To our clients, please be advised that due to building works in our Hans Place clinic we will be temporarily moving all consultations to our Marylebone flagship clinic, located at 98 Harley Street. In addition, Dr Mike Comins is also available for consultations at our Birmingham clinic. We look forward to welcoming you there!

Botox injections in London- Natural Results by a Specialist Doctor

Woman having botox in london by doctor

''If you are seeking Botox in London with natural results by a specialist doctor, we would be delighted to welcome you for a consultation''.

What are Botox® injections?

Botox injections are a prescription-only medication widely used across multiple medical specialties.

In medical aesthetics, Botox rejuvenates the face by softening lines and improving overall facial balance.

The term Botox is commonly used, but it is a brand name for botulinum toxin type A.

Although the word “toxin” may sound concerning, this medication has been used safely in medicine for decades.

Doctors routinely prescribe botulinum toxin for chronic migraines, muscle spasticity, eye movement disorders, excessive sweating, and bladder conditions.

When used in small, controlled doses, botulinum toxin has an excellent and well-established safety profile.

Several licensed brands of botulinum toxin type A are available from different manufacturers.

These include Dysport, Azzalure, Xeomin, Bocouture, and Jeuveau, all of which work in a similar way.

Practitioners may prefer different brands based on handling characteristics and clinical experience.


How do Botox injections work?

Botox works by relaxing specific facial muscles through targeted, precise injections into selected muscle groups.

This temporarily weakens the treated portion of the muscle and reduces movement beneath the skin.

By reducing muscle activity, Botox softens lines and wrinkles caused by repeated facial expression.

When placed carefully, Botox can subtly and naturally influence facial proportions by altering muscle balance.

Surrounding muscles compensate, allowing gentle eyebrow elevation and a more open eye appearance.

Botox can subtly adjust mouth shape, create the appearance of fuller lips, and soften early jowl formation.

In expert hands, Botox can rebalance and rejuvenate the face while maintaining natural movement and expression.


What areas of the face can Botox treat?

Botox treats more than facial lines and wrinkles and can subtly enhance facial proportions and overall balance.

When placed carefully, Botox can open the eyes and gently influence nose and nostril shape.

It can elongate the chin, soften early jowl formation, and refine the lower face. It can help with a sagging neck.

Botox can subtly widen the mouth, turn up the corners of the mouth and create the appearance of naturally fuller lips.

It can lift, shape, and reposition the eyebrows to enhance facial expression.

Treatment can feminise or masculinise the brow, depending on individual facial structure and aesthetic goals.

Every treatment plan focuses on the individual face and achieving a natural, balanced result.

Botox by Doctors 

Botox should be performed by a medically trained practitioner with a detailed understanding of facial anatomy, medicine, and aesthetics.

I was among the first doctors in the UK to use Botox for aesthetic purposes, training in London in 2000.

Alongside five colleagues, I helped establish the British College of Aesthetic Medicine over 26 years ago.

During this time, we helped define medical aesthetics as a distinct discipline, separate from cosmetic surgery.

What began as a small medical subspecialty has since evolved into a global medical industry.

For many years, only doctors were permitted to administer Botox treatments.

More recently, nurse prescribers have also been authorised, and many deliver excellent, safe results.

However, Botox remains a prescription-only medicine that requires appropriate training and anatomical knowledge.

Incorrect dosing or poor injection technique can lead to avoidable complications.

These may include facial asymmetry, eyelid drooping, dry eyes, and significant bruising.

In rare cases, practitioners may need to prescribe additional treatments, such as medicated eye drops.

A detailed understanding of muscles, nerves, and blood vessels is essential to minimise risks and manage complications effectively.


Is Botox safe?

Yes, Botox is safe and has an excellent long-term safety record.

Doctors have used it in medicine for several decades, not only in medical aesthetics.

Serious complications are uncommon when a trained, experienced medical professional performs the treatment.

Using genuine, licensed products further reduces the risk of complications.

 

Will my Botox results look natural?

There have been significant advances in medical aesthetics over the 25 years of my Botox practice in London.

Techniques have improved, along with how Botox is applied to achieve more refined facial results.

Over the past decade, the focus has shifted towards natural-looking Botox tailored to the individual face.

Achieving natural Botox results requires experience, precision, and detailed anatomical knowledge.

Botox is not a one-size-fits-all treatment and must be customised for each individual.

Effective treatment depends on understanding facial muscles, balance, and subtle proportional differences.

When performed with this level of care, Botox enhances the face while maintaining natural expression and harmony.



Why choose Dr Mike Comins?

If you are looking to have Botox in London by a doctor, it  should be performed by someone with specialist training and a detailed understanding of facial anatomy.

I have over 25 years’ experience providing Botox in London, focusing on natural results by a doctor.

Alongside colleagues, I helped establish medical aesthetics as a distinct medical discipline in the UK.

For many years, only doctors administered Botox, reflecting its status as a prescription-only medicine.

Today, experienced nurse prescribers also deliver excellent results, but training and anatomy remain critical.

Incorrect dosing or poor technique can lead to avoidable complications and unnatural outcomes.

Natural results by a doctor require precise placement, correct dosing, and a deep understanding of muscles, nerves, and blood vessels.

Featured in the Daily Telegraph – ’10 of the best practitioners’

Will I still be able to make facial expressions?

Yes. When performed correctly, Botox® does not make the face look frozen or unnatural.

You will still be able to express emotion, but without deep creases caused by excessive muscle movement.

The aim is a refreshed, relaxed, and natural appearance.

Botox should enhance your features without creating a dramatic or artificial change.

Botox FAQs

How long does Botox last?

Botox injections typically last between three and six months.

The duration depends on the area treated, the dose used, and individual muscle activity.

Areas with more movement, such as around the lips, may wear off sooner.

When will I see results after Botox?

You will usually start to see the effects of Botox within three to four days.

The results continue to develop gradually over the following days.

Maximum effect is typically seen at around two weeks.

At this stage, a review or small top-up may be offered if needed.

Is Botox safe when performed by a doctor?

Yes. When a trained doctor performs Botox, the treatment is very safe.

A doctor will perform all Botox treatments, l Dr. Mike Commins at his London clinics.

Botox has an excellent long-term safety record when used correctly.

Dr. Comins also brings over 25 years’ experience, further supporting safe, natural outcomes.

How much does Botox cost in London?

Botox in London starts from £215 for the first treatment area.

Most patients choose treatment for two to three areas to achieve balanced results.

A full-face approach often involves treating multiple areas, depending on individual needs.

Can men have Botox?

Yes, men can have Botox, and I treat many men at my London clinics.

The approach differs from female treatment, particularly around the eyebrows and forehead.

Treatment aims to avoid feminising the face while maintaining strong, natural features.

The goal is a refreshed, rejuvenated appearance without looking overtreated or obvious.

How often can I have Botox?

Botox is typically repeated two to four times per year.

Most patients return for treatment when the effects begin to wear off.

This usually occurs between three and six months after treatment.

What should I avoid after Botox?

There is no real downtime after Botox treatment.

We advise avoiding strong massage or pressure to the treated areas for several hours.

Most normal daily activities can usually be resumed immediately.

Can Botox be reversed?

Botox cannot be reversed once it has been injected.

If you are unhappy with the effect, the results will gradually wear off naturally.

Minor asymmetry or aesthetic concerns can often be improved with a small top-up at two weeks.

What is the difference between Botox and anti-wrinkle injections?

Botox is a specific brand of botulinum toxin used for anti-wrinkle injections.

The term anti-wrinkle injections is often used as a general description.

In most cases, people use anti-wrinkle injections to refer specifically to Botox treatment.

Who should not have Botox?

Most people can safely have Botox, but there are a few important exceptions.

You should not have Botox if you have a known allergy to botulinum toxin or any of its ingredients.

People with certain neurological conditions, such as myasthenia gravis, should not undergo treatment.

If you are pregnant or breastfeeding, you should not have Botox

A medical consultation is essential to confirm whether Botox is suitable for you.

Why choose a doctor for Botox in London?

Choosing Botox by a doctor in London for natural results, offers reassurance, safety, and expert care.

A doctor understands both general medicine and advanced facial aesthetics.

This expertise supports natural results by a doctor, tailored to your individual face.

Treatment by a doctor also provides peace of mind and appropriate medical oversight.

Are the injections painful?

Discomfort is usually minimal and short-lived during Botox treatment.

Practitioners use very fine needles, and most patients tolerate the injections well.

If needed, the area can be numbed with a cold pack or topical anaesthetic cream.

The procedure typically takes around 10 minutes to complete.

There is no downtime, and most patients return to normal activities immediately.

Possible side effects include mild redness, swelling, tenderness, or bruising at injection sites.

These effects usually settle quickly without intervention.

See also Dermal fillers in London

Hans Place Practice owned by TPC Group Limited (company registration number 14493595) ©2025 The Private Clinic Group.

Hans Place Practice owned by TPC Group Limited

(company registration number 14493595)

© 2025 The Private Clinic Group.

To our clients, please be advised that due to building works in our Hans Place clinic we will be temporarily moving all consultations to our Marylebone flagship clinic, located at 98 Harley Street. In addition, Dr Mike Comins is also available for consultations at our Birmingham clinic. We look forward to welcoming you there!