Each of the 4 brands of botulinum toxin, relax muscles and reduce or eliminate movement in the specific muscle it is injected into. Most cosmetic uses are considered ‘off label’, with the exception of forehead lines, frown lines and crows feet (frontalis, glabella complex and orbicularis occuli). All are combined with human serum albumin, similar to many vaccines. No infections are known to have been transmitted via albumin. The effect of the product varies from person to person. The effects may start to show as early as 2-3 days, however you should expect to see effects around day 7. Full effect is around 4 weeks after treatment and the effects last between 3-4 months, gradually decreasing with time. You will likely start to see movement return around 6-8 weeks. The effects of Botulinum toxin are temporary. The effects vary with your unique anatomy, the dose and the location of injection. After care is extremely important and can alter your outcome. It is important to understand your aftercare plan and follow it carefully. The most common side effect is headache after glabellar injections. You may also have some discomfort, altered sensation, stinging, redness or bruising at the injection sites. The muscles effected by the toxin will be weaker due to the effect of the toxin. If you are taking blood thinning medication or have consumed alcohol in the past 24 hours, you are more likely to bruise. Very rarely some people may experience double vision, dry eyes, altered sensation or nausea/flu like symptoms. The product will be placed in very specific areas to reduce the movement of particular muscles. If the product is placed or migrates to a different area, the effects may be unexpected. The product can be moved with massage, exercise or failing to follow aftercare instructions. Complications occur when the product has either entered the wrong muscle or not entered the intended muscle after injection. These may include: "Spock brow” : when treating frown of forehead, this can usually be resolved at your follow up appointment. Eyelid drooping (ptosis): when frown lines are treated, is temporary and usually resolves within 2-4 weeks, however eye drops can be prescribed to assist with raising the effected eyelid. Please inform you doctor if you believe this has happened to you from administering too high a dose in the forehead is unfortunately difficult to reverse and will likely require time and massage to resolve. Treatment around the lips with relaxer may result in difficulty forming a tight seal with your lips, with possible dribbling while brushing your teeth or drinking from a straw. Asymmetrical mouth movement, particularly when talking or smiling after treatment with wrinkle relaxers in the lower face. Reduction in bite strength, slimming of the jawline or slight increase in jowling after treatment of masseters. Effects of botulinum toxin are temporary and all side effects resolve as the toxin effects wear off. There is a small chance of an anaphylactic reaction. In the event of an anaphylactic reaction, adrenalin will be administered and an ambulance will be called to transport you to the nearest ED.  This is considered treatment for a medical emergency and does not attract a charge, however cost of ambulance services or any further medical treatment lies with the patient. Botulinum toxin cannot be administered to pregnant or breastfeeding women, anyone who has had an allergic reaction to botulinum toxin or any of the ingredients in the product previously, anyone with a neuro-muscular condition such as Myasthenia Gravis. Botulinum toxin can not be administered into areas with any sign of infection.