Botox Liverpool

Breathtaking precision.
Better value.

Dr MJ teaches toxin treatments, publishes research, specialises in complications and runs clinical trials with Galderma. She’s who clinicians call when things go wrong, and is known for her beautifully natural results.

If you come in wanting to look less angry, sad or older than you feel, a consultation for anti-wrinkle injections may be the best plan.

Dr MJ plans carefully around your skin condition, your facial anatomy and the expressions you want to keep to produce the naturally striking results she's known for.

Men need a different approach, and MJ knows the difference.

Dr MJ Rowland-Warmann smiling in her black clinic scrubs
Dr. MJ is a genius★★★★★K
an absolute genius.★★★★★Paula
an absolute genius★★★★★Joanne
She’s an artist!★★★★★Emi
She is a true artist★★★★★Paula
an absoloute MAGICIAN 🤣💖💖💖★★★★★L
MJ is an absolute magician★★★★★spi114
she is a total vibe. 🫶★★★★★Lucy

What brings you here today?

What toxin can do for you

A little less tired.
A little more fresh.

What is 'Botox' and what does it do?

'Botox' is a brand of botulinum toxin type A. It has also become the everyday name for toxin injections, rather like 'Hoover' became a name for vacuum cleaners. Yet we still don't say, I'll dyson the living room. So we understand that you call this 'Botox' and that might mean Azzalure, Bocouture, Dysport or Relfydess.

When you frown, smile or raise your eyebrows your skin wrinkles. Toxin relaxes muscles. So fewer wrinkles. But it's more complicated than that and the results are much more than just airbrushing out wrinkles.

Patients often come in with angry-looking frown lines, wrinkles around the eyes or forehead lines that have been there for years. What they want is simple: to look fresher and younger for their age.

How does MJ plan your face?

“You can’t just cook with one ingredient.” — Dr MJ

MJ’s approach starts with the whole face. Skin condition, muscles and underlying support all contribute to the result. And Dr MJ is serious about skin condition. Beautiful results combine good skin with relaxing the right muscles just enough. Treating one line in isolation misses how everything works together. Toxin treatment is not a one, two, three areas commodity for MJ - it's art. 

Toxin relaxes muscles. Skin treatments improve skin quality. Sculptra supports collagen and dermal fillers add structure and support. MJ chooses the ingredients for your face and balances the amounts.

“Being highly qualified is the bare minimum. Each face is uniquely complex, as is each individual person. It’s not enough to inject well or use the best products. You need to understand the complicated dynamic of a person’s features to make a real impact on people’s lives.” — Dr MJ

How treating 'three areas' creates problems

MJ sees patients who keep having the standard three areas treated as they move through their forties and fifties. Their upper face stays relatively smooth while their lower face continues to age. This creates disharmony and gives you away. Dr MJ is a master at correcting this frequently seen problem.

“If you balance the treatment plan well, you need less of each ingredient to bring about a harmonious and beautiful result.”

“So, I look at everything, I look at skin, I look at facial proportions. I look at facial symmetry.” MJ also considers the underlying skeletal relationships. Together, those decisions produce the “subtle, natural, and beautiful results” her patients want.

Skin is the foundation of your treatment plan

“There’s no better thing than good skin.” MJ sees skin as “the foundation of any treatment plan”. Toxin finds its place within that plan, particularly in the upper face.

The same disconnect can happen between a smooth forehead and skin that needs care. Laser, microneedling, chemical peels and skincare all have a role in improving skin quality.

How do you keep your natural expression?

“You don’t need to have the range of movement of a kitchen work surface - we want you to have expression, but a reduction in wrinkles.”

MJ chooses both the dose and the injection points for your anatomy. That plan is always changing and being updated.

Men often have stronger facial muscles and need more toxin to achieve the right result. The price is the same so don’t worry.

Her approach is “deeply aligned with your anatomy and your expression”. It draws on anatomy, care, safety and years of experience.

Dr MJ carefully injecting a patient’s forehead at Smileworks
“natural looking”★★★★★Christina
“fantastic eye for detail.”★★★★★Ilona
“in excellent hands”★★★★★Sarah
“exactly what I wanted”★★★★★Megan

“Quiet luxury for the face.”Dr MJ Rowland-Warmann

Anti-wrinkle injections: treatment areas

Forehead & eyes

Frown lines: the “11s” between your eyebrows

Frown lines are the “11s” in the glabella, between your eyebrows. MJ often sees patients whose strong frown makes them look angry when they don’t feel angry at all.

She watches the muscles move and checks the skin at rest. Dynamic lines appear with movement and disappear when you relax. Static lines stay visible at rest. Toxin is particularly effective for dynamic lines; deeper static lines often need skin treatment as part of the plan.

Forehead lines, 'botox' brow lifts and heavy eyelids

The forehead can make or break a toxin treatment. Relaxing forehead lines and horizontal wrinkles is only part of the job. Those muscles also help lift your eyebrows. And toxin magic can even appear to 'lift' the brows.

MJ looks at your eyebrow position and shape, the skin above your eyelids and how you use your expressions. Treating the lines without understanding those relationships can leave the brows heavy and the eyes looking sleepy. Or worse, a bad droopy eye complication. 

For women, MJ describes three priorities: maintain or improve brow position, maintain or improve how the eyelids sit, then reduce the lines. “Actually, the 3rd objective is to reduce the lines.” Preserving expression, eyebrow shape and the ability to apply eye makeup can matter more than a completely smooth forehead.

A subtle 'Botox' brow lift works with the balance of muscles around your eyes. Relaxing muscles that pull the brow down while preserving the forehead’s lift can open up the eye area in the right patient.

Crow’s feet: smile lines around the eyes

Crow’s feet are the lines around your eyes when you smile. We plan their treatment alongside your frown and forehead so your eyes look refreshed and your expression stays natural.

Under-eye hollows, puffiness and loose skin need a different assessment from smile lines. MJ looks at the cause before deciding which treatment belongs in your plan.

Nose, mouth & lower face

Bunny lines and chin dimpling

Bunny lines appear when you scrunch your nose. Chin dimples, sometimes described as an orange-peel texture, can come from an active chin muscle.

In the lower face, the muscles sit close together and work together. Understanding those relationships is essential to keeping your smile and expression balanced. MJ often uses ultrasound to check the position of the lower-face muscles when planning treatment.

A downturned mouth

A downturned mouth can make you look grumpy even when you’re perfectly happy. MJ explains that the muscles pulling the corners down can work against the muscles that lift your smile.

Relaxing the downward pull lets the lifting muscles work more freely. It is a small treatment with a very specific aim: a happier-looking resting expression. MJ also checks whether changes in skin or support contribute to the downturned mouth.

A lip flip, or lip filler?

A lip flip relaxes selected muscle fibres around the upper lip so more of its vermilion surface shows. Lip filler adds volume and shape. They do different jobs.

“Case selection here is very important, but in the right patient, this can produce beautiful results.” MJ explains the temporary effect treatment can have on actions such as sipping or pursing your lips.

Explore lip treatment options.

Jawline and neck bands

The platysma is the thin muscle across your neck. Platysmal bands can pull down on the jawline and make jowls look more pronounced. MJ explains that relaxing this downward pull allows the muscles lifting the face to work more freely.

In the right patient, the result is a clearer jawline and a better neck contour. MJ assesses the contribution of muscle, skin and underlying support before recommending a neck treatment.

Masseter 'Botox' and jawline slimming

The masseters are the chewing muscles at the sides of your jaw. Masseter 'Botox' is a jawline-slimming option when those muscles are creating a bulky lower face.

Jaw slimming starts with assessing whether muscle bulk is creating that width, or whether bone, fat or skin is the main factor. MJ plans the dose around both the shape of your face and the muscles’ job in chewing. Jaw pain and teeth grinding need their own assessment.

Individual goals & other concerns

'Botox' for men

MJ explains that men often have greater facial muscle bulk and need a different dose. Their priorities can be different too.

“With men, generally, we aim to produce a reduction in the wrinkles.” Many men want to keep their brow shape rather than increase its arch. MJ therefore starts with their goals and anatomy, rather than applying the same plan she would use for a woman.

She asks about your expectations, previous treatment and what did or didn’t work. Knowing the differences between faces is nuanced. Her answer is “proper assessment, years of experience, and simply talking to the patient”.

Gummy smiles, sweating and jaw problems

A gummy smile can involve lip movement, tooth position, gums or the way the jaws have developed. Our gummy smile treatment page explains the different causes and options.

Excessive underarm sweating, also called hyperhidrosis, needs a separate consultation. See our aesthetic prices and ask the team about the appropriate appointment.

Teeth grinding, also called bruxism, clenching, jaw pain and temporomandibular joint (TMJ) problems need their own assessment too. These concerns are different from wanting a slimmer jaw. Contact the team about a jaw assessment so they can direct you to the right clinician. This is dentistry really not aesthetics. Although Dr MJ is also a dentist.

See treatment prices

Not all 'Botox' is created equal.

Over her career, Dr MJ has used 'Botox', Azzalure, Bocouture and others. Today she chooses Relfydess: for the speed of onset, the natural-looking result and how well it lasts in her patients.

01

A faster onset

Published trials report a median first-noticed effect of 2–3 days. MJ often sees an early change within 1–2 days.

02

Longer lasting results

MJ sees most results last around 4–4½ months, with some significantly longer.

03

Less appointment admin

MJ reports that over 90% of her toxin patients choose not to have a touch-up appointment. You can have a touch up if you want but most Relfydess patients don't want one.

When do our patients come back?

Across 140 repeat-treatment intervals involving 107 patients, the average time between appointments was around 5½ months. (1)

154daysMedian time between treatments
165daysAverage · around 5½ months
133–197daysThe middle half of intervals
Time before the next treatment
Interval Repeat treatments Share
60–89 days≈ 2–3 months 4 3%
90–119 days≈ 3–4 months 19 14%
120–149 days≈ 4–5 months 37 26%
150–179 days≈ 5–6 months 33 24%
180–209 days≈ 6–7 months 24 17%
210+ days≈ 7+ months 23 16%

Compare the cost over time

Why MJ has stayed with Relfydess

Do you still use the original 'Botox' brand?

At Smileworks, we use Relfydess for anti-wrinkle treatment. It is Galderma’s ready-to-use liquid botulinum toxin, rather than a powder that needs to be mixed before injection.

MJ chose it after using different products and watching how her patients responded. Her priorities are speed of onset, longevity and the way the result looks. She wants results that are “safe, effective, beautiful, long lasting” and give patients value for money.

'Botox', Vistabel, Azzalure, Dysport, Bocouture and Xeomin are other names you may have come across. These are different brands and formulations, not interchangeable labels or units. Tell MJ what you’ve had before, what you liked and what you would change.

It starts working quickly

This means less time worrying and more time with your results. You also save a HUGE amount of time and effort not requiring a follow up appointment. It's one and done.

“Patients are seeing results kick in within 1 to 2 days compared with 7 to 14 days with other licensed neuromodulators. Imagine you can have your toxin treatment on 21 December and look great for Christmas. That takes a lot of treatment-related administrative burden out of your pre-Christmas period, which is already stressful enough. Same with holidays, weddings, everything.”

Finally, the “longer lasting 'botox'” we've been promised for years 

MJ says most patients come in every 5 months With some getting significantly longer”. Some return after six months or more. She sees skin quality as an important part of how long the result looks good. Smoking, nicotine products and sun exposure can make the result wear off sooner.

Well-conditioned skin is more resistant to visible wrinkling. “Good skincare, lifestyle and toxin go hand in hand, and if you want your toxin to last longer, you must invest in your skin.”

Patients love how they look

Galderma reports that 70% of patients in its RELAX study preferred Relfydess to their previous treatments. Read the study announcement.

“Patients prefer the results, they can’t usually quite put their finger on it, but they simply look better. Their results are more in line with what they want. Their expression is more natural and they really enjoy the results.”

That is why MJ has stayed with Relfydess. She also values the ready-to-use liquid. The concentration is set by the manufacturer. There is no powder to mix with saline before treatment, removing one source of variation in preparation. MJ can focus on the dose and precisely where to place it.

Does 'Botox' hurt?

You will feel small needle pricks and a brief sting. MJ says the extra sting with Relfydess lasts around five to ten seconds.

“By the end of your appointment, you will have forgotten all about it.” For MJ, the results are worth those few seconds of pain.

How long does 'Botox' last, and when will I see a result?

The first few days. Our patients notice Relfydess kicking in within one to two days. MJ contrasts this with seven to 14 days for products she previously used. Published trials report a median first-noticed effect of two to three days.

Around a week. The result continues to develop after the first visible change. If you need a review, the team will advise when to come back. MJ reports that over 90% of her toxin patients do not need a touch-up appointment.

4-5 months afterwards. MJ sees most patients get around four to five months, with some getting significantly longer. Movement gradually returns and you can plan your next appointment around your result.

Our returning toxin patients typically leave around five months between appointments. Across 140 repeat-treatment intervals involving 107 patients, the median was 154 days. MJ will help you plan a repeat-treatment schedule. Relfydess treatments are spaced at least 12 weeks apart.

How to make 'Botox' last longer

“There’s no point investing in toxin if you’re not going to look after your skin, cause it’s not gonna last as long, it’s not gonna look as good.”

MJ is talking about the result you see in the mirror. Toxin acts on the muscle beneath the skin. Well-conditioned skin is more resistant to creasing when that muscle moves. She makes skincare, sun protection and appropriate skin treatments part of the plan for a result that looks better for longer. Also nicotine works on the same receptors as toxins so makes them last less time. Too much sun ruins EVERYTHING. Please wear sunscreen every day.

'Botox' not working or wearing off quickly?

This could be a complication. Tell MJ what happened: which product you had, when it was injected and how the result changed. If your toxin didn’t work as expected or wore off too quickly, MJ will find out why and explain what to do next.

For patients who like to be organised and come for regular treatment, fewer extra visits can make life easier. Ask about facial aesthetics memberships if you would like to plan ahead.

A clear plan.
A clear price.

Your fee covers the initial treatment and a review if necessary. Optional touch-up: free. Dr MJ’s consultation is £75, paid separately.

'Botox' / Relfydess

1 area
£245
2 areas
£295
3 areas
£319

'Botox' / Relfydess with Dr MJ

1 area
£279
2 areas
£319
3 areas
£339
Explore the treatment areas

Toxin prices are only half the story

1

Your treatment

£

With Dr MJ: £339

Calculator notes and sources

Cost per week
of results

Your toxin

per week of results

weeks of results
Result developing Time with result
Your toxin
MJ · Relfydess
Injection

What you’re paying for

How much is 'Botox', and what does the price include?

Your treatment fee covers the initial treatment and a review if necessary. Your consultation with Dr MJ is £75 and is paid separately. Include it when comparing the total treatment price and 'Botox' cost.

What counts as 1, 2 or 3 areas of 'Botox'?

One, two or three areas of 'Botox' usually means the forehead, frown lines between the eyebrows and crow’s feet. MJ looks at how these areas work together, then recommends the right combination and dose for your face.

Lower-face, neck, jaw and sweating treatments are priced separately. MJ will explain your treatment plan and its cost at consultation.

Is a review included?

Yes, if you want one. A touch-up is free. It is additional treatment, rather than simply a review. MJ reports that over 90% of her toxin patients don’t need a touch-up appointment. If you have a question about your result, contact the team and we’ll arrange the right next step.

What does 'Botox' really cost over time?

The price of one appointment is only part of the comparison. What you pay and how often you return determine the cost over time. Extra visits bring their own hassle: getting into town, finding another slot and fitting it around life.

MJ chose Relfydess for results her patients enjoy, its longevity and its value. Our returning-patient records help show the time people leave between appointments. Ask about facial aesthetics memberships if you would like to plan regular treatment.

Membership and training-model options

If you would like to plan regular treatment and spread the cost, ask about our facial aesthetics memberships. The team will explain the current plans and what is included.

Training-model appointments are a different pathway from a private treatment appointment with MJ. Training-model treatment starts at £120, subject to suitability and course availability. Join the Smileworks HUB training-model registry to find out more.

Dr MJ Rowland-Warmann in scrubs at Smileworks
“She is precise and offers advice even when this is to opt for a treatment she does not offer to get the best outcome.”★★★★★Fiona

Meet Dr MJ

The expertise other practitioners turn to

Dr MJ teaches toxin treatments, publishes research, specialises in complications and runs clinical trials with Galderma. She knows the anatomy, the dose and where to place it.

A plan for your face

MJ has treated tens of thousands of patients. Every face moves differently. Every treatment should reflect that.

“We don’t have a cookie cutter approach. We have a tailored to you approach.”

“I have all sorts of patients in their 30’s to 80’s! Everyone is different and it’s important to really figure out what a person wants from treatment so we can design a plan together and achieve remarkable results. You can only achieve perfection for an individual if you fully understand what they want and how they would like to feel.” — Dr MJ

“I’m no miracle worker, it is surprisingly simple really. To get results you just have to take time to understanding what the patient wants, have a good grasp of facial anatomy and be able to draw on a lot of experience.” — Dr MJ

What years of experience bring

Dr MJ Rowland-Warmann is Smileworks’ co-founder, a dentist with an MSc in Aesthetic Medicine and more than 15 years’ experience in aesthetic medicine.

MJ has seen what works across thousands of different faces. She knows how a treatment can leave a brow heavy, change the way the eyes look or take away an expression the patient wanted to keep.

“Why did they leave their previous injector?” She often hears that a standard three-area treatment made someone’s eyebrows feel heavy and their expression sleepy. Understanding that experience changes what she does next.

Ultrasound and complications expertise

MJ teaches facial ultrasound to clinicians in the UK and overseas. Her teaching covers recognising tissue layers, locating blood vessels, identifying existing filler and seeing a cannula during treatment.

She runs a dedicated complications referral clinic in Liverpool. Patients come to her with persistent swelling, visible filler and unexplained lumps, including problems following treatment elsewhere. Ultrasound helps her investigate the filler and surrounding anatomy before recommending the next step.

She also uses ultrasound to assess lower-face muscle positions when appropriate. This experience informs her planning; it does not remove the risks of treatment.

Already concerned about filler you’ve had elsewhere? Visit Dr MJ’s complications clinic.

Teaching, research and qualifications

MJ founded Smileworks HUB to teach medical professionals facial aesthetics, ultrasound and complication management. Her teaching and speaking work includes Clarius, GE HealthCare and Galderma. She also runs clinical trials with Galderma.

Her experience includes trainer and vigilance-team work with Sinclair Pharmaceuticals and facial ultrasound teaching through CMAC. She publishes research, including the Aesthetic Surgery Journal consensus recommendations on nodules after poly-L-lactic acid injections.

MJ holds a master’s degree in Aesthetic Medicine with Distinction from Queen Mary University of London and a postgraduate qualification in Medical Education. GDC registration: 178642.

Explore MJ’s teaching at Smileworks HUB.

In the media

BBC Radio 4 has featured MJ’s complications clinic in its investigation into unsafe cosmetic practice. GLAMOUR has sought her advice on skin health, and Aesthetic Medicine has featured her teaching on ultrasound and injectable treatments.

Meet Dr MJ and read her press coverage.

Dr Charlotte Kelly also provides anti-wrinkle treatment at Smileworks. Charlotte trained in aesthetics with MJ. Meet Dr Charlotte Kelly.

What patients say about Dr MJ

  • ★★★★★
    “MJ is fabulous.”

    Fiona

  • ★★★★★
    “so professional”

    Karl

  • ★★★★★
    “honestly obsessed”

    Ana-Maria

  • ★★★★★
    “Dr MJ has fixed me”

    Genna

  • ★★★★★
    “exceptional.”

    Francesca

  • ★★★★★
    “knowledge and experience 😘”

    Claire

  • ★★★★★
    “so skilled and precise”

    S

  • ★★★★★
    “professional, attentive, and reassuring”

    Lynn

  • ★★★★★
    “Outstanding professional service”

    Amy

  • ★★★★★
    “the treatments look amazing.”

    Alison

  • ★★★★★
    “natural looking”

    Christina

  • ★★★★★
    “she’s the best!”

    Toni

  • ★★★★★
    “fantastic eye for detail.”

    Ilona

  • ★★★★★
    “in excellent hands”

    Sarah

  • ★★★★★
    “Very caring.”

    Robbie

  • ★★★★★
    “gentle yet confident 🫶”

    Lucy

  • ★★★★★
    “Fantastic experience”

    Anonymous

  • ★★★★★
    “happier and more confident”

    Kelly

  • ★★★★★
    “exactly what I wanted”

    Megan

  • ★★★★★
    “I never felt prettier”

    Emi

  • ★★★★★
    “She is THE best in her field.”

    Emily

  • ★★★★★
    “customer service is 5*.”

    Dawn

  • ★★★★★
    “the results were wonderful.”

    Gemma

  • ★★★★★
    “Dr. MJ is a genius”

    K

  • ★★★★★
    “an absolute genius.”

    Paula

  • ★★★★★
    “an absolute genius”

    Joanne

  • ★★★★★
    “She’s an artist!”

    Emi

  • ★★★★★
    “She is a true artist”

    Paula

  • ★★★★★
    “an absoloute MAGICIAN 🤣💖💖💖”

    L

  • ★★★★★
    “MJ is an absolute magician”

    spi114

  • ★★★★★
    “MJ is extremley talented”

    Marcelle

  • ★★★★★
    “What a talent.”

    Amanda

  • ★★★★★
    “total superhero”

    Joanne

  • ★★★★★
    “she is a total vibe. 🫶”

    Lucy

  • ★★★★★
    “you work miracles ☺️”

    Connie

  • ★★★★★
    “definitely a miracle worker”

    Donna

What happens at your appointment?

  1. First, a proper conversation

    Tell MJ what you want to change, what you want to keep and how previous treatments worked for you. She looks at your face at rest and in motion, and checks your health, medicines and treatment history.

    “What are their expectations? What are their previous experiences?” Those questions help her understand the result you are looking for. Bring photographs of a previous result you loved if that helps explain it.

  2. Then, a plan you understand

    MJ explains your treatment, expected result and price. Ask her anything.

    Some facial treatment areas are outside the product’s licensed indications. MJ will explain this where it applies, along with the relevant risks and alternatives.

    You can often have routine treatment right away.

  3. Small injections, then home

    Small injections target the planned muscles. You receive aftercare advice, then go home.

    “'Botox' is one of my favourites for helping patients look years younger. It’s straight-forward, quick and affordable. Happiness right out of a tiny bottle. It’s ageing science at its absolute best and I wouldn’t risk my reputation on a treatment that wasn’t highly likely to make my patients feel something.” — Dr MJ

Dr MJ discussing a patient’s facial treatment with colleagues in the Smileworks treatment room
“She was very gentle and took her time.”★★★★★Katy

Risks & aftercare

'Botox' side effects: what can go wrong?

Small bruises, tenderness, swelling and redness are common short-lived effects. The little raised bumps usually settle quickly as the liquid is absorbed.

Other possible problems include asymmetry, unwanted weakness, dry eyes, a heavy brow or a drooping eyelid, known as ptosis. Treating around the mouth can affect the smile or lip movement. These risks depend partly on the area and treatment plan.

MJ’s anatomy knowledge and careful placement help reduce these risks, but cannot eliminate them. She also treats aesthetic complications and knows how to assess them. Some need treatment; others settle as the toxin wears off. There is no instant dissolving treatment for botulinum toxin.

Serious allergic reactions or effects spreading beyond the treatment area are rare but possible. Seek urgent medical help for trouble breathing, swallowing or speaking, or widespread weakness after treatment. Call 999 for a severe allergic reaction or breathing difficulty.

'Botox' and Relfydess aftercare

You will receive 'Botox' and Relfydess aftercare instructions for your treatment. Avoid rubbing or massaging the injection sites and follow MJ’s advice about exercise, heat and other skin treatments.

Contact the team if you have a concern, including unexpected weakness, eye symptoms or a change you are unhappy with. We will help you decide the next step.

Who might not be suitable?

Tell your clinician about pregnancy, breastfeeding, neurological or muscle conditions, swallowing or breathing problems, medicines and any previous reaction to an injection. An infection in the proposed treatment area can also mean postponing treatment.

Bring a current medication list. Do not stop prescribed medicines on your own to prepare for an appointment. Your clinician will assess suitability and explain alternatives when a treatment is not right for you.

Trouble breathing, swallowing or speaking, or widespread weakness after treatment needs urgent medical help. Call 999 for a severe allergic reaction or breathing difficulty.

Questions about 'Botox' treatment

What is baby 'Botox'?

Baby 'Botox' usually means a lower-dose approach to soften lines while preserving movement. It is not a separate product.

At what age should I start?

MJ often sees patients in their thirties and forties noticing early signs of ageing. She sees toxin as a good starter injectable for suitable patients alongside skincare. The decision starts with your face and what you want to achieve. Consultations are for adults aged 18 and over.

Will I still be able to move my face?

“We want you to have expression, but a reduction in wrinkles.” MJ assesses your muscle activity and plans the dose and injection positions to preserve a natural expression, rather than making you look frozen.

Will people notice I have had something done?

For MJ, “looking polished and timeless” is the aim.

Can treatment stop ageing or fix every wrinkle?

Toxin works on muscle activity, so it is strongest on expression lines. Deep lines at rest and changes in skin quality or facial support need a broader plan. MJ will explain where skin treatments, fillers or another approach will help.

Who should prescribe and carry out treatment?

Botulinum toxin is a prescription-only medicine. Your consultation, prescription and treatment plan should be handled by an appropriately qualified clinician.

Can you help if I had treatment elsewhere?

Yes. MJ sees patients moving from other injectors and patients looking for help after a disappointing result. Tell us what happened and the team will arrange the appropriate consultation.

Filler complications are a different pathway. Read about dissolving filler and complication assessment if that is what you need help with.

'Botox' before and after

A forehead comparison from MJ’s previous work. Still photographs cannot show how much effort someone used to make an expression. MJ assesses your face at rest and in motion; individual results vary.

Forehead 'Botox' before-and-after comparison from Dr MJ’s previous work, before above and after below

Book your consultation
with Dr MJ

Talk to MJ, get a treatment plan and often have routine treatment at the same appointment.

(1) Practice data, calculator notes and sources

The Forest figures supplied for this page cover 140 repeat-treatment intervals involving 107 patients. The median gap was 154 days, the average 165 days, and the middle half fell between 133 and 197 days. Some patients contributed more than one interval. Percentages are rounded.

These are appointment intervals, not a direct measurement of how long the effect lasted or a comparison trial between brands. People’s return dates also reflect their preferences and availability. The figures describe these returning patients; individual results vary.

Calculator assumptions

The calculator uses Dr MJ’s appointment data alongside her clinical experience. It is not a comparison trial or a criticism of toxin types.

The fixed Relfydess model uses a 5½-month return interval, 7 days to a settled result and no top-up visit. Your toxin defaults to 4 months, 10 settling days and a free top-up after 14 days, counted as one extra visit. A month is 30 days. These settings are not guaranteed outcomes.

The calculator compares treatment fees only. Dr MJ’s £75 consultation is separate.

Product information: Relfydess Summary of Product Characteristics. Patient-preference study: Galderma’s RELAX study announcement.

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