Patients who are Asymptomatic (no symptoms) after their illness and do not have a cough or fever after 14 days since the date infection can safely have aesthetic treatments. Strict infection prevention protocols are in operation at our clinics to keep you safe. The aesthetic risks and side effects of any procedure you decide to have will be explained at your appointment by Dr. Mark Hamilton. PRE-TREATMENT ASSESSMENT All our patients receive a pre-treatment Health Screen assessment by email, two days before their treatment. It is vital that you read and respond to this online consent form as it allows us to screen you for viral symptoms. If you are experiencing any symptoms or feel unwell, we can use this opportunity to reschedule your appointment to a date at least 14 days later. YOUR SAFETY IS NOT AT RISK Dr. Hamilton & our team want to assure you that we have made every effort to ensure your safety is not at risk. You will see our infection control protocols in action, including room ventilation + disinfection to decontaminate all high touch areas of the clinic.

Wrinkles give us character. But if you’re bothered by them, it’s nice to know you’ve got options. Wrinkle smoothing injections are one. When injected correctly, the results look naturally smooth and fresh. It is very important to have real expectations about these type of injections. Dr. Hamilton advises his patients is to start treatments ONLY when their wrinkles begin to stick around. Using a good eye serum and Retinol based creams help prevent wrinkles forming. It is NORMAL and NATURALLY BEAUTIFUL to have fine lines when you smile or frown. These lines usually vanish when your face is relaxed. When these wrinkles are still visible while your face is at rest…that’s the time to THINK about having Anti- Wrinkle injections as a preventative treatment. Some patients especially those with very fair and fine skin types, often want to start Anti-Wrinkle Treatments in their mid-twenties. Patients with darker skin tones usually don’t need treatments until their mid to late 30’s. It is most unusual for someone to ask for Botox under the age of 25. Most aesthetics doctors are reluctant to start a patient on this type of cosmetic procedure at such a young age and will always ensure that they really understand the implications involved. “According to the American Society of Plastic Surgeons, women in their 20s make up 30 % of Anti-Wrinkle Treatment users. They start as a preventive measure which some doctors recommend stating that the earlier you start Anti-Wrinkle Treatments, the better since it is best used as a preventative measure to avoid getting fine lines and wrinkles. It works by relaxing the muscle; once relaxed, it relaxes the overlying skin, so you don’t get wrinkles.” Late 20s- You want to slow down wrinkles occurring in your early 30s. Prevention is always better than cure. Following a good skin care routine, along with a healthy lifestyle and diet, in addition to using strong sun protection will help slow down the aging process. Taking action with anti- aging injectables will prevent lines, wrinkles and loose skin from forming too soon and will help treatment results to last longer. It’s possible to benefit from preventative treatments as early as 25. Before that age it is unlikely you will have developed enough lines that need treating. 30s- Looking in the mirror – You’ve started to notice a few wrinkles—especially crow’s feet and brow lines—and you want to stop them from becoming deeper. Here is a good Self- Test to check if you might need to start having Anti-Wrinkle Treatments – If you find yourself constantly smoothing makeup that collects along a crease or line, you’re a suitable candidate for Anti Wrinkle Injections. Until a few years ago, most patients in this clinic typically started their treatments at age 40. That trend has changed. Now we see increasing numbers of patients in their early thirties starting anti wrinkle injections as a preventative measure rather than a cure for their wrinkles 40s- You start to notice deeper lines around your eyes, particularly crow’s feet, forehead and frown lines. Anti wrinkle injections will certainly improve these lines. A lot of our patients at this age ask Dr. Hamilton for help with tightening of their lower face and jawline One of his popular treatments for sagging jawline and neck lines is the ‘Nefertiti lift‘. This technique relaxes the muscles of the lower face which in turn provides a lift to the jawline and mouth. You may also experience some loss of fullness in your face. Dermal Filler injections will fill in the lines and add volume with immediate effect. 50s- Lines between your eyes and around your mouth become more pronounced as changes due to the menopause make your skin drier and more prone to wrinkles. Using a combination of Anti-Wrinkle Treatments and Dermal Fillers at this stage will give you a rejuvenated look. This is also a good time to have Skin Booster injections. Profhilo is perfect for skin laxity on the Face & Neck and is ideal if you feel slightly nervous about having dermal fillers. 60s – You want to look fresher and less tired rather than wanting to appear 20 years younger. Using a combination of Anti-Wrinkle Treatments and Profhilo will boost your skin and help you look great for your age. Profhilo boosts, refreshes and re-models your skin. It gives a totally natural fresh softness to your skin and adds volume without looking like you have had work done. There is no downtime with Anti Wrinkle injections . Dermal Fillers might cause bruising – Downtime is 24-48 hours. This treatment should not be undertaken within 2 weeks of an important social occasion. Anti Wrinkle Injection Prices start at £150 / €260. Prices are based on the units of toxin injected into each area. Patients are always delighted with the longevity they get from Dr. Hamilton’s treatments. To book a treatment: Email drmark@hamiltonfaceclinic.com

1. Choose an experienced doctor – Find a specialist doctor who has been successfully administering Anti-Wrinkle Treatments for several years. 2. Be honest with your doctor – Give your doctor your full medical history so they can decide if you are a suitable candidate. o What medication & supplements you are taking o What allergies you have o Any medical conditions o Any medical procedures o If you are pregnant, breast-feeding, or trying to conceive 3. Avoid taking supplements that thin the blood– Do NOT cease any prescribed medications. To minimise any potential bruising, stop taking the following for one week before you get Botox injections: o Aspirin o Ibuprofen- Paracetamol is okay o John’s Wart o Vitamin E o Fish oil or Omega-3s o Ginko Bilboa o Ginseng o Avoid alcohol

The best injectors can give a patient a bruise, red spot or temporary bumps with any of the cosmetic injectables. Your pre-treatment and post-treatment actions can have a big effect on this. Here are a few pre and post treatment tips that can help you avoid any unnecessary bruising. It is best to avoid planning any important work/ social events for 3-7 days after treatments. If you bruise easily, you will need to allow for 2 weeks to fully heal. Most bruises can be covered fairly well with make-up, but not all. Before Treatment Stop drinking alcohol 2 days prior to injections. No garlic 2 days before injections. Take Arnica tablets 2-4 days prior to morning of injections. Don’t take if you have high blood pressure or heart problems. Medications to discontinue 7 days before treatment. Some of these may be needed for medical reasons so check with your doctor first. The reason to stop these is that they make your blood less likely to clot which can cause bruising. If you are on prescribed medication eg; Warfarin please stay on it. If you need pain medication, paracetamol is fine to use. AVOID: Aspirin and Ibuprofen for 2 days after treatment. (Paracetamol is fine.) Vitamin A, Vitamin C, Vitamins B-6 and B-12 and Vitamin E Folic acid St. John’s Wart Omega 3 fatty acids Green tea Ginseng If you have ever had a cold sore around the mouth or near the injection site be sure to talk to Dr. Hamilton before your treatment. After Treatment : Apply Arnica cream regularly for 3-4 days post injection. Some common injection-related reactions may occur, such as swelling, bruising, redness, tenderness and itching. The intensity and duration of these effects will depend on your individual healing characteristics, but can last for 1-2 weeks. If you have any swelling, apply a cold pack to the treatment area for 5-10 minutes every hour. Avoid alcohol for 24 hours after treatment. Sleep on slightly inclined or raised pillows for the first night. If having cheeks or your nose fillers, avoid placing heavy/ large lens glasses on the injection site to prevent endentation of the filler. No excessive exercise except for walking for 24 hours after treatment. No inversions in yoga or hot yoga for 48 hours. No excessive sun or heat until any initial swelling and redness have resolved. Dermal fillers injections – You will appear swollen on the morning following treatment which can last up to 5 days. This is normal and can reduced by the application of ice (NOT directly onto the skin) for 10 minutes at 60 minute intervals. Anti-wrinkle injections-Routinely there is no down-time.

Please Attend Au Natural without makeup ! It is better to attend your appointment with nothing on your skin. If you wear makeup, we will take it off anyway. Dr. Hamilton will clean your skin with Clinicsept solution and rubbing alcohol before your injections. Natural skin oil and sweat can mix with your makeup and make it difficult for Dr. Mark to assess your skin properly during the appointment. He needs to clearly see your skin’s natural state, which helps determine how much or little toxin should be used for the desired effect. You can wear makeup after you get Anti-Wrinkle injections. Best to wait a few hours until the injection marks fade. Always apply with spotlessly clean brushes or sponges. Most patients who get wrinkle smoothing injections experience mild redness for up to 24 hours after treatment. You cannot wear makeup until 24 hours after Dermal fillers You need to wait until the injection sites have closed up and the redness has faded away.

1. Go Au Naturel- Your skin will be cleaned with either Clinisept, Natrasan,Witch hazel or rubbing alcohol before you have your injections. 2. Relax – Don’t worry if you are afraid of needles- these injections do not hurt- just a slight “pinch”. Some patients say they feel a mild stinging with each injection. 3. Do not apply makeup afterwards – Best to wait until the next day before applying makeup. You skin will feel very dry after being have been prepped & cleansed. Use a gentle moisturiser on your face before going to sleep. Never directly apply make up onto alcohol cleansed skin.

Routinely there is no down time for anti-wrinkle injections. Our patients normally return to their normal activities immediately after their treatment. Dr. Hamilton recommends avoiding strenuous exercise or massaging the area for the first 4 hours after treatment. Also avoid aspirin and similar blood-thinning medications to reduce bruising.

What you do after your injections and how you take care of your skin is very important. Don’t touch your skin at your injection sites. - Do NOT apply makeup - Avoid strenuous physical activity for 24 hours. - Avoid consuming large amounts of alcohol. - Avoid getting facials, chemical peels, micro-dermabrasion, etc. for 48 hours. - Avoid taking the blood thinning medications mentioned above. - If you get a bruise, arnica cream will help. Concealers can also help cover bruises. - Call your doctor or seek medical attention if you experience any side effects or complications from the Anti-Wrinkle Treatment.

Regular Patients – Flying after treatment The short answer to the question is : YES Previously, there were some concerns that changes in cabin pressure during a flight taken soon after Anti-Wrinkle Treatments could lead to unwanted side effects. Theoretically different cabin pressures could cause the Anti-Wrinkle Injections to migrate from the original injection site, potentially resulting in an asymmetrical appearance and also could cause bruising. These concerns are not scientifically proven. Research has shown that the toxin is taken up by the facial muscles and nerves in just five minutes. This means that five minutes after the injection, the toxin should be fully in place and you are free to carry out your normal activities, including flying if you wish. Avoid applying excess pressure to the areas that were injected. Current literature advises that ideally patients should wait 24 hours post-treatment before flying long haul. Dr. Hamilton treats many patients who work as flight attendants and lots of patients from overseas. If they are flying long haul, he advises them to wait one day. The air pressure in an airplane cabin should not cause your Anti-Wrinkle Injections to move. Cabin pressures are generally the same as the air pressure on the ground. It is the air pressure outside the cabin that is different. First Time Patients – Flying After Treatment There are usually no issues for our regular patients flying within 24 hours of having Anti-Wrinkle injections. However, our Newbies are never injected for their very first time within 2 weeks of flying abroad. Patients start noticing changes in their facial movements around 4-5 days after Anti-Wrinkle Treatments. These are completely new sensations for them to experience. And, it important to remember it takes two weeks for Anti-Wrinkle Treatments to fully relax the target muscles and start smoothing out lines and wrinkles. It is very rare for any complications to arise after Anti-Wrinkle injections. Should you experience complications, it is best to have your own aesthetic doctor close at hand rather than seek another abroad. Dr. Mark would always advise that Newbies schedule their Anti-Wrinkle Treatments at least 2 weeks prior to jetting off.

Avoid strenuous exercising for 24 hours . Wait at least 4 hours before taking moderate exercise like power walking or gently jogging. Avoid Hot yoga & saunas for 24 hours. Try not to apply pressure to your face, like wearing a tight baseball hat or wearing goggles while swimming for 24 hours.

Wrinkle smoothing injections for Laugh Lines around the eyes typically last 3 months while injections for the frown lines between your eyebrows and forehead lines can last between 4-5 months. For some patients their wrinkle smoothing effect goes away more quickly than that, while for others it lasts much longer. This is because some patients break down the toxin more rapidly than others. How long the results last really can depend on the patient’s genetic makeup. Factors which can also effect the longevity of your results can be, the amount of toxin which was injected, your metabolism and lifestyle. Patients who spend long periods in front of computer screens, play outdoor sports, long distance drivers and golfers etc often experience less longevity for their Crows Feet. While there are no papers written to prove the subject, we have observed over the past few years in our clinics that athletic exercise definitely does have the possibility of decreasing the duration of wrinkle smoothing injections. This actually makes sense, as excessive exercise produces free radicals which have the ability to break down tissue in the body, as well as products that are injected. Dr. Mark recommends to his patients who experience this, they can do one of two things - Ideally wait an extra month until you get more movement in your forehead +frown lines and have all 3 areas injected - Have the only eye areas injected after 3 months - Attend 2 weeks after your treatment to review the results and Dr. Hamilton top it up if needed. - Most of Dr. Hamilton’s patients maintain their wrinkle smoothing effect by having injections every 4-5 months whilst other patients he may see only once per year. There is no hard and fast rule.

Anti Wrinkle injections are safe and effective treatments only when administered by a trained and experienced medical practitioner. As with any procedure, they also have possible side effects which patients should be made aware of. If any of the symptoms listed below should occur for more than one week or if you develop any other side effects please report them to your Dr. Hamilton - Muscle weakness near where the toxin was injected; - Perceived trouble swallowing after Nefertiti treatment; - Blurred vision, puffy eyelids, dry eyes, drooping eyebrows; - Dry mouth; - Headache, tiredness - Redness, stinging and or bruising

Droopy Eyelid is very rare. If patients develop a droopy eyelid, it begins about 1-3 weeks after the injection and lasts about 4 weeks on average. Droopy eyelids will typically go away and are not permanent. Dr. Hamilton takes great care to inject the correct areas of your forehead to avoid drooping of the brow. If the forehead is completely frozen to a non movement stage, it can cause the eyebrows to droop, and that could give the appearance of eye lid droop. With first time patients it is better to under inject and review after two weeks. Additional units of toxin can be injected at that stage if needed.

” Cheap Anti-Wrinkle Treatments are NOT good and good Anti-Wrinkle Treatments are not cheap” A quality aesthetic procedure from a highly experienced injector is going to cost more. Inexperienced providers, unlicensed individuals and those offering ‘fake’ Anti-Wrinkle Treatments will offer very cheap treatments. While these appear to be easier on your pocket- try not to not fall for it. The cheaper the price, the more you need to ask about the dilution of the product. Anti-Wrinkle Injections must be diluted with a sterile saline solution before it can be injected. Some people get wrinkle smoothing injections which do not seem to last long. This might be because the prescription toxin was too diluted and not enough actual product was injected. Dosage varies depending on which areas of your face you want to treat, as well as on your physician’s technique. Ask your doctor how many units of toxin you will need to get your desired results. Make sure you are paying for and getting that many units. A diluted product is not a bad product just as long as you get enough of what you need!

Dr. Hamilton always recommends waiting until after your pregnancy and breastfeeding is completed before having any type of aesthetic injections. The safety of your baby is much more important than any wrinkles. There are no studies indicating possible harmful effects of Anti-Wrinkle Treatments during pregnancy. Therefore, it is best to try to wait for 3-4 months after having Anti-Wrinkle injections to allow the effects to wear off before trying to get pregnant. Dr. Hamilton will not treat you if there is a possibility of you could be pregnant. He never injects patients who are pregnant or breast feeding. Other physicians might choose to treat their patients in this circumstance but he feels it not worth taking the risk. Try not worry if you had anti wrinkle injections and found out you were pregnant. If you have Anti-Wrinkle injections just before you conceived the risk of it harming your baby is low. The amount of toxin injected in a very small dose and works at the neuro-muscular junction receptors in your face. It is not going to move from there. Best of luck and have fun with the Baby Making !

Many of our patients ask “Which is best: Micro needling or Anti Wrinkle Injections? “ There is no definite Yes or No answer to that question. The most suitable treatment for any patient really depends on their personal aesthetic goals. Depending on our patient needs, we often recommend both. Anti Wrinkle injections smooths the appearance of lines and wrinkles but does not directly treat the surface of the skin. Using Microneedling to improve the surface and condition of the skin along with wrinkle smoothing injections can help to improve the results longer term. Microneedling can cause bleeding and may not be suitable for people with clotting or bleeding disorders, or for those patinets who take medicine to thin their blood. You may need to avoid microneedling if you have conditions that affect your skin, such as eczema or diabetes, or if you have a weakened immune system Up until a few years ago Anti-Wrinkle Treatments and Dermal HA Fillers were the only injection treatments which gave good results for smoothing wrinkles and filling fine lines. Micro needling is an alternative for those who are not keen on using injections. You might not immediately see the dramatic changes you’d expect and definitely not as much as with a medical aesthetic non -surgical procedure. You may need approximately 4-6 sessions to get a dramatic difference.

You can combine Anti-Wrinkle Treatments and Microneedling for the best of both worlds, but you should never do both at the same time. The two types of treatments can definitely compliment one another. Anti-Wrinkle Treatments need to be administered to healthy, intact skin. As microneedling creates many micro wounds, the combination process starts with microneedling followed by Anti-Wrinkle injections. An interval of 2 weeks needs to be taken between your microneedling and your Anti-Wrinkle Treatments.