Usually, wrinkles are found around the mouth, eyes and forehead.  Hence, Dr Sall administers the anti-wrinkle injections into these regions where the lines have formed.  The dosage that will be administered is dependent on the extent and depth of wrinkles present and the patient being treated, therefore varies from one individual to another.

The anti-wrinkle injection is a muscle relaxant which works by hindering chemical signals from reaching their target muscle.  These signals are responsible for causing muscles to contract.  By doing so, they make the wrinkles less visible while reducing further formation of wrinkle lines.

Anti-wrinkle injections are not painful except for the slight sting you may experience when the needle enters the skin.

Anti-wrinkle injections are not painful except for the slight sting you may experience when the needle enters the skin.

Changes can be noticed within 3 to 5 days of treatment. However, the full effect is experienced after two weeks and can last for up to 3-4 months.  Follow up treatments are required to maintain the results beyond this period and with continuous use of anti-wrinkle injections the results are capable of lasting longer.

We advise that you avoid strenuous activities such as going to the gym within the first 24 hours. However, you can go about your normal activities.  We usually advise that you return in two weeks for a free follow-up assessment so we can evaluate the results.  In order to maintain the treatment outcome going forward we recommend a follow up appointment 3 – 4 months after the initial procedure.

Yes, anti-wrinkle injections are safe but they must be prescribed and administered by an experienced practitioner to reduce any other side effect. We only use approved anti-wrinkle injections and always advise that you stick to our post procedure recommendations.

As side effects, you may experience drooping (ptosis) of the eyebrow or eyelid and possible double vision. These particular side effects are rare. Generally, common side effects experienced are swelling, bruising, redness and headaches. However, if you stick to our advice during your visit, the side effects will be significantly reduced.  Again, it is essential that you stick to our post procedure recommendations.

There is no specific age to start anti-wrinkle treatments as it is dependent on lifestyle (how much an individual spends under the sun). However, for Caucasian women it is advisable they start therapy between 30 to 40 years.

Treatment is strictly restricted to over 18 years of age. 

Even though research is not clear on the possible risks to pregnant or breastfeeding mothers, we advise that women in these groups should not undergo anti-wrinkle treatments.

• Hyperhidrosis: This term refers to excessive sweating. Anti-wrinkle injections can reduce excessive sweating by over 85%, lasting up to 6 months as they temporarily paralyse the sweat glands. 

•   Migraines:Migraines can be associated with excessive grinding or clenching of the teeth: This is otherwise known as bruxism which can lead to enlargement of the masseter muscle and more of a square face shape. When clenching or grinding the teeth the masseter muscles of the jaw contract, during bruxism there is hyperactivity of the muscle and it becomes enlarged overtime and more bulky, anti-wrinkle injections can be administered to hinder the nerve signals from getting to the muscles. This eventually causes the muscles to relax and so inhibiting bruxism and thereby improving any associated migraines.  In addition, activity of the muscle is weakened so it becomes smaller and less bulky thereby reducing the lower face width, thus creating a more desirable oval face shape.

Bruxism and Masseter hypertrophic results:

Week 1: Muscle begins to soften 

Week 2-4: Muscle mass noticeably smaller 

Week 10-12: Maximum treatment effect 

Week 12+: Activity of the muscle begins to return. 

Week 16+: Muscle mass and activity returns. 

2-3 treatments are recommended per year to sustain results. 

•  Treatment of a gummy smile: A gummy smile is excessive gum display when a person is smiling.  By administering anti-wrinkle injections to the muscles clenching the nose and lifting the upper lip the muscles relax and so do not elevate the upper lip too far above the upper teeth allowing the lip to cover the gum when the person smiles hence producing a more attractive smile and restoring patient confidence. 

The Nefertiti Neck Lift entails injecting anti-wrinkle injections along the jawline and down the neck into the platysma muscle. By relaxing the platysma beneath the jaw and re-balancing muscle activity, the muscles in the upper face become stronger, pulling the entire face upward thereby improving jaw definition and giving the face a better contoured appearance.

Since the time of the Egyptians a long neck and well-defined jawline has been a sign of beauty. This procedure has been named after Queen Nefertiti whose bone structure continues to be admired in modern times.  

Before the treatments;

• Do have realistic ideas of what you would like to achieve. 
• Do come ready for a little discomfort which you may feel from the needle entering the skin. 
• Do wait for 2 weeks to experience the full effects of treatment. 
• Do not have the treatment immediately before a big event where you would like to look your best – give adequate time to experience maximum treatment results and for any possible complications to be managed.
• Do not drink alcohol and avoid tea / coffee / herbal tea / salty foods for 24 hours before treatment to reduce risk of bleeding and bruising. 
• If you have ever experienced or suffer from facial cold sores there is a risk that the needle punctures can contribute to the eruption of cold sores.  Please let it be known if you are prone to cold sores. 
• Homeopathic remedies such as oral and topical Arnica can be taken pre and post treatment to reduce the risk and severity of bruising. 
• Avoid waxing, bleaching, tweezing, or hair removal cream on the area to be treated for 3 days prior
• Please arrive for your treatment with a washed face and no makeup.

After the treatment;

4 HOURS – 

• Keep upright. Avoid laying back or laying down and excessive bending for at least 4 hours after treatment. 

12 HOURS – 

• Avoid touching, wearing makeup, or applying any skin products for at least 12 hours. 
• Any bumps or marks caused by the injections should disappear within a few hours of treatment. 

24 HOURS – 

• Avoid extreme expressions.
• Avoid exercise.
• Avoid alcohol consumption for 24 hours after the treatment.

48 HOURS –

• Avoid excessive heat in the form of hot showers, sauna, steam rooms and swimming pools for 48 hours post treatment. 
• Avoid applying excessive pressure or massaging the injected area for 48 hours. Gently pat skin dry with a soft towel after washing.

2 WEEKS – 

• Avoid dental, facial appointments and chemical treatments for the first two weeks after treatment.
• Avoid a spray tan or tanning beds and strong exposure to direct sunlight for 2 weeks. 

ALL before and after treatment instructions should be followed to minimise the risks of infections, bleeding, swelling, bruising and product migration into undesirable areas.