Botulinum toxin injections (commonly known as Botox® or Dysport®) temporarily relax overactive muscles or sweat glands, helping improve your comfort, ease symptoms, and support natural movement.
These treatments are quick, minimally invasive and delivered in a calm outpatient setting with a focus on safety and natural, functional results.
Procedure Time
10 – 30 minutes, depending on the area.
Anaesthetic
Topical anaesthetic or cooling if needed.
Recovery
No downtime; avoid strenuous activity for 48 hours.
Full Results
Visible within 1 – 2 weeks; lasts 3 – 6 months depending on the condition.
Targeted relaxation helps improve comfort, reduce stiffness and support easier movement.
For people living with chronic tension headaches or migraines, botulinum toxin injections can reduce the frequency and intensity of episodes by relaxing the muscles that trigger them. A referral letter from your GP or neurologist is required before treatment.
Underarms, hands or facial areas can see a significant and long-lasting reduction in perspiration.
Botox reduces tension around scars, helping them flatten and settle more evenly.
Treatment is quick, well-tolerated and fits easily into everyday life.
Botulinium toxin can complement therapy, splinting or scar management for optimal outcomes.
We support you through surgery and beyond
Your consultation focuses on understanding your symptoms, medical history and goals for treatment. Your surgeon will assess the relevant muscles or glands, explain how botulinum toxin works and outline what results you can expect. You’ll receive clear guidance on how the treatment fits into your broader care plan, whether for comfort, function or appearance.
Treatment is carried out in the outpatient clinic using ultra-fine needles and sterile technique. The injections are delivered precisely into the targeted muscles or glands. Most patients describe only mild stinging or pressure. A cooling pack or topical anaesthetic may be used for comfort. You can leave shortly afterwards and return to everyday activities the same day.
Avoid rubbing or massaging the treated area for 24 hours. Refrain from strenuous exercise, saunas or hot yoga for 48 hours. Your early results may appear within 3 – 7 days, with full effect at around two weeks. Effects last around 3 – 6 months, depending on the condition. For spasticity or scar management, your treatment may be part of a planned course coordinated with your therapist.
At The Antler Clinic, your care is led by Mr David Izadi, an experienced Consultant Plastic, Reconstructive and Hand Surgeon with over 20 years of specialist experience in complex reconstructive, nerve, and hand surgery.
Mr Izadi has extensive experience treating upper limb spasticity in both adults and children, including patients affected by stroke, cerebral palsy, traumatic brain injury, spinal cord injury, and other neurological conditions. Through his NHS practice, he works within a dedicated specialist upper limb spasticity multidisciplinary team (MDT), delivering comprehensive, evidence-based care alongside neurologists, rehabilitation physicians, therapists, and specialist nurses.
His expertise includes the assessment and surgical management of spasticity using advanced techniques such as tendon lengthening, tendon transfer surgery, selective muscle release, and functional reconstruction, helping patients improve comfort, hygiene, positioning, and upper limb function.
Mr Izadi has completed prestigious international fellowships in hand surgery and rhinoplasty, alongside a dedicated cosmetic surgery fellowship, giving him a unique combination of reconstructive expertise, technical precision, and attention to functional outcomes.
Every treatment plan begins with listening to what matters most to you, ensuring personalised care focused on improving function, independence, and quality of life.
A quick guide to the things most people want to know before and after their procedure.
Botox temporarily relaxes overactive muscles or sweat glands by blocking the nerve signals that cause them to contract or activate. This can be used to help you with a variety of symptoms.
Side effects of Botox are usually mild and temporary. These may include slight bruising, tenderness or temporary weakness in nearby muscles. We’ll discuss all of these at your consultation before you make a decision.
Most people experience results for 3–6 months after their Botox injection, depending on the condition and their individual response.
The 4-hour rule for Botox means you should avoid lying down or bending forward for four hours after treatment. This will reduce the risk of the toxin spreading to nearby muscles.
Most patients describe only a brief stinging sensation during their Botox injection. Ultra-fine needles make the procedure very tolerable.
After your Botox injection, you should avoid rubbing the area for 24 hours. You should also avoid strenuous activity or saunas for 48 hours.
Anyone with excessive sweating, muscle tension, spasticity or certain scar concerns may benefit from Botox injections, provided they are medically suitable. You may also wish to discuss toxin treatment for static or dynamic frown lines of the forehead and around the eyelids.
Once your Botox wears off, the treated muscles or glands gradually return to their previous activity over several months.
For medical use, botulinum toxin can improve symptoms caused by tight muscles or scars. Cosmetic Botox is not normally offered at Antler Clinic, but will be considered on a case-by-case basis.
The effect of Botox fades naturally as your nerve endings regenerate. The medication itself is broken down and cleared by the body.
Yes. Botulinum toxin is a recognised treatment for chronic migraines and tension headaches, working by relaxing the muscles that contribute to pain. A referral letter from your GP or neurologist is needed before we can treat you. We’ll explain the process clearly at your consultation.
Botulinum toxin can soften dynamic frown lines (the lines caused by repeated facial muscle movement) by temporarily relaxing the muscles responsible. This isn’t a core focus of Mr Izadi’s practice, but it is something we consider on a case-by-case basis. If this is something you’d like to discuss, please mention it at your consultation.
clear and transparent costs
You will receive a clear quotation setting out the cost of your treatment and what is included before you decide whether to proceed.
A new consultation is charged at £200.
Follow-up consultations are charged at £150, unless the appointment forms part of an agreed surgical package or postoperative follow-up pathway.
Consultation fees are payable regardless of whether surgery is subsequently arranged. A consultation provides assessment, advice and discussion of treatment options; it does not guarantee that surgery will be recommended or offered.
Patients are kindly asked to provide at least three working days’ notice if they need to cancel or rearrange an appointment.
Non-attendance, or cancellation with less than three working days’ notice, will incur a fee of £125. This fee reflects the clinical time reserved for the appointment and the difficulty of offering the appointment to another patient at short notice.
For self-pay patients, surgery is usually provided as a fixed-price package. This is intended to give patients clarity and reassurance about the cost of their planned procedure.
Your written quotation will confirm what is included. In most cases, the package price includes:
Hospital fees for the planned procedure
Surgeon’s fee
Anaesthetist’s fee, where applicable
Standard postoperative follow-up appointments relating to the procedure
Routine aftercare directly related to the planned surgery, as specified in your quotation
Package prices are based on the procedure agreed at the time of booking. If the surgical plan changes, if additional procedures are requested, or if further treatment is required outside the agreed package, additional fees may apply.
Self-pay surgical packages usually include a period of cover for the treatment of complications directly related to the procedure. The exact terms, duration and exclusions of this cover are set by the hospital where your surgery is performed.
Depending on the hospital, complication cover may apply for a defined period, which may be 6 or 12 months. Full details will be provided by the relevant hospital before surgery.
Complication cover is not a guarantee that all future treatment, revision surgery or additional procedures will be provided without charge. Cover may not apply to unrelated medical problems, pre-existing conditions, treatment required outside the hospital’s terms, or surgery requested for aesthetic preference rather than a recognised complication.
In an emergency, patients should seek urgent medical attention through the most appropriate service, including NHS emergency care where necessary.
Every effort is made to achieve the best possible outcome, but no surgical procedure can guarantee a specific result, perfect symmetry, invisible scarring or complete satisfaction. Healing, scarring, swelling and final results vary between individuals.
If revision surgery is required because of a complication, eligibility for cover will depend on the hospital’s package terms and the clinical circumstances.
If surgery has been performed to an appropriate clinical standard, but a patient remains dissatisfied with the aesthetic outcome or wishes to pursue further refinement, any revision or additional surgery will usually incur further charges. These may include hospital fees, surgeon’s fees and anaesthetic fees.
Unless specifically included in your written quotation, additional costs may apply for investigations, scans, specialist opinions, extra procedures, further hospital admissions, prescriptions, dressings, garments, travel, accommodation, time off work or treatment unrelated to the planned surgery.
The written quotation and the hospital’s own terms and conditions will take precedence over any general information provided on this website.
Payment terms, deposits, cancellation policies and refund arrangements are determined by the hospital where your procedure is booked. These will be provided to you before surgery.
Surgery can only proceed once all required payments have been received and all relevant consent, preoperative assessment and hospital requirements have been completed.
To help make treatment more affordable, you may choose to spread the cost of your procedure through a personal medical loan with Chrysalis Finance. Subject to eligibility and approval, Chrysalis offers a range of flexible finance options, allowing you to pay for your treatment in manageable monthly instalments rather than a single upfront payment.
The hospitals we work with offer finance options through Chrysalis Finance. Please contact your chosen hospital directly for further information or to discuss any questions.
Mr Izadi is registered with the private medical insurers shown below. Coverage for consultations and treatment is subject to the terms of your policy and insurers approval.
Get in Touch
A consultation at The Antler Clinic is simply a chance to talk – to ask questions, explore your options, and decide what feels right for you.
You’ll leave with clarity, reassurance, and the same calm support that defines everything we do.
