Aesthetic injections - Do they deliver?


Rolling back the years – Do injectables deliver? 

A key priority for many clients at Appearance Based Medicine is to look great for their age. Typically, my patients do not want to look dramatically different. They just want to looker fresher and brighter, which is where sensitive and appropriate use of aesthetic injections can help.

The reality is that as we age, the elasticity of our skin deteriorates. Lines develop and we can lose volume. This can lead to individuals looking tired and cross. There are many things that can be done to minimise the effects of ageing, including having a good skincare regime and always using a quality SPF cream, but some deterioration in the quality and structure of the skin is inevitable. Our skin loses both collagen and elastin, key components that provide youthful support and definition to overall facial structure.  

So the key question I am often asked is, “Can aesthetic injections help with this inevitable deterioration?” 

“Clare gave me many treatments including Botox and fillers and she remodelled my face perfectly. It was amazing as now my face is not only lifted and contoured but it is really symmetrical which was not the case before…… I strongly recommend Clare. You will be in the most safe and talented hands.” Sanda M 

When answering this it is important to look at both dermal fillers and wrinkle-relaxing treatments such as Botox®. Both play their part in reversing the signs of ageing but in very different ways, so let’s look at both individually. 

What are Dermal Fillers? 

Dermal fillers are small injections of gel, typically made up of hyaluronic acid, that fill in wrinkles and add volume to soft tissue. A Dermal Filler treatment can smooth out lines and wrinkles, replace lost volume, restore elasticity and tone AND, most importantly, create a natural look and feel. Hyaluronic Acid – a naturally occurring substance – that helps the skin to retain moisture more effectively and create a ‘cushion’ to add volume and definition to ageing skin. 


How long do Dermal Fillers last? 

It depends how your body reacts and which hyaluronic acid is used, but most dermal fillers will last between 9 to 24 months. 

Do Dermal Fillers have side effects? 


Do Dermal Fillers hurt? 

There may be a slight discomfort whilst the filler is being injected into the face but it can be minimised by applying an anaesthetic cream before treatment. JUVÉDERM®, one of the brands of fillers that we use in the clinic, actually contains lidocaine which can further reduce the discomfort during the procedure. 

What is the difference between Botox and Dermal Fillers? 

There is 100% a difference between Botox and fillers. Botox stops the small muscles in your face from making the movements that cause wrinkles, whilst dermal fillers plump from below the wrinkle to smooth them out and promote the youthful look. Let’s look at the key elements of wrinkle relaxing injections. 

What is Botox® or Bocouture®? 

Botox® and Bocouture® are brand names for a form of Botulinum Type A, which is produced by the bacteria clostridium Botulinum. 

This purified protein has been used widely in aesthetics since the 1980’s. By blocking the signals between the nerves and the muscle, muscle contraction is reduced. This means that fine lines and wrinkles are smoothed and the aging process is temporarily halted. 

How does this treatment work? 

Botulinum Toxin is injected into the facial muscles and blocks the flow of chemical messages from the nerve to the muscle, causing the muscle to contract.  Without these chemical messages, the muscle stays in a resting state temporarily (usually for between 8 and 12 weeks) until the flow of these messages is restored when new nerve endings are naturally produced by the body. 

Botulinum toxin helps to significantly reduce the movement of the muscles that cause expression lines (or ‘dynamic’ facial wrinkles).  It may not cause existing expression lines to disappear completely as this depends on the overall quality and condition of your skin, and it is not a suitable treatment option for lines and wrinkles that are present without facial movement – in both of these cases, your practitioner will advise you of the most appropriate course of action to tackle these particular skincare concerns.  Wrinkle relaxing treatments of this nature are not a ‘one-size-fits-all’ treatment, and it is important to seek advice from your aesthetic practitioner to discuss your needs and requirements prior to the administration of any treatment.  Injections in different areas and with different quantities of toxin can produce different effects in terms of the reduction of dynamic facial movement, so always trust an experienced medical professional to tailor a treatment to your unique and specific needs. 

Wrinkle relaxing treatments usually take around 30 minutes to complete. Results are usually noticeable between two and five days after treatment but can take up to two weeks for the final look to be achieved. Botulinum Toxin is gradually removed naturally by your body and usually the treatment will need to be repeated every three to six months. 

Wrinkle relaxing injections are so effective that around 90% of people who try them decide to have more treatments once the effects begin to wear off. 


Wrinkle relaxing injections are generally low-risk with very few side effects. A tiny amount of Botulinum Toxin is administered to the agreed treatment area using a disposable syringe with a very fine needle. Most patients report treatment as virtually pain free.  

At Appearance Based Medicine, we take the safety of our clients extremely seriously. Therefore, the first step for anyone wishing to receive wrinkle relaxing injections is to have a full consultation with me to ensure that you are a suitable candidate for Botox® or Bocouture®.  

Whatever your concerns or objectives, why not book a consultation at Appearance Based Medicine to find out the best approach for you. This is an essential precursor to treatment and I would never treat a patient without first completing a thorough assessment of your skin and taking a full medical history. Not all products are right for everyone and it is important to understand what each client is trying to achieve and identify any contra-indications before recommending a particular treatment. 

To find out more contact us here. Or call us directly on 01628 303020 to book your skin consultation at our Marlow clinic. 

Clare McLoughlin RGN INP 

About Clare: 

Clare McLoughlin has been a general nurse since 1988 and is an Independent Nurse Prescriber and advanced procedure aesthetic nurse and trainer with over 19 years’ experience in the aesthetic field. As a recognised aesthetic trainer, Clare is known for her professional approach and skill in the field of aesthetics and has appeared on a number of television programmes performing injectable aesthetic treatments. Clare started Appearance Based Medicine in 2004, to enable her to provide the highest level of patient care and satisfaction. As well as training other Healthcare professionals in this field, Clare is a member of the British Association of Cosmetic Nurses (BACN) and British Association of Sclerotherapists (BAS) and is recently published in Aesthetics Journal. 

Clare is also a member of the Save Face UK Expert Advisory Board, has been accredited by Save Face for over 5 years and has received an award for having over 100 glowing reviews of her clinic, Appearance Based Medicine. 

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