Hi, Dr Raymond Lister here.

Fillers and Botox – these are two TOTALLY different things, with totally different indications and uses.

True, they are both delivered to the face, and delivered by injection, but they work in VERY different ways. Please don’t confuse them!

Botox..... or filler .... OR BOTH!

Botox is a toxin that blocks the impulse between the nerve and the muscle, causing a temporary weakening or an inability to move the muscle. Fillers are a toothpaste-like substance injected under the skin to bulk , or plump, up skin.

They can both be used to treat wrinkles, but you must ensure that Read the rest of this entry »

 Hi – Dr Raymond Lister here.

Botox , in skilled hands, can actually elevate a drooping brow. This is quite a common finding in men who have heavier brows, and som judiciously placed Botox just under the lateral eyebrow can be very effective.

This brow is drooping

But, one of the real challenges with Botox is getting the shape of the eyebrow correct. Too much and the brow droops – too little and there is no effect – wrongly placed and you end up looking like Mr Spock, or even worse with an eyelid droop. You really need to be careful with Read the rest of this entry »

 Hello

Dr Raymond Lister here.

There is so much to say about Botox injections. The benefits, the risks, the long-term effects. I want to share with you all of my years of experience. There is so much to know, and I want to share this with you without putting any spin, or gloss, on the industry. There are dangers, and in particular you need to know those risks that Read the rest of this entry »

 Botox is fantasticly effective for underarm sweating (hyperhydrosis) and sweaty armpits.

Botox for sweating - very effective

There are very few complications here. Check out the hyperhydrosis page on this site where I try to tell you exactly what you can expect and how your underarm sweating can be 80-100% resolved. Whilst this is possibly one of the best and most effective uses of Botox you need to aware of its limitations: Read the rest of this entry »

Hi – Dr Raymond Lister here.

Botox doesn’t have a huge place in the lips. This is mainly the region for fillers.

However, Botox can be very useful in tiny doses around the lips to soften and weaken the transverse lines that smokers so often get. This is because the lips are surrounded by a muscle called Obicularis Oris, and when this contracts, the lips crinkle.

Lip lines - the result of repeated puckering

 If you keep crinkling the lips (smokers!) you shouldn’t be surprised to find that you are getting lots of lines that make your lipstick bleed.

You can sort this with a few Botox injections, but you need to very careful since Read the rest of this entry »

 Botox is really expensive! This is partly because the drug itself is very expensive.

But the calculation of the cost to you is rather random.

 Many doctors charge per area treated although charging per dose of drug used would be more logical. Read the thoughts on Botox costings by an experienced Botox physician, as I try to untangle the ways in which most clinics charge you. Armed with this information you should be able to save significantly on your next treatments, and above all, Read the rest of this entry »

Hi – Dr Raymond Lister here.

A relatively grey area for Botox is in the treatment of migraines. We know that muscular tension is important in the causation of headaches, and we know that Botox interferes with muscular activity, but it seems that the Botox is possibly also interfering with the transmission in nerve pain fibres.

Botox can help some migraines

The results are reasonably impressive.  if you would like to know more, you can read a fuller account by clicking here.

There are however some dangers associated with Botox that you should be aware of and Read the rest of this entry »

Hi – Dr Raymond Lister here.

I have been injecting Botox for many years and have seen all sides of the ‘Botox Industry’.

In the right hands Botox injections will make a huge difference to your lines and wrinkles.

In the wrong hands, you will wish you had kept well away! You need to be empowered to make the right decisions – to see the right physician, to select the correct treatment, to pay the correct cost, and to ask for additional treatments that othere smay not have even heard of. It is essential that you are well informed and be a responsible and empowered patient. Find out more here.

Excellent result for glabellar frown

The next picture shows an equally good result

Read the rest of this entry »

Botox lid ptosis - this droopy lid will take weeks to recover

Botox side effect - bruising - this will slowly resolve

In practice many of these are rare, but many are linked to the skill of the doctor, and many are linked to the particular area you are planning to have treated. It is essential that you understand these risks and dangers, and that you Read the rest of this entry »