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Anti-wrinkle injections | Treatment applications & cost

Botulinum Toxin works by weakening the action of the muscles being treated, which has the effect of softening lines and wrinkles making the skin look smoother. This treatment is also an effective way to improve migraines and is successfully used to manage spasm of muscles around the eyelids (blepharospasm) and the face (hemifacial spasm) and can also be used to “lift” parts of the face.

Sometimes other treatments are used in combination with or instead of Botulinum Toxin to achieve the best results. For deep lines or folds, fillers can be used to improve loss in tissue volume and Plexr (plasma treatment) helps to tighten loose skin. There are a number of common areas and conditions where Botulinum Toxin can be used effectively whilst still maintaining facial movement for a natural, refreshed look.

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Frown Lines and Worry Lines

Horizontal forehead “worry” lines and the vertical “11” frown lines between the eyebrows can make a person look tired, old and angry. If left untreated, the lines become deeper and can lead to headaches. Fortunately, this area can be treated with Botulinum Toxin, combined with fillers if there are deeper lines to give an open, relaxed appearance.

Crow’s Feet

Laughter lines or “crow’s feet” are the fine wrinkles at the outer edges of the eyes that appear over time when a person smiles. To start with they may only be visible on active smiling but can eventually increase in number and remain as permanent fine lines even when not smiling.

Bunny lines

Bunny lines are the fine lines that appear when you scrunch up your nose when you smile or laugh. Botulinum Toxin can be used to discretely treat this area whilst maintaining facial movement.

Asymmetrical brows or Brow ptosis

Uneven or droopy brows can be corrected to help lift and correct asymmetrical brows and smooth the surrounding skin. Depending on the result required, the higher brow can be dropped down or the lower side can be raised. This results in a more youthful look by opening up the area between the brows.


If you would like to discuss your treatment options, make an enquiry or call us on 0203 369 2020

Blepharospasm and Hemifacial Spasm

Abnormal contraction or twitching of the muscles around the eyelids and face can be socially embarrassing and also interfere with daily activities like driving and using computer screens. Treating the affected muscles with Botulinum Toxin can temporarily prevent them from twitching and restore normal function.


Botulinum Toxin has been used for a number of years as an effective treatment for chronic migraine. This treatment avoids having to use regular painkillers and anti-sickness medications and has had a major impact in improving the quality of life for migraine sufferers.

Gummy Smile

The upper lip should rest just above the top of the upper row of teeth to give the correct gum tissue to teeth ratio for the “perfect smile”. By reducing the action of the muscle that raises the upper lip, Botulinum Toxin can successfully be used to treat a gummy smile resulting in a more natural and attractive smile shape.


Teeth grinding at night (bruxism) can lead to jaw pain and teeth that become damaged, worn or sensitive. There are a number of different treatments available, including Botulinum Toxin, which can be used to reduce the activity of the muscle that moves the jaw and thereby stop the wear and tear on teeth caused by grinding.

Golf Ball Chin

When the muscles of the chin pull to hard, it can result in an “orange peel” appearance or a dimpled appearance like a golf ball, which becomes more prominent when talking and chewing. These small irregularities can be softened and relaxed with Botulinum Toxin to give a more youthful contour.

Consultation & Treatment


Initially you will have a consultation with Miss Sarangapani, during which the procedure will be fully explained to you. There will also be a detailed discussion on expected results, risks and benefits of Botulinum Toxin treatment and the care that will be required before and after the procedure.
We will take photographs to document the “before and after” treatment effects. A detailed medical history will also be taken and if you have any medication that you take, we would ask that you bring this with you.

We will also ask you if you have any allergies, have had previous surgery and about your smoking habits. You will have the opportunity to ask any questions and we will also discuss whether any other non-surgical treatments, like hyaluronic acid filler or Plexr will help to achieve the best results.



Botulinum Toxin treatment usually only causes minimal discomfort, but the area being treated can be numbed with local anaesthetic cream beforehand if needed. The effects of the treatment are not immediate but will start to work within a few days and reach a maximal effect by 2 weeks. In most cases, Botulinum Toxin treatment lasts for 3 to 4 months, but over time and with repeated courses of treatment, the effects can last 6 months or longer.

With any drug treatment, there can be side effects. These are usually minimal and settle quickly. In rare cases if there are any side effects that don’t immediately settle, as Botulinum Toxin only stays in the body for around 3 months, it will resolve as the effects of the drug wear off.


Our Cosmetic Treatment Reviews

Treatment Precautions & After Care

On the day of the treatment (before and after)

  • Do not consume alcohol, take aspirin containing drugs or Vitamin E
  • Do not go to the gym or take part in strenuous exercise

6 hours following treatment

  • Stay upright and do not bend over/ lie down
  • Do not use face creams or make-up

7 days following treatment

  • Do not rub or massage the treated area
  • Do not have any facial treatments or a scalp massage
  • Do not expose the treated area to intense heat e.g. sauna, sunbathing or extreme cold


How much does Botulinum Toxin Treatment cost?


1 area£150
2 areas£250
3 areas£320

What makes our treatment unique?


Holistic approach

OCL’s oculoplastic surgeon, Miss Susan Sarangapani, offers both surgical and non-surgical cosmetic treatments, sometimes combining both as appropriate. This holistic approach allows her to personalise care for each patient and deliver optimal results.


Natural-looking results

Susan Sarangapani specialises in natural-looking results with strong attention to detail, alongside an empathetic consultative approach to ensure she understands exactly what every patient is looking for.


Convenient consultation and treatment

Susan Sarangapani is part of OCL Vision, a group of expert eye surgeons offering consultation, treatment and surgery onsite in one place. Choose from their central London location (close to Harley Street), Harpenden or Bushey.


Expert, highly-trained surgeon

Susan Sarangapani is an expert in her field and has undertaken a fellowship at the internationally renowned Craniofacial Unit of Chelsea and Westminster Hospital, ensuring extensive training in facial and eyelid reconstruction surgery.

susan's picture facing the camera

Meet Susan Sarangapani

Miss Susan Sarangapani specialises in Oculoplastics; she uses both surgical and non-surgical treatments to achieve outstanding natural-looking results in eyelid and facial restoration treatment. Susan offers personalised care and takes an empathetic approach when providing consultation.

Susan can be seen at our flagship clinic in New Cavendish Street in Central London, as well as the Spire Bushey Clinic and Spire Harpenden Clinic.

Meet Susan

If you would like to discuss your treatment options, make an enquiry or call us on 0203 369 2020