patients’ maximum comfort!
The consultation is a vital part of the treatment process. It allows the practitioner to assess your facial anatomy, skin quality, and aesthetic goals. Your medical history, current medications, allergies, and previous aesthetic treatments are also reviewed.
This thorough assessment ensures that treatment is tailored to your individual needs. In some cases, anti-wrinkle injections may be combined with other approaches, such as sun-damaged skin treatment, to address both muscle-related wrinkles and overall skin quality.
After the treatment, it is quite normal to see some immediate redness and swelling at the injection site. This normally resolves within a few minutes, typically by the time you get back to the car. It is much less common to develop any bruising. If this happens, it can usually be camouflaged with some makeup and will go away like any normal bruise.
It is quite common to develop a headache following treatment; this can affect up to 1 in 10 patients. If you develop a headache, you can take over-the-counter pain medication like paracetamol (or Tylenol if you are in the US).
Much less commonly, you can develop drooping of the eyelid or eyebrow. This usually affects around 1 in 3000 patients. If it happens, there is usually not much you can do other than wait for it to wear off. This typically happens within 2-6 weeks, although it can persist for the full duration of the treatment.
Visualizing potential outcomes can be helpful when considering anti-wrinkle injections. Before and after photos can provide a realistic depiction of what to expect from the treatment. Here are some examples of what it may be possible to achieve.
Check out our gallery to see before and after photos of patients who have undergone anti-wrinkle injections.
Appearance can influence confidence and social comfort. For many patients, the subtle improvements achieved with anti-wrinkle injections contribute to increased self-esteem and a greater sense of well-being. Research, including studies published in peer-reviewed journals, has shown a positive link between aesthetic treatments and psychological confidence.
Anti-wrinkle injections may also play a role in addressing concerns such as a downturned mouth treatment, where relaxing specific muscles can soften a tired or unhappy facial expression.
Choosing the right practitioner is a critical step in ensuring a safe and successful treatment. You should always choose a doctor who has an advanced understanding of anatomy, physiology, and pharmacology to allow them to tailor the procedure to your specific needs rather than follow a ‘painting by numbers’ approach.
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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?