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5 Reasons Why You SHOULDN’T have Botox®

Published on November 12, 2014 by

5 Reasons why you shouldn’t have Botox®!

I suspect that you may be surprised to see me write about why you shouldn’t have Botox® treatments, considering I run a successful medical aesthetics practice. Botulinum toxin treatments (eg. Botox®) are incredibly popular, but let it be said, they are not a panacea for all ailments! Botulinum toxin is a prescription-only medicine, which should only be used to treat specific conditions caused by overactive muscular activity. Both medical and aesthetic uses are expanding every day, and the amount of research being carried out around the world on this exciting drug is unparalleled. In fact, in just this year alone, there have been over 400 research papers published in scientific journals on the effects of Botulinum toxin. This is quite remarkable, considering it was first used for medicinal purposes over 20 years ago.

In aesthetic medicine, Botulinum toxin can be used to reduce the appearance of the various over-active muscles that cause moderate to severe facial lines and wrinkles. The drug can also be used to reshape faces in cases of over-developed muscles, such as in bruxism (a condition in which the jaw muscles are too tight, causing headaches and teeth grinding). It is also used to treat excessive sweating (axillary hyperhidrosis), which has negated the need for extensive surgery. Recently, it has been found to be effective in treating certain migraines, tension headaches and also depression. There are many other uses for Botulinum toxin, which are far too long to list here but can be easily found on the internet.

So why shouldn’t you have Botox®?

1. If you need volume correction

Many of the signs of ageing in the face are due to shrinkage of the youthful fat pads under our skin. As a result, the face deflates and the skin starts to sag… just like a deflated balloon. Botulinum toxin doesn’t work in this instance; its effect is purely on muscle activity and not tissue volume. Dermal fillers are the best treatment of choice for volume correction, and they should be applied carefully to the various fat pads around the face to restore your youthful facial shape.

2. You are hoping to impress others

You should only consider any aesthetic treatment if you are doing it for yourself. A small percentage of people present to my practice citing that they are hoping to impress a partner or ex-partner. This is a contraindication to any medical treatment and we have seen that patients who want Botox® for the wrong reasons are often disappointed. Aesthetic treatments are excellent at helping you look the way you feel.

3. You can’t afford to maintain treatments

Botulinum toxin treatments are required about 3 times a year during the first two years, and every 5 months thereafter. If you can’t afford to maintain these appointments you won’t be getting the best out of each treatment. When people follow this plan, they do appear younger looking in time and their photos prove it! However, if people dip in and out of treatments, they only manage to benefit temporarily and they kind of ‘Yo-Yo’ with smoother faces for a few months, and then go back to the way they looked before. There is no longer-term benefit.

4. You want to look frozen

The most natural looking results with Botulinum toxin can be achieved when you have just the right amount of movement to prevent the development of excessive lines and wrinkles. It is not normal to want to have a frozen expression for months on end – it’s unnatural and can actually make you look older, as well as causing the development of lines and wrinkles elsewhere. Frozen faces are a sign of old-school style Botox and not something that should be expected at my practice. With this in mind, I would like to introduce you to a new injecting technique called the R Lift (Restore Lift). I recently pioneered this technique, in which I use a reduced quantity of dermal filler or Botulinum toxin in a more effective way, due to the positioning of the injection sites. The R Lift gives amazing results in as little as 1 to 2 injections on each side of the face. By addressing small changes, I can restore a person’s face back to what it was five years ago. The products I use in the R Lift are very soft, very natural, long-lasting, and they blend in well with the facial tissue.

5. You suffer from Body Dysmorphic Disorder

Body Dysmorphic Disorder (BDD) is an anxiety disorder that causes sufferers to shave a distorted view of their appearance, and subsequently spend a lot of time worrying about how they look. For example, they may be convinced that a barely visible line is a major flaw that everyone is staring at. Having BDD doesn’t mean that the person is vain or self-obsessed. If you feel you may have symptoms of BDD, I recommend you see your GP who may refer you for some specialised counselling or psychotherapy. Cosmetic treatments are not right for you.


If you would like to ask me about Botox or any other aesthetic treatments, you can find me on Facebook, or follow me on Twitter @DrRaviJain. Alternatively, visit us at Riverbanks Wellness, based just outside Harpenden. I also consult in Harley Street every Wednesday. 

Riverbanks Wellnesss won ‘Best Aesthetic Clinic’ in the UK three times from 2009 -– 2013. Feel free to visit our website or call my friendly team on 01582762877.

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