frequently asked questions

about anti-wrinkle injections

With the current generation of botulinum toxin products on the market, no. Full results take 10-14 days, however the product begins to kick in around 2-4 days post treatment.

How botox works is by blocking signals from nerves/relaxing the muscles; so making it unsuccessful when your body sends a chemical signal to a muscle to clench.

However, it is important to remember that dosage affects how much the muscle is “relaxed”. At Novellus we aim to keep results natural and avoid the frozen look.

Botulinum Toxin is a temporary relaxant injected directly into the muscle, so will wear off over time. 

Depending on the patient and treatment, results last approximately 3-4 months and there must be a minimum of 12 weeks between treatments. 

However, if you are using botox treatment to improve the appearance of wrinkles, you will find that as the skin repairs with multiple treatments, the lines won’t bounce back to how severe they were prior to any treatment. The skin healing process can be expedited by combining treatments such as microneedling/skin boosters.

With the products we use in clinic, Botulinum Toxin treatments should not cause any pain. We also use super fine needles to minimise discomfort while treating. 

Botulinum Toxin relaxes muscles to reduce fine lines and wrinkles, and produce more specialised results like jaw slimming.

Whereas Dermal Filler is made up of Hyaluronic Acid/HA (which is a naturally occurring sugar in the body) and immediately adds volume and plumpness. 

So, in short, no. They can both be used to tackle the signs of ageing, but with different aims and results.

No medical treatment is without it’s risks, however, on the whole botox treatments are one of the safest aesthetics treatments on the market. 

Education and extensive knowledge of anatomy is essential for the safest practice. Our team has over 50 years of combined medical experience, are trained by the best in the industry, and benefit from ongoing mentoring from our Clinic Director, Dr Steven Land.

It’s incredibly difficult to categorise any one product as superior to any others, simply due to how many variables are in play with any Botulinum Toxin treatment. 

Differences in each patient’s anatomy; what area we are targeting; what result we are aiming to achieve are all factors when it comes to choosing our products. This is why the initial consultation is so valuable in your treatment journey, as it gives your practitioner time to properly assess you and plan your treatment appropriately.

When choosing the products we use in clinic, many hours of research and pouring over medical studies & papers, and, of course, our own experience using the products were imperitive in the selection process.

As mentioned, any medical treatment has risks. With Botulinum Toxin treatments, adverse affects tend to be due to dosage or treating a muscle unnecessarily. 

Eyelid drooping (ptosis) or “spocky” brows are most common adverse effects, and are easily rectified at your 2 week review appointment.

Worst case scenario is waiting for the toxin to wear off, which usually takes a few weeks as the complication is caused by a tiny amount of product spreading from the injection point.

Unfortunately, in the UK, anyone can administer Botulinum Toxin even though it’s a prescription only medicine. 

A doctor, dentist, prescribing nurse or prescribing pharmacist should be prescribing the product for you as an individual patient. This means you should have met the medical professional prescribing your product face to face. However, as the UK lacks any real regulation around aesthetic medicine, this step is often skipped with more unscrupulous practitioners.

At Novellus, we can hold stock as our Clinic Director is a doctor, and our injectors are all medical professionals who can either prescribe from stock or Dr Steven can prescribe while they administer treatment.

about dermal fillers

Due to their nature, dermal fillers will create an instant result, but at novellus we pride ourselves on producing natural looking results, so everyone should notice but no one will know!

Depending on the treatment performed and the viscosity of the filler used, treatment results can last from anywhere between 6-18 months.

For all post-injection swelling to subside and for the dermal fillers into integrate into the tissue, you’re looking at anything between 2-4 weeks. If bruising or swelling occurs, it usually settles within a week or two – this may vary depending on health issues or medications a patient takes.

Dermal filler is made up of Hyaluronic Acid (or HA) which is a naturally occurring sugar in the body, so you will slowly break down the filler and reuse it elsewhere.

In short, one treatments’ results won’t last forever.

Providing that the dermal fillers are provided by a reputable pharmacy, as a whole they are safe.

Where complications arise is in the actual injection of the fillers. While complications [link to complications page] such as vascular occlusions can occur to the best injectors, the mitigation of this risk is a result of extensive anatomy knowledge which our medical team hold. Everyone’s anatomy is slightly different, so if the medical team have any concerns about a potential complication, they can use Ultrasound [link to ultrasound page] to map out your blood vessels. If a complication does arise, our team is extensively trained in managing occlusions, so you’re in the best hands to rectify any issues, and we are recognised as a Complications Centre in the North East by other medical aesthetics injectors in the region.

Dermal fillers can be dissolved with a prescription only enzyme called hyaluronidase. This breaks down and redistributes the HA molecules.
You can find more details on filler dissolving here [link to dissolving page on complications

about complications

Complications fall into two categories;

Minor, ie;

  • Droopy eyelids from botulinum toxin treatment
  • “Spocky” eyebrows
  • Filler becoming lumpy
  • Filler being too superficial – resulting in the “tindle” effect where it appears blue
  • An aesthetically unappealing result
  • Skin issues caused by skin treatments

 

Emergency, ie;

  • Infection
  • Vascular Occlusion (VO) or additional vascular pressure – where the blood supply has been compromised either due to filler being injected directly into an artery or is putting substantial pressure on the artery
  • Necrosis caused by injecting fat dissolving products too superficially
  • Imitation or unlicensed products being injected and causing reactions

Extreme pain immediately after a filler treatment is the most obvious symptom.
The area may be blanched (white) or mottled. 
Areas of skin begin breaking down or turning black may be late signs of a VO.

If you suspect an occlusion, we recommend watching yourself in a mirror and pressing down on the area for 5 seconds. When you release, try to time how long it takes for the skin to turn from white/paled back to your natural skin tone. If it takes more than 3 second, contact your practitioner immediately!

Dermal fillers can be dissolved with a prescription only enzyme called Hyaluronidase. This breaks down and redistributes the HA molecules.

An appropriately qualified medical prescriber needs to be prescribing hyaluronidase for you as an individual patient. If you have seen a non-medical practitioner and they are offering to dissolve without you seeing their prescriber in person, they are breaking the law.

With our extensive knowledge of anatomy, we can pinpoint the specific issue that’s caused the complication and combat it appropriately.

For example;

  • Droopy eyelid (or ptosis) after a botox treatment – we can target with prescribed eyedrops or with two tiny injection points across the eyelid to improve the appearance of the ptosis
  • VO or badly placed filler – we are proud to be the first clinic in the North to implement ultrasound into our practice. By using ultrasound, we can get a clear image of exactly where filler is placed under the skin, and inject the dissolving agent (hyaluronidase) in a much more targeted manner. 

Assuming that the dermal fillers are provided by a reputable pharmacy, as a whole they are safe.

Where complications arise is in the actual injection of the fillers. While complications such as vascular occlusions can occur to the best injectors, the mitigation of this risk is a result of extensive anatomy knowledge. Everyone’s anatomy is slightly different, so if our medical team have any concerns about a potential complication, they can use ultrasound to map out your blood vessels. If a complication does arise, our team is extensively trained in managing occlusions, so you’re in the best hands to rectify any issues, and we are recognised as an unofficial complications centre in the North East by other medical aesthetics injectors in the region.

Fat dissolving injections are made up of a chemical called Deoxycholic Acid which disrupts the cell membrane of fat cells.

In laymans terms, it makes fat cells burst. The fat they contain is then reabsorbed into your blood stream, filtered out by your liver, and made into bile fats which are excreted naturally. 

4-6 weeks are required between each treatment.

What we refer to as the “bullfrog” swelling usually settles in around a week, however some residual swelling can still be evident up to 4 weeks after treatment. 

Once you’ve completed your treatments, the results are permanent – providing that you don’t put on a substantial amount of weight. 

Any medical treatment comes with risks, however Novellus believes that the mark of a responsible practitioner is their ability to mitigate risk as much as possible, and appropriately treat any issues that arise.

Common adverse effects with fat dissolving are; swelling, bruising, redness. Which are all to be expected due to the nature of the treatment. 

More serious complications are usually caused by injecting too superficially or too deep, which can cause damage to either overlying skin or underlying muscle. Patient selection and anatomy knowledge are essential when approaching fat dissolving treatments.

Fat dissolving injections can be briefly painful, however we combat this by mixing a local anaesthetic into the product which kicks in very quickly and numbs the area. 

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