Cosmetic surgery model

Botox


Botox is one of the best known and popular non-surgical cosmetic treatments for treating lines and wrinkles caused by smiling, laughing and frowning. It is used to prevent the muscle contractions that cause furrows and fine lines when the face is in motion. It has been used safely and effectively for a variety of medical conditions since the 1980’s.

At Cotswold Cosmetics, in our experienced hands Botox is used in an artistic way to restore a relaxed and more youthful appearance to the face, lending a subtle lift to the brows.

The treatment is safe and virtually painless and results are visible within three to seven days. In addition to the treatment of frown lines and wrinkles, Botox is also used to treat Hyperhidrosis (Excessive Sweating).

Botox may also be used in conjunction with other non-surgical cosmetic treatments such as Dermal Fillers.

What is BOTOX®?

BOTOX® is a purified protein which when injected into a muscle leads to a temporary muscular relaxation. Frown lines, worry lines and laughter lines are all caused by the repeated contractions of facial muscles: relaxing these muscles with Botox® injections is a quick, safe and effective way to smooth and soften wrinkles.

What will happen during the treatment?

We will undertake a thorough facial analysis and detailed discussion before proposing an appropriate cosmetic treatment plan. The actual procedure takes just 5-10mins and involves a small number of injections of BOTOX® solution directly into the muscle groups causing wrinkling.

How quickly will I notice an effect?

You will be able to return to your normal daily activities immediately following treatment: there will be no visible changes. The full effect of the treatment will develop over the following 2-14 days.

How long will the treatment last?

This varies from individual to individual, but most people tend to have 3-4 treatments over the course of the first year. The duration of effect often increases with each repeat treatment: eventually, you may only require one maintenance treatment per year.

How safe is it?

BOTOX® is considered a very safe medication. It is now approved by medical authorities in over 70 countries worldwide. It has been used widely in UK hospitals since 1977 (with several indications in children) and in the cosmetic industry over the last 15 years.

What are the side effects?

There may be slight discomfort as the needle enters the skin, and there is the possibility of a small bruise at the site of the injection. Other side effects are rare but include slight drooping of the eyelid, which usually resolves in a week or so, and headaches. There are many myths and horror stories circulating in the media: any concerns you may have will be addressed thoroughly prior to treatment. No long-term side-effects have been reported.

Will BOTOX® 'freeze' my face and make me expressionless?

No, definitely not. We will only treat the specific muscles that are responsible for your wrinkles, minimizing any possible loss of facial expression.

Will my face 'droop' if I do not have repeat treatments?

Absolutely not. The treatment is completely reversible there are no permanent effects. In fact, your skin is likely to have benefited from the period of reduced muscle contraction, as wrinkle formation is slower during this time.

Post-treatment care

You are advised to stay upright and to try to exercise the areas treated for 2-4 hours following the injections. It is important to avoid massaging these areas though: this is to prevent the diffusion of the solution to adjacent muscles.

Dermal Fillers


When you look in the mirror and see your first facial wrinkles you are recognizing the first visible signs of the ageing process. Facial wrinkles and creases begin to appear as the underlying collagen and elastin fibres begin to break down and wear out after the age of 25. While this breakdown is part of the natural ageing process, it can also result from excessive squinting, frowning, smoking or sun damage.

At Cotswold Cosmetics our doctors safely and skillfully provide an extensive range of dermal fillers which can be used to improve the appearance of expression lines and scarring. These products are all hyaluronic acid based (non-animal fillers) which are used to replenish lost volume in the skin, smoothing out lines and wrinkles thus helping to erase the signs of ageing without resorting to surgery. We also offer lip enhancement and “smile boost” treatments.

Our product range includes: –

  • Juvederm® Ultra
  • Restylane®
  • Restylane Lipp®
  • Perlane®

What are Fillers?

The main component of fillers is hyaluronic acid, a biosynthesized version of one of the body’s own natural substances. The amount of hyaluronic acid produced by the body decreases significantly as we age; as a result, the skin becomes drier, thinner and less supple, rendering it increasingly prone to wrinkling. Injecting fillers into the skin simply adds volume to where the body’s own hyaluronic acid has been depleted.

What will happen during the treatment?

Following a thorough facial analysis and detailed discussion of the proposed cosmetic treatment plan, the treatment can be started straight away. (No pre-test is necessary as fillers are of non-animal origin.) The gel is injected into the skin in small amounts with a very fine needle, immediately lifting and smoothing out wrinkles with the natural volume it provides.

How long does the treatment take?

Treatment time is approximately 30 minutes.

How quickly will I notice an effect?

The results are instantaneous.

How long will the treatment last?

This will vary from individual to individual. It very much depends on factors such as a person’s age and lifestyle, the structure of the skin, and the degree of correction required. Most clients choose to have a repeat treatment within a year, since the main component of both products (hyaluronic acid) is a natural substance which dissolves over time.

What are the possible side effects?

Fillers are considered to be very safe treatments. There have been over 2 million treatments with restylane performed. Both substances are highly biocompatible and biodegradable. A local anaesthetic may be used to minimize any discomfort at the time of injection. Bruising, redness and some slight swelling at the site of treatment does sometimes occur, although rarely lasts more than a few days.

Post-treatment care

Gentle massage of the treated skin is beneficial. However, you should not touch the area for at least six hours following treatment. The correct massage techniques will be demonstrated during your consultation.

Cosmetic fillers
Mole Reduction

Minor Surgery


Warts and skin tags very common skin conditions. They can be embarrassing and annoying but with simple medical treatments, they can easily be removed. Warts are common on the fingers, face and groin area. Skin tags are common on the neck, under the armpits, breasts, between the legs and occasionally around the eyes.

Wart removal and skin tag removal costs from £80 and is quick and simple to do under Local Anaesthetic. It is no longer available on the NHS. Our Dermatology experts will fully explain any minor surgical operation that is necessary and will only proceed with your consent.

Cryotherapy / Freezing is the simplest and easiest method for removing small warts and skin tags. This usually involves some liquid nitrogen spray onto the lesion which then blisters for a few days and it then usually falls off. With resistant warts sometimes a daily regime of paring down (with emery board), then applying Occulsal cream to burn off the wart and then wrapping in duct tape is also required.

Surgical removal is also a common option for skin tags as they can sometimes be numerous in number and in delicate areas that freezing may not be ideal for. The procedure is normally done with some anaesthetic so no pain is felt and is very simple and quick to do.

Hyperhidrosis


Excessive Sweating – ‘Hyperhidrosis’

No more worrying about staining your clothes and body odour. No more restrictions on which colors and materials you can wear.

This is a surprisingly common problem yet it is undertreated because of lack of awareness and its embarrassing nature. Even simply shaking hands can become uncomfortable, making business and day-to-day life a problem.

What is hyperhidrosis?

Hyperhidrosis means excess sweating. There are 2 main types of hyperhidrosis:

  1. Focal hyperhidrosis is the more common type (millions of people suffer from this) involving excessive sweating on the feet, hands, armpits and occasionally the face.
  2. Generalised hyperhidrosis is less common.

What will happen during a treatment with Botox®?

Using a very fine needle, your doctor will inject a small amount (1-2mls per armpit) of a solution of Botox into 10-15 place spread evenly in each armpit. Sometimes a dye is used to show up the areas where sweating is greatest and where the injections should be placed.

Is it painful?

The needles used are very fine so most people experience only mild discomfort. It is uncommon for pain relief to be required. A local anaesthetic may be used when treating the palms however as they are much more sensitive: this usually wears off in less than an hour.

How long does the treatment take?

Treatment time is approximately 30 minutes

How quickly will I notice an effect?

You should notice some change for the better within a week of your treatment. Different people have different responses to treatment. In a clinical trial, sweat production was reduced by 83% one week after treatment.

How many treatments will I need?

Usually just one session is required. All patients are invited to return for a follow-up appointment 2 weeks after their treatment. Very occasionally a ‘touch-up’ treatment is required: you will not be charged for this.

How long will the treatment last?

Usually between 4-7 months.

What happens if I decide to stop treatment?

The effects of Botox are completely reversible. if you decide not to have any further treatment there will be no lasting change in the areas treated. Sweating will gradually return to the level it was before you started treatment.

What are the possible side-effects?

Side-effects are rare, but a small number of patients experience an increase in sweating in another part of the body. This can also be controlled. Since the injection is made only into the skin, the effects of Botox will be limited to the nerves supplying the sweat glands. Occasionally, a very small amount of Botox may spread out from the injection site and affect a nearby nerve that supplies a muscle. Mild weakness of the arms may be experienced if this happens, but this does not last and gets better quickly without any treatment.

What are the other treatments for hyperhidrosis?

  1. Aluminium chloride (‘Driclor’) is the active ingredient of some anti-perspirants. It is used in stronger solutions to treat hyperhidrosis. treatment consists of applying the medication overnight using a roller-ball applicator and then washing it off in the morning. The effect lasts approximately 48 hours.
  2. Iontophoresis is the passage of a weak electrical current through a water bath (or ‘electrogalvanic’ bath). The area affected by sweating is immersed in water and electrically charged particles (ions) block the activity of sweat glands. The effects can last for up to 12 weeks, though this is highly variable and some patients report results lasting just a few days.
  3. Antimuscarinic drugs reduce the activity of the nerves supplying the sweat glands. As these drugs affect the entire nervous system, side effects such as dry mouth, drowsiness and constipation can be troublesome.
  4. Beta-blocker drugs or anxiolytics (tranquilisers) may help if sweating is made worse by stress and feelings of anxiety.
  5. Relaxation, psychotherapy or acupuncture
  6. Surgery is usually only considered when other methods of treatment have not worked. The results are permanent but there are always risks associated with surgery and the use of general anaesthesia. A ‘sympathectomy’ means blocking or cutting the nerve supply to the sweat glands. Blocking the nerve supply lasts 1-2 years; cutting the nerve supply last is permanent.
Reduce sweat