We use our forehead and eyebrows when making many facial expressions to convey our emotions. From raising eyebrows in surprise to frowning in anger, these movements lead to lines and wrinkles between the eyes and across the forehead. Over time, these wrinkles, which are caused by repeated dynamic movement, can become visible all the time, even at rest, when we aren’t moving our faces to make expressions. Many treatments exist to reduce the creation of the wrinkles, as well as improve the appearance of the lines on the skin.
Botulinum toxin type A, know by the brand names Botox (Vistabel), Dysport (Azzalure) and Xeomin (Bocouture), is a naturally occurring protein produced by the bacterium clostridium botulinum. It is licensed as a prescription only medicine and can be used to treat wrinkles like frown lines and crow`s feet as well as hyperhidrosis or excessive sweating. As a prescription only medicine, it requires a face-to-face consultation to determine your suitability for treatment.
The muscles under the skin of the forehead that cause lines can be released to help create a smoother brow. This can be performed using an endoscopic forehead or brow lift.
Focused Cold Therapy, generically known as cryoneuromodulation is designed to improve the appearance of fine lines and facial wrinkles using highly pressurised nitrous oxide, as a toxin free alternative to botulinum toxins.
Azzalure ®, botulinum toxin type A, has been available since the early 1990s as Dysport ® but is licensed in the UK as a prescription only medicine for cosmetic use to treat frown lines and crow`s feet under the name Azzalure. You will require a face-to-face consultation with a prescriber to determine your suitability for treatment.
BOCOUTURE ®, botulinum toxin type A, has been available in the U.K. since 2008 as the brand name Xeomin ®. Both are prescription only medicines. You will require a face-to-face consultation with a prescriber to determine your suitability for treatment.
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Dysport ®, botulinum toxin type A, has been available in the U.K. since the early 1990s. It is a prescription only medicine and is also approved for some cosmetic uses in the UK under the brand name Azzalure ®. You will require a face-to-face consultation with a prescriber to determine your suitability for treatment.
Neurobloc ®, botulinum toxin type B, became available in the UK in 2001. There is limited experience in the use of this type of toxin, and the product does not currently have a licence or approval for cosmetic use anywhere in the world. You will require a face-to-face consultation with an experienced prescriber to determine your suitability for treatment.
Botox ®, botulinum toxin type A is also licensed as a prescription only medicine for cosmetic use in the UK under the brand name Vistabel® with dosing specific to treat glabellar (frown) lines. You will require a face-to-face consultation with a prescriber to determine your suitability for treatment.
Xeomin® is the third botulinum toxin type A licensed in the UK as a prescription only medicine. It is an innovative Botulinum type A formulation, in which the complexing proteins have been removed. You will require a face-to-face consultation with a prescriber to determine your suitability for treatment.