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Muscle Relaxant Injection

Facial Muscle Relaxant injections

Muscle relaxant is far and away the most popular non-surgical facial treatment performed throughout the UK and US. Offering positive therapeutic benefits, muscle relaxant has been in use for over 20 years to simply, safely and effectively improve frown lines, forehead creases and 'crow's feet'.

To assess your suitability for muscle relaxant, you will require an initial consultation in our London clinic and a prescription from one of our plastic surgeons. You can book your consultation here. Our muscle relaxant clinic in London is centrally located.

How does a Muscle Relaxant Injection work?

A chemical derived from the bacterium Clostridium Botulinum, when injected through a very fine needle, acts to soften hyperactive facial muscles by stopping the impulse between nerves into the muscle. Basically, the muscle never gets the message to contract which therefore inhibits the movement.

This can have a dramatic effect on reducing the appearance of wrinkles and frown lines. It is not a permanent effect and requires maintenance treatments to prolong the result.

What areas can be treated with a Muscle Relaxant Injection?

Common treatment areas for the Muscle Relaxant injection include;

  • Lines between the eyes
  • Crow's Feet
  • Frown Lines
  • Forehead Creases
  • Neck Banding

Most lines and wrinkles that are caused through overuse of muscles through expression and laughter lines could be considered for treatment with a muscle relaxing injection.

How long does the Muscle Relaxant Injection take?

The treatment itself takes minimal time, with varying lengths depending upon the number of sites being administered. You can expect your first muscle relaxing treatment to take an extra 15-30 minutes to allow for consultation time.

How many treatments of the Muscle Relaxant Injection are required?

The result of the muscle relaxing injection usually lasts between three to four months, however each individual can expect differing time frames from two to six months. You will normally need 4-5 muscle relaxant injection treatments per year to maintain the desired effect. Some patients may be able to reduce the number of treatments over time as their muscles retrain and weaken from disuse.

What can I expect after treatment with the Muscle Relaxant Injection?

  • Successful therapy is signalled by muscle weakness that begins at 24-48 hours, with peak weakness occurring at 7-14 days.
  • The treated area may look a little red for 6 hours after treatment and make-up can be applied after 6 hours.
  • There may be minor bruising but this risk can be reduced;
    • By not taking Aspirin within 5 days of treatment
    • Avoiding excessive alcohol intake
    • Avoiding strenuous exercise for 2 days, and/or air travel
    • Informing the practitioner of any medication you may be taking.

Will all my lines and wrinkles disappear?

Not all line and wrinkles will disappear even with complete paralysis of the treated muscle; however the result of a blank expressionless face is not a result we recommend. The result should retain your facial character while effectively reducing unwanted lines. If you still wish further reduction in the visibility of fine lines we can recommend temporary dermal fillers to plump out and give volume to the remaining fine lines.

There is no evidence to date that suggests the muscle relaxing injection will prevent further wrinkles from appearing, but it has been suggested that preventing the muscle from overuse will reduce the frequency of new lines appearing.

Are there any contraindications for a Muscle Relaxant Injection?

There are a number of contraindications to treatment which will be discussed at you first consultation. These include;

  • Pregnancy/breast feeding
  • Neuromuscular conditions, i.e. Multiple Sclerosis/Myasthenia Gravis
  • Medication such as penacillamine, aminoglyocide antibiotics, calcium blockers

Are there any risks involved?

In the full 20 years of its clinical use there are no known long term harmful effects. The most common side effect reported, apart from bruising, is paralysis of the muscles that result in lifting of the upper eye lid. Though rare if administered correctly it is a recognised risk. If it does occur, it is usually short lived and can be reversed with eye drops if treated promptly.

Would you like more information?

If you would like further information or to speak directly to the surgeon’s office please use the Contact Us page or the telephone numbers given below.

Call us on +44 (0)20 7432 8278
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