The lines that arrive slowly
There is a moment many people recognise — catching your reflection and realising the lines that used to appear only when you frowned or smiled are now there when your face is still. It is not a sudden change. The muscles that let us express emotion pull on the skin thousands of times a day, and over the years, that repeated folding leaves a mark.
Targeted injection therapy works by gently relaxing the small muscles responsible for those expression lines — most often in the forehead, between the brows, and at the corners of the eyes. The aim is not to stop movement altogether, but to soften it enough that the skin can settle.
How the treatment works
The treatment uses targeted injection therapy, administered with a very fine needle into the specific muscles causing the lines. It works by temporarily reducing the targeted muscles' ability to contract. The surrounding muscles continue to work normally, which is why the result can look natural rather than frozen.
Because the injections are placed superficially, the procedure itself is quick and straightforward. Most appointments take around twenty minutes, and the discomfort is minimal — often described as a brief sting that passes immediately.
An anatomy-led approach
What makes the difference between a natural result and an overdone one is not the product — it is the assessment. Every face is different, and the muscles that create frown lines or crow's feet vary in size, strength, and position from person to person.
Sarah's 24 years of clinical experience in NHS and private surgical settings means she works with anatomy every day. Before any injection, she assesses your facial muscle activity — how the muscles move, which ones are dominant, and where the lines are deepest. This is what allows the treatment to be tailored rather than standardised, and it is the foundation of results that look balanced.
What happens at your appointment
Every appointment begins with a consultation. Sarah will take a full medical history, discuss what you are hoping to achieve, and examine the areas of concern. She will be honest about what the treatment can and cannot do for you — if targeted injection therapy is not the right approach for your concerns, she will say so.
If you both decide to proceed, the treatment itself takes only a few minutes. Sarah marks the precise injection points based on your muscle assessment, then administers the injections with a fine needle. You can return to your normal day immediately afterwards, with a few simple aftercare precautions.
Results and what to expect
The treatment does not work instantly. It takes around three to five days for the protein to take effect, with the full result visible at around two weeks. You will still be able to move your face — the goal is softening, not erasure.
Results typically last three to four months. Over time, with regular treatment, many people find the lines continue to soften as the muscles become accustomed to less activity. Sarah will review your results at a follow-up appointment to ensure the outcome is balanced and natural.
Honest limitations
Targeted injection therapy is excellent for lines caused by muscle movement, but it is not a solution for everything. Lines caused by volume loss or sun damage respond better to other treatments. It will not lift sagging skin or change the structure of your face.
We will always be straightforward about this. If your concerns would be better addressed by a different treatment — or a combination — we will discuss that openly at your consultation.