Rafique Aesthetics

Injectable Treatments

Anti-Wrinkle Treatment

Botulinum toxin type A injections used to soften the appearance of expression lines, most commonly on the forehead, between the brows and around the eyes.

Authored by Kelly Rafique, published 8 August 2026.

Clinically reviewed by Kelly Rafique, last reviewed 29 August 2026.

Appointment length: 30 minutes
Kelly Rafique holding a vial of Azzalure, one of the anti-wrinkle treatment products used at Rafique Aesthetics

At our clinic, anti-wrinkle injections (botulinum toxin treatment) are used to relax specific facial muscles that create expression lines. This helps to soften the appearance of lines such as frown lines, forehead lines and crow's feet, while keeping results natural-looking and tailored to your facial movement. It's generally suited to adults who want a subtle, refreshed appearance and smoother-looking skin in targeted areas, without adding volume. In some cases, botulinum toxin can also be used for non-cosmetic concerns, but these require a full assessment and further discussion. The treatment isn't suitable if you are pregnant or breastfeeding, have a known allergy to botulinum toxin (or any ingredient), have an infection at the intended injection sites, or have certain neuromuscular conditions (your prescriber will assess this). A typical appointment for botulinum treatment takes around 30 minutes. In the UK, botulinum toxin is a prescription-only medicine, so a consultation with an appropriate prescriber is required before treatment.

We use MHRA-approved botulinum toxin type A products for anti-wrinkle treatments, including Azzalure (made by Galderma) and Botox (made by Allergan). Which product is used depends on suitability and availability, and will be confirmed with you during your consultation.

Gallery

Kelly Rafique assessing a client's facial movement before an anti-wrinkle treatment
Kelly Rafique talking through an anti-wrinkle treatment plan with a client
A client checking her results in a mirror after an anti-wrinkle treatment
Close-up of an anti-wrinkle injection being administered to the forehead
Kelly Rafique performing an anti-wrinkle treatment near the temple
Kelly Rafique performing an anti-wrinkle treatment in the clinic

Concerns Addressed

  • Fine Lines
  • Wrinkles

Products We Use

  • Azzalure
  • Allergan

Who It May Suit

  • Those wanting to soften the appearance of expression lines such as forehead lines, frown lines or crow's feet

Who It May Not Suit

  • Pregnant or breastfeeding
  • Certain neuromuscular conditions
  • Known allergy to any ingredient in the product used
  • Active infection at the injection site
picture of kelly

Performed by

Kelly Rafique

Aesthetic Nurse Practitioner

Why Choose a Registered Nurse Prescriber?

Because your safety means everything to me.

  • Over 17 years of NHS experience
  • A degree in adult nursing
  • A Master's in Advanced Clinical Practice
  • Registered as a non-medical prescriber with a V300 qualification
  • Level 7 qualification in History Taking and Physical Examination for Advancing Practice

What Happens During Treatment

When you arrive, we'll ask you to complete a medical questionnaire and talk through your goals and areas of concern. Your clinician will assess facial movement and symmetry, explain realistic outcomes and risks, and obtain informed consent. With your permission, we will take standardised photographs for your confidential records. The skin is cleansed, and we place small injections into selected muscles using a very fine needle—most clients describe brief pinprick sensations. The appointment is usually quick, and you can return to normal daily activities straight afterwards. We'll also book you in for a review around two to three weeks after your initial treatment to check your result and discuss any refinements, if appropriate.

Expected Results

Results develop gradually—often starting within a few days and continuing to improve over about 2 weeks. Our aim is a natural softening of lines while maintaining expression.

How long results may last: Effects are temporary and commonly last around 3–4 months before gradually wearing off, at which point repeat treatment may be considered.

Downtime & Recovery

Downtime is minimal. You may notice small bumps at injection sites for 10–30 minutes, mild redness, tenderness or light bruising. Some people experience a temporary headache or a tight/heavy feeling in the treated area for a day or two. These effects are usually mild and settle without treatment.

Side Effects, Risks & Contraindications

Possible side effects

  • Small bumps at injection sites for 10–30 minutes
  • Mild redness, tenderness or light bruising
  • Temporary headache
  • A tight or heavy feeling in the treated area for a day or two

Risks

  • Eyelid or brow droop (ptosis)
  • Uneven results or asymmetry
  • Unwanted heaviness, such as a "heavy brow", or a raised eyebrow shape
  • Dry or watery eyes
  • Rarely, double vision if the product affects nearby muscles
  • Bruising and headache
  • Very rarely, toxin spread causing more generalised weakness or swallowing/breathing problems — this requires urgent medical attention

Contraindications

  • Pregnancy or breastfeeding
  • Infection at the injection site
  • Known hypersensitivity to botulinum toxin
  • Certain neuromuscular disorders (e.g. myasthenia gravis, Eaton-Lambert syndrome, motor neurone disease)

Aftercare

For the first 4 hours, stay upright and avoid rubbing or massaging the treated areas. Avoid facials, heavy exercise, saunas/steam rooms, and alcohol for 24 hours to reduce the risk of bruising and unwanted spread. You can gently cleanse your face and apply make-up later the same day if there's no broken skin. Avoid lying face-down the first night if possible. Results can take up to 2 weeks to fully settle, so try not to judge the outcome too early. Contact us if you develop significant asymmetry, drooping that concerns you, worsening headache, rash, or any other symptoms. Seek urgent medical help immediately if you develop swallowing or breathing problems.

Pricing

One Area£160
Two Areas£175
Three Areas£190
Four Areas£220
Five Areas£250
Six Areas£280
Full Face (7 Areas)£300
Full Face & Jawline£360
Jawline & Neck (Nefertiti Neck Lift)£220
Full Face, Jawline & Neck£450
Jaw Slimming (Masseter)£220
Chronic Headache Relief£360
Excessive Sweating (Hyperhidrosis)£260

Consultations & Reviews

Consultation£30
Review£0

Frequently Asked Questions

How long does an appointment for Anti-Wrinkle Treatment take?

30 minutes

Is there any downtime after Anti-Wrinkle Treatment?

Downtime is minimal. You may notice small bumps at injection sites for 10–30 minutes, mild redness, tenderness or light bruising. Some people experience a temporary headache or a tight/heavy feeling in the treated area for a day or two. These effects are usually mild and settle without treatment.

What results can I expect from Anti-Wrinkle Treatment?

Results develop gradually—often starting within a few days and continuing to improve over about 2 weeks. Our aim is a natural softening of lines while maintaining expression.

How long do the results of Anti-Wrinkle Treatment last?

Effects are temporary and commonly last around 3–4 months before gradually wearing off, at which point repeat treatment may be considered.

Botulinum toxin is a prescription-only medicine in the UK. A face-to-face consultation with an appropriate prescriber is required to confirm suitability before treatment. Results vary between individuals and cannot be guaranteed. This treatment is for adults aged 18+ and is not suitable in pregnancy or breastfeeding.

Interested in Anti-Wrinkle Treatment?