Botulinum Toxin

Botulinum Toxin, or Botox ®, is a semi-permanent solution to the relaxation of the muscles that create wrinkles. These muscle-relaxing injections (Botulinum Toxin) are used mainly in the upper face for frown lines and crow’s feet but can also be used to lift the neck, slim the jaw line and to reduce axillary perspiration (hyperhidrosis).

Please be assured that as someone who has known the benefits of Botox ® for over 10 years, I recognise the importance of creating a ‘natural look’.

Botox ®@ The Retreat

Most of my patients tell me they “don’t want to look younger or different I just want to look better”. This can be done safely and naturally here at The Retreat in Boston Spa.

The ageing process is very complex being generally identified with 2 types of wrinkle:

Dynamic wrinkles , caused by repeated movement( frowning) and Static wrinkles, caused by environmental factors and ageing which results in loss of tissue volume and hydration, lack of plumpness and tone  (the jowls and nose to mouth folds).

Added to this, the ageing process causes the slowdown of collagen and elastin production in the skin, so that as we get older these lines become permanent and are present even when the skin is at rest.

Botox ® has been used as a medicine since 1978. It is a tried, tested and licensed medicine worldwide. In the last 20 years its use has been expanded into the cosmetic arena being used typically for the temporary relaxation of muscles (dynamic wrinkles) particularly in the upper one third of the face and around the eyes: e.g. frown and crow’s feet.

How does it work?  Simply by reducing the movement of muscles in the areas of injection the skin is no longer under the same tension and creasing is reduced. As the muscle and skin is resting any collagen that is being produced gradually accumulates softening and filling up the spaces and in some cases even eradicates the lines.

In the areas treated, the muscles are temporarily inactivated (always reversible), during which time the patient can break the subconscious habit of over-using these muscles. And the surrounding muscles are able to work unimpeded often creating a natural lift

Depending on each individual and the dose used, the response to treatment can vary from slight relaxation of the muscle to minimal movement.  At Cosmedical/The Retreat our philosophy is to enhance your appearance and not to change the face (‘less is more’).  This ensures the result is natural and yet noticeable to you.

During the procedure I will inject (it will only EVER be me: I don’t sub-contract) what is described as a ‘therapeutic dose’ or average dose and will then offer to review this and add more if necessary during the four weeks post treatment. This is much better than ‘overdoing it ‘. The toxin will take around two weeks to take effect on most people.

Depending on the area treated, dose used, and how you respond to Botox ®, repeat treatments will be required around every 4-6 months.

Side effects of this treatment are very rare but may include headache, bruising and swelling of the injection site. These are all temporary.

It is important that if you intend to have Botox ® you attend a specialised clinic which carries out these treatments every day. Lynn Warren is an experienced practitioner familiar with administering Botox ® for over 15 years.

She has been having the treatment herself for 10 years and truly understands the importance of a safe and a natural look.

Be reassured that your friends and family will say you look great and “well” but will never know your secret.


Sclerotherapy is a medically- proven injection technique which has been used for over 30 years. Using micro-needles a small amount of a salt solution is injected into the vein to dissolve it over a period of time. A course of treatments is usually required.

Information on Sclerotherapy

Sclerotherapy is a safe and well  established treatment for thread veins on the legs. Although there are a number of alternative treatments, it remains the most reliably successful of them all.

A solution is injected with a very tiny needle, very superficially into the veins, causing the lining of the vein to swell and become sticky. Compression is then applied to help close the veins. Over a period of time the vein will heal closed and fade away

Side effects

Although completely safe, it is not entirely without risk. The two most common side effects are something called haemosiderin deposition and telangiectatic matting. Statistically they occur in about 15% of people treated.

Haemosiderin deposition occurs when the vein is not entirely closed, blood is trapped and clots. In some people iron pigments leak from the clot and stain the skin over the vessel brown. These brown marks are usually not permanent but may take 6-18 months to fade. They darken when exposed to the sun and will take longer to fade if tanned.

Matting occurs if the fragile vessel is injured during the injection, leaving a mat of tiny veins that look like a blush or a red bruise. Matting usually disappears completely after 6-12 months, but if it persists, it can be treated with sclerotherapy if the needle can access the fine vessels and flush the solution gently through.

Other risks are extremely rare but these include:

Allergic reaction – any drug carries risk of allergic reaction. It is quite common for patients to experience some itching and some redness at the treatment site. This is no cause for concern and will pass within a few hours. Serious allergic reactions are extremely rare but can occur.

Cosmedical Ltd. (Lynn Warren) have a legal obligation to regularly update on basic life skills and equipment is carried to deal with such events should they occur.

If the solution irritates the tissue surrounding the vein, in rare instances blistering can occur. If left alone these can potentially lead to further blistering and leave a small scar.

There is a risk (rare) that a damaged vein may be tender and painful as it heals, this is more likely to occur behind the knee and will settle down within a couple of weeks.