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 context 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 normally used to treat dynamic wrinkles – which are the wrinkles caused by repetitive facial movements. The injections are normally very effective at reducing the wrinkles caused by movement, but less effective – at least initially – for static wrinkles (those that are present when the face is at rest).
Botulinum toxin is licensed for cosmetic use in treating frown lines, crow’s feet, and forehead lines. The injections are commonly used for ‘off-label’ purposes on other areas of the face and neck. Whilst using the drug ‘off label’ on other parts of the face may be common, it is typically less effective than when used to treat the official indications and may be associated with additional side effects.
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 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 crucial part of the treatment process. It is an opportunity for the practitioner to assess your skin and discuss your aesthetic goals. It is also important for your doctor to review your medication history, any medications you take, any allergies as well as your history of aesthetic procedures – what has worked well for you in the past, what hasn’t. By undertaking a thorough and comprehensive assessment we can maximise the chances of a positive outcome.
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 make up 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 waiting 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.
“Before and after photos of patients who have undergone anti-wrinkle injections”
The way we look can have a direct impact on both how we feel as well as how well we function socially. The aesthetic improvements from anti-wrinkle injections can significantly boost a patient’s self-confidence, making them feel more comfortable in social circumstances. This is something we have studied in our clinic and we have published our data in the peer reviewed literature.
Choosing the right practitioner is a critical step in ensuring a safe and successful treatment. You should always chose a doctor who has 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 so much to our incredible patient for allowing us to share her picture.
This patient had a challenging problem, with some pretty deep lines all around the mouth. To tackle a problem like this, we need to take a combined approach - no one treatment on its own is going to cut it. We did some laser resurfacing to smooth the surface of the skin, and added in a little volume to take out the deeper folds.
This is her a couple of months out and looking and feeling great. What do you think?
Some Friday night reading fun!
This is a letter I sent to Jenni Minto this week, in response to her suggestion that her job is to balance protecting the public with protecting the business interests of beauty salons.
There is no other way to describe it: she is simply wrong. I sent this letter to her earlier this week, and have been talking to the Herald about the issues. I just cannot get my head around her logic. In no other area of regulation would you consider relaxing standards to protect business interests knowing full well that those relaxed standards harm the public?
You can read the full story in the Herald at the link in our bio.
What do you think?
We are all absolutely DELIGHTED for this lovely patient who got an incredibly lovely result from her recent deep plane face and neck lift by our talented facelift expert Russell Bramhall, @bramhallplasticsurgery.
The deep plane facelift is now accepted as the gold standard technique for performing facelifts. It is a much more complex procedure that involves going deeper under the muscles of the face to truly reposition the face, rather than just make it a bit tighter. The results are much more natural and longer-lasting than more basic versions of the facelift.
We can now offer these procedures under sedation in our new premises. This means you go off for a nice deep sleep during your procedure, but wake up much faster and recover quicker than with a full general anaesthetic.
If you have any questions or want to start your journey, we`re here to help! Drop us a message any time.
Laser season continues and I thought you might like to see behind the scenes of a full field laser resurfacing treatment.
This is our wonderful patient Carol who kindly allowed us to film her procedure from start to finish. Carol is pretty typical of patients we treat with this procedure - she`s a former smoker who has also spent a lot of time in the sun as well as using sunbeds, so she`s picked up quite a lot of skin damage over the years.
I treated her full face, with particular focus on the lines around her lips, and she is absolutely over the moon with her results! Watch for Carol`s full procedure and an insight into the recovery process.
If you`re thinking about getting a laser treatment, now is the time to do it while the days are darker and social calendars are still a bit quieter. Send us a message if you`d like to find out if you`d be suitable for this treatment.
Thank you to our delightful patient who had full field laser resurfacing just before Christmas.
She was especially bothered by some deeper lines and wrinkles on her cheeks, around her mouth and under eyes. She also wanted some general skin tightening. I just saw her back in the clinic this week for a follow up and she is already over the moon with her results. She still has a little pinkness, but just look at that youthful glow!
What do you think?
We`re often asked about threads in the clinic and why we don`t offer them. Here`s our Medical Director Dr Rhona explaining what threads are, why we don`t use them, and why fillers are a much more reliable option for people looking for non-surgical rejuvenation.
Before anyone says "Ah, but I don`t want a big fat face" - Dr Rhona has filler in pretty much every part of her own face, and I think we can agree she does not have a fat face! The key to non-surgical rejuvenation is addressing the anatomy, not following the trends!
What do you think?
#threads #dermalfiller #threadsvsfillers
The power of the chin! Improving a recessed chin with some filler is one of the most effective ways of reducing the appearance of jowls, without surgery.
This is an example of one of Dr Rhona`s patients who had this done recently.
The patient was delighted with the result. What do you think?
#fillers #chinfiller #jowls #nonsurgical
As most of you will know, I’ve been campaigning for years for regulation of aesthetic procedures in Scotland. It’s something that I feel extremely passionate about. There are too many people in this country who are harmed from cosmetic procedures and the government has chosen to look the other way.
The government have finally agreed to bring in regulations, but in my view, they are too little too late and I’ve been writing about it in the Herald this morning (read the article at the link in my bio) and talking about it on BBC Radio Scotland`s Good Morning Scotland (you can listen here and on BBC Sounds).
The proposed regulations will make a list of procedures medic only, but they have proposed to allow beauticians to keep injecting fillers in ‘Group 2`. This is the wrong approach and is all to do with politics, rather than patient safety. Filler injections are more invasive and more high risk than most of the procedures they are making medic only and its very clear fillers belong in Group 3, medic only.
There is a consultation on the regulations live right now and I would urge all of our patients and followers to fill it in, pointing out the discrepancy of allowing beauticians to carry on doing fillers whilst banning them from much more benign procedures like PRP. This needs to be about patient safety, not politics.
You can fill out a response to the consultation at the link in my bio.
Thank you!
(To all of our international followers struggling to get their head around this, in the UK we have a situation where yone - with no training and no regulation - can set up shop offering cosmetic procedures. We are campaigning to bring Scotland in line with every other country and ban this practice!)
We are all absolutely over the moon for our incredible patient who has achieved an incredible skin transformation to kick off the new year with!
The patient underwent full field skin resurfacing, which has dramatically transformed her skin. Look at how much tighter the skin on her cheeks and under eyes look - and how much improvement we achieved in reducing the lines and wrinkles.
We`ve been doing this treatment for a couple of years now and we have managed to refine our protocols to have most of our patients healed within 7-10 days now. It still takes months for the skin to get fully back to normal, but by day 10 most patients are now comfortable getting out and about with a bit of make up.
January and February are some of the most popular months of the year to do this treatment, whilst its still dark outside and social lives are quiet.