Month: November 2013

botox – potential side effects

Dr Singh who runs his botox clinic in Stevenage, Hertfordshire, in his latest blog talks about the potential side effects from botox treatments and how you can prepare yourself for this.


Have the side effects of Botox® put you off from having the treatment to reduce your wrinkles? Botox® is a very popular treatment to reduce wrinkles, however you need to be aware of certain side effects associated with this procedure. If you are unsure on what to expect after the procedure, we will explain all the common side effects and want you can do to minimise these or even eliminate them.


Botox® is a very effective treatment and we don’t want you to be put off by scare stories you have read in the press or seen on the television. If you are informed and prepared for the side effects associated with Botox® you will have peace of mind and not let it put you off the procedure.


Here are the different side effects you can expect:


1. Headaches

Botox® can dehydrate your body and you will need to follow a couple of instructions to minimise and prevent this. We recommend to drink plenty of water after the procedure, at least 2 litres of water in the first 24 hours.We also advise to avoid alcohol for the first 24 hours.


2.Drooping eyelids

There are a number of reasons why this may occur:

(a)  Too much Botox® has been given in the forehead. This muscle lifts your eyes, so if it is relaxed too much it will not be able to maintain the position of your eyes.

(b)  Not enough Botox® has been administrated in your frown muscle. This muscle pulls your eyes down, so if this muscle is still active, then it will have a downward pull on the eyes

(c)  The Botox® may have travelled downwards to the eyes. This could have been caused by exercising straight after the procedure or bending downwards. So we recommend not to exercise for 24 hours after the procedure and also not to bend down too excessively


3.Frozen look

This will occur if too much Botox® has been administrated. We would normally recommend to underdose initially and if you require further treatment then to have the Top Up after a couple of weeks. The frozen look will disappear over time as the effects of Botox® begin to wear off. This is different for each person and can be anything between 3-6 months.


4.Wrinkles still there

The effects of the treatment will normally take around 2 weeks to work. The first few days your skin will feel tighter at the injection area. You should have a review appointment 2 weeks after the initial visit. At this visit the Doctor will see if you require any further Botox®, known as the Top Up. This will take on average a week for you to see the results. If the wrinkles are still present then either you will need more Botox® or you were not suitable for the procedure, e.g deep lines or lines at rest only (i.e no lines on facial expression).


5.Inflammation and Swelling

You will experience slight redness at the injection sites. This is common, so don’t be alarmed. This will normally resolve within an hour of having the procedure.


Due to the amount of fluid being injected you will also expect to see some swelling at the injection sites. This will be similar to a bee sting and will resolve within an hour of the procedure.


For more information about botox hertfordshire, please call us on 0800 006 2266.

botox – what happens after my treatment?

Dr Singh who runs his botox clinic in Stevenage, Hertfordshire, in his latest blog looks at what happens exactly after the initial botox injections.


Immediately after administering botox, you may experience some redness and swelling at the injection point. The swelling is normally caused by the botox fluid build up and takes on average around 30 minutes to disappear, and the same applies to the redness.


The other reason why you may have a swelling is if the botox injection has hit a blood vessel. In this case the swelling will take a lot longer to go down. In this instant, your botox practitioner should compress the area and advise you to press some ice in that area when you get home. You amy be able to reduce the effects of the bruising by either applying arnica cream or taking some arnica tablets.


You will be give some advice about what to do and not do after the botox treatment. The main advice would be to avoid any exercise or pressure to the areas injected for the next 24 hours.


In the next few days you will begin to feel the skin tightening around the areas that the botox was injected in.


Between 5 and 10 days the results of the botox would have kicked in and you will now see your lines and wrinkles either disappear or reduce considerably when carrying out facial expressions. Each person is different and the time taken to see the full results will vary.


Normally after 2 weeks you will see your botox practitioner for a review appointment and at that stage if you require any botox top ups, you will be given these. In my experience the top takes effects within the week.


For more information about botox hertfordshire, please call us on 0800 006 2266.

botox and psychological aspect

Dr Singh who runs his botox clinic in Stevenage, Hertfordshire, in his latest blog continues the latest Government advice regarding cosmetic procedures, such as botox.


Psychological Factors

A recent market research report found that fewer than 10% of cosmetic interventions were carried out primarily for health reasons. Most people opt for cosmetic interventions based on dissatisfaction with appearance, a desire to improve confidence and self-esteem, and to look younger.3 Patient satisfaction with procedures is based on the quality of services provided but also relates to patients’ expectations and their psychological profile. There is no standardised way to measure patient satisfaction across the sector, even in the case of cosmetic surgery. A new tool to collect this information is being piloted by BAAPS.

Academic research has highlighted that those who undergo cosmetic interventions are statistically more likely to worry about their weight, have been subject to domestic violence or bullying, or be on medication for sleep disorders and anxiety. Those seeking treatments are also statistically more likely to have mental health issues.6 Such research draws attention to the potential vulnerabilities of some groups seeking cosmetic interventions. In response there have been calls for better screening of patients undergoing surgery for pre-existing psychological disorders. One screening initiative is discussed in Box 2.

Risks of Cosmetic Procedures (such as botox)

Health Risks
There are a wide range of known risks and complications associated with surgery, injectable products (botox), cosmetic implants, chemical peels and laser treatments. These range from localised infection and scarring to permanent and debilitating effects, such as blindness and nerve damage.1

There is no centralised and comprehensive data on the scale of adverse health complications associated with cosmetic treatments. This includes treatments occurring on premises registered with UK health care regulators (such as the Care Quality Commission, which regulates hospitals in England). Independent hospitals in Scotland are regulated by Healthcare Improvement Scotland. Reporting of adverse incidents is sporadic across the sector.

Systems of reporting in relation to specific products to manufacturers and regulators have also faced criticism. For example, in the wake of the PIP scandal it was estimated that only 15-18% of incidents were reported to the relevant regulator.7 Current estimates of health complications are based largely on small scale investigations by industry and professional bodies, as well as anecdotal evidence. Data on adverse outcomes from using injectable cosmetic products is given in Box 3. Even less is known about non-surgical procedures carried out on other types of premises. These may be carried out despite providers having no professional or legal responsibilities to report adverse incidents or to provide suitable aftercare.

Economic Risks

The annual cost of complications from cosmetic interventions to the NHS is unknown. However the NHS bears the costs for a large proportion of complications that result from treatments carried out by less reputable providers. This issue is particularly acute for non-surgical procedures, as there is no guarantee that practitioners will be insured, or have systems of patient aftercare in place. One recent small scale survey of admissions to a single London hospital recorded 12 cases of patients presenting with complications resulting from dermal filler injections over a 15 month period. The average cost of each patient to the NHS was over £3,000.8 This suggests significant costs to the NHS hospitals across the UK and in relation to other non-surgical procedures that carry comparable levels of risk.

Box 3. Complications Associated with Injectable Products

  1.   The Independent Healthcare Advisory Service (IHAS) recently gathered data on 12 of its member clinics. It was reported that medical complications arose from 0.13% of Botox®® procedures, 0.25% of dermal fillers procedures and 0.07% of cosmetic procedures.4 However these figures represent only those providers registered with the trade body who chose to share data.
  2.   A recent BAAPS report highlighted that around two-thirds of its members had treated a patient who has suffered complications after filler injection treatments between 2011-2012.5
  3.   The BAAPS report also highlighted that 84% of cases of medical complications resulting from dermal fillers that were presented to its surgeons required surgery or were untreatable.

Box 2. Identifying Vulnerable Patients

Cosmetic procedures (botox) may be inappropriate for some vulnerable patients. Academics based at the Centre for Appearance Research at the University of West England have been working with practitioners to develop standardised tools to screen patients for psychological disorders, such as body dysmorphia. The screening involves assessing patient responses to a series of questions. Patients deemed to be at risk may then be referred for further assessment. This project has received funding to roll out the screening tool to a larger number of providers during 2013.

For more information about botox hertfordshire, please call us on 0800 006 2266.