Facial Aesthetics

What Results can I expect?

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  • after-woman
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Treatments Offered

We offer three different types of non-surgical anti-wrinkle injectable treatments. As the skin ages it’s become less elastic and wrinkles start to appear. Excessive sun exposure can also cause this damage also. The use of injectable anti-wrinkle treatments are a quick and convenient way of smoothing out these lines without the need of invasive surgery.

Our three main treatments offered in the clinic are:

  • Botox
  • Sculptra
  • Other Dermal Fillers (Juvederm, Volbella, Volubella)

Frequently Asked Questions

For more information on any of the facial aesthetic treatments we offer please see below:


What is Botox?

This is a protein called Botulinum Toxin. Botox relaxes muscles to stop lines and wrinkles forming and to allow other muscles to act to lift facial structures.

What areas can be treated with Botox?

Botox is mainly used for the face. Forehead wrinkles, crow’s feet lines around the eyes and 11 lines between the eyebrows are the most popular areas. However, other uses include lifting eyebrows, decreasing the orange peel appearance of the chin, and lifting the corners of the mouth.

How does it work?

When you concentrate, squint or frown, the muscles in your face contract causing lines and wrinkles. After many years lines and wrinkles will eventually become permanent. Messages are sent from the brain via nerves to the muscles, instructing them to contract. Botox is a natural protein that works by interrupting this process, leaving those muscles unable to crease your skin. Over years, structures in the face tend to move downward. By reducing movement in the muscles which pull the brow downward, the large sheet of muscle which elevates the brow can act passively to lift the brow, open up the eye area and give a natural rejuvenated appearance.

Does it hurt?

Local anaesthetic is not normally needed. However, Botox injections may cause a little pain at first, but most patients are able to tolerate the discomfort as it only lasts a short period, while the treatment is carried out.

What happens after treatment?

You will be able to carry on with your day as normal, but we recommend avoiding anything strenuous for 24 hours after treatment (e.g. going to the gym).
Initial results will not be clear until around two weeks after treatment and line and wrinkle fading will take longer. As Botox is not a permanent solution, we recommend that you have regular further treatments every 3-4 months to maintain the benefits of treatment.
Initially after your treatment avoid massaging or rubbing the treated area for 2-3 days.

Will I be able to move my face afterwards?

Most definitely! The ‘frozen’ look is only caused when too much of the Botox solution is used in the wrong areas of the face. Professor McCaul will ensure he only administers the correct amount into the specific areas responsible for the unwanted lines and wrinkles and to allow lifting of the brow. This ensures that normal facial expressions, such as frowning, smiling etc. are unaffected.

Are there any risks when using Botox?

The risks are very minimal but you could experience any of the following:

  • Fu-like symptoms for the first 24 hours
  • Bruising at injection site
  • Temporary weakness and drooping of the eyelid.
  • Your body developing a resistance to the treatment

Any risks that could occur will be fully discussed with you prior to any treatment being carried out.

Dermal Fillers

What are Dermal Fillers?

Dermal Fillers are used to increase the volume and definition of certain areas of your face. The fillers are made from a variety of materials, listed below.

  • Collagen – approximate effect 3-4 months
  • Hyaluronic Acid – several types for different applications – approximate effect 4-6 months
  • Calcium Hydroxyapatite – approximate effect about 18 months
  • Poly-L-Lactic Acid (PLLA) = SCULPTRA – injections given over several months, approximate effect up to 2-3 years.

Selection of the most appropriate filler will depend on the area to be treated and the length of time over which fillers remain.

How does it work?

Dermal Fillers are a popular treatment which combines local anaesthetic and the filler material. Fillers are injected into the skin in a series of small injections which may take up to 30 minutes to complete.

The result of filler treatment will give your face natural volume, leaving your skin hydrated and youthful.

What areas can be treated with Dermal Fillers?

The most popular areas that fillers are used to add volume are lips, cheeks and the bridge of the nose. It can also be used on lines, wrinkles, around the forehead, eyes, mouth, chin, neck and hands to make them appear smoother and younger looking.

Professor McCaul will listen to you during your consultation and then make his recommendations accordingly.

Does it hurt?

Modern filler materials either have local anaesthetic within them or have local anaesthetic added to them before injection. This means that there is only a small amount of initial discomfort at the start of treatment. Anaesthetic effects normally last 20-30 minutes after completion of the filler procedure.

Are there any risks using Dermal Fillers?

There are potential risks to all medical treatments. Those specific to the type of filler to be used will be fully discussed before treatment. Complications are rare with modern filler materials.

If you suffer from any allergies or are taking any medication, this will be discussed at your consultation.

Some risks may include:

  • Bruising at injection sites
  • Infection
  • Filler moving from the intended area of treatment
  • In Rare cases – the filler may form lumps under the skin
  • In Rare cases – the filler can damage a small blood vessel.


What is Sculptra?

Scupltra is a Poly-L-Lactic Acid (PLLA) based type of dermal filler. PLLA is also created naturally in the body when you exercise.

How does it work?

It works through a combination of local anaesthetic and a series of small injections which immediately fill the deep lines and wrinkles of the face, which can take between 30-45 minutes to complete per session.

While some results may be more immediate than others, the true results become more apparent after a few weeks with subsequent visits. A gradual increase in volume will become apparent as the dermal fillers thickness expands and gives you a fuller, more youthful and fresh faced appearance. When used in the mid part of the face, this gives a lift to the lower face and sharpens the jaw-neck angle.

You will be normally required to have between 1-2 treatment sessions to ensure that the treatment is successful. Once the initial sessions have been completed and you have had a review, the treatment is expected to last approximately up to 2 years. However, top-up sessions may be required to maintain your new look.

What happens after treatment?

As mentioned above there may be an immediate result following injection of the fluid containing the sculptra material which is temporary but gives an indication of likely longer term outcome.

However, over the coming weeks (and perhaps after more sessions) the results will become more apparent and noticeable. This is due to your body making and laying down new collagen and providing natural volume to enhance your facial soft tissues.

We recommend that you massage the treated area for ten minutes twice daily for two weeks after treatment and then five minutes twice daily for a further two weeks after treatment. We also request that you avoid excessive sun or UV exposure. Professor McCaul will advise you regarding the specifics of your aftercare.

What are the side effects?

There may be some temporary redness, swelling or slight itching at the site. If this occurs, you can apply an ice pack and this should disappear within a few hours. In some rare cases this can last for longer and even up to 2 weeks.

Any risks that could occur will be fully discussed with you prior to any treatment being carried out. If you are concerned at any stage, please contact 0207 580 4200 for more advice.



Botox  from £199.00
Dermal Fillers  from £225.00
Sculptra  from £525.00


For all other fees, click here

Prices may vary depending on your individual needs, but this will be discussed with you at your consultation appointment.

You will receive a personalised treatment quotation before any treatment commences.

jamesYour Consultant

Professor James McCaul

FDSRCPS(Glasg), MBChB(Hons), BDS(Hons)
Consultant Maxillofacial/Head & Neck Surgeon
GMC: 4441878


Professor James McCaul is a consultant facial surgeon (Head and Neck surgeon) working at London Northwest Healthcare Trust and The Royal Marsden Hospital. He also specialises in Botox rejuvenation, dermal fillers, chemical peels and cosmetic facial plastic surgery.

He graduated with honours in medicine and dentistry from the University of Glasgow. He has presented and published internationally in facial surgery research and is author of 47 original research articles , 117 research abstracts and 5 book chapters. He was awarded a PhD in Molecular Oncology (Telomere Function and Radio Sensitivity in Head and Neck Cancer) in 2005.

He is a Fellow of the Association of Facial Plastic Surgeons and a member of the European Association of Facial Plastic Surgeons. He is also a Fellow of the British Association of Oral and Maxillofacial Surgeons, The British Association of Head and Neck Oncologists and the European Association of Craniomaxillofacial Surgeons.

James is assistant editor of the International Journal of Surgery and the International Journal of Surgery Case Reports. He was an associate editor of the British Journal of Oral and Maxillofacial Surgery for 3 years until 2014. He is still part of the editorial board for this journal and reviews 12 other international medical research journals.

He trained in facial surgery in Scotland, Florida and London and provides a holistic approach to facial rejuvenation for patients. This approach takes in general health advice, Botox, dermal fillers (Juvederm and Sculptra), chemical peels and cosmetic facial plastic surgery.

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