About Botox

There are many types of botulinum toxin A. At Durham Private Doctors we currently use only Botox and Bocouture.

Botox and Bocouture are made from a purified protein and are designed for cosmetic and clinical purposes. When injected into the muscle, they block the nerve pathway and prevent muscle contraction. In other words, they relax the muscle. In this way, wrinkles and creases in the skin caused by muscle contraction can be targeted, reduced, removed, or even prevented.

Botox has been on the market for over 20 years and has a well-established safety history. It has been researched and tested extensively to ensure that it is effective and safe to use.

Botox is relatively inexpensive when compared to other cosmetic procedures and surgery. It is safe in trained hands, minimally invasive, requires no down time and achieves results very quickly. For those considering more permanent solutions, it is often a good first step.

Historically, cosmetic treatments have been more commonly used in women, but recent years have shown an increase in treatments for men, interested in reducing e.g. frown lines, crows feet and also excessive sweating.

Cosmetic and medical uses

Cosmetically, Botox can be used in many ways to reduce the outward signs of the natural ageing process. Botox can have a lifting effect (brow lift), or a dropping effect (gummy smile). It can relax and soften existing creases as well as prevent lines from forming. It can also be used to balance facial profile (to narrow a square/muscular jaw line). In addition, it improves skin quality and appearance by reducing sebum/oil production.

Botox has many uses in hospital medicine and can be employed to treat e.g. sweating (hyperhidrosis), migraine, or teeth grinding (bruxism).


Botox treatment is best done in stages with a review after two weeks. At this time, the area can be topped up if needed or left if a more relaxed look is desired. This way the result is tailored to suit the client. At Durham Private Doctors we offer this review for free with no further charge for top up injections.

Despite what is commonly believed, Botox does not necessarily cause loss of facial expression, although it can do, if that is the desired look. Over time this effect wears off. In most areas of the face this is usually 3-4 months.

Although pain thresholds vary, Botox injections are usually minimally painful and can be described as a pinching feeling that lasts only a few seconds.

The treatment is usually very quick. Time is taken to determine medical history, including medication and to determine safety. Those taking anti-coagulants (blood thinners) can still have Botox but have an increased risk of bruising. Those pregnant or breastfeeding should not have treatment. Rare neuromuscular conditions would also exclude a person from having Botox. All patients must be over 18 years of age and ID will be sought if there is any doubt otherwise insurance would be invalid.

After treatment:

  • Do not rub the treated area.
  • Avoid strenuous activity same day.
  • Avoid alcohol same day.
    Avoid facial treatments such as peels, dermabrasion etc. for 24 hours.
  • Remain upright for 4 hours after treatment.
  • Do not apply heat to the affected area same day.
  • Use facial expression to exercise the treated muscles same day.
  • Bruising, tenderness and headache can occur and are usually brief

If you have any concerns then contact your doctor.