Myths, Facts, and What to Expect in 2025
Anti-wrinkle injections remain one of the most requested non-surgical treatments, yet persistent myths can make decision-making difficult for patients. A doctor-led, evidence-based approach helps separate fact from fiction and set realistic expectations. This article clarifies what these injections are, how they work, the common misconceptions, safety considerations, and what a typical treatment journey involves—so you can make an informed choice with your clinician.
What Are Anti-Wrinkle Injections?
Anti-wrinkle injections are prescription-only medicines used to soften the appearance of dynamic lines—wrinkles formed by repeated muscle movement. In skilled hands, doses are tailored to your facial anatomy to achieve a refreshed, natural look rather than an ‘overtreated’ appearance. They are distinct from dermal fillers, which restore or add volume; the two approaches are often complementary rather than interchangeable. For clarity on volumising options, see the Dermal Fillers treatment page.
Definition & Typical Targets
Anti-wrinkle injections can be tailored to specific areas of the face where repeated muscle movement contributes to visible lines. The most common treatment zones include:
- Frown lines (glabella): Treatment can reduce vertical lines between the brows.
- Forehead lines: Carefully titrated dosing helps soften horizontal lines.
- Crow’s feet: Precise injections can soften smile-related creasing.
- Other uses: May address bunny lines, chin dimpling, DAO, or platysmal bands.
Types of Neurotoxins (Brands & Formulations)
Several licensed brands exist (e.g., Botox®, Dysport®, Xeomin®), each with specific formulation characteristics. Your doctor selects a product based on clinical preference and treatment plan. Anti-wrinkle injections are prescription-only in the UK and require a face-to-face consultation.
How Do They Work?
To understand what anti-wrinkle injections achieve, it helps to look at how they interact with the underlying facial muscles. These treatments do not change the skin directly but instead work by temporarily reducing specific muscle activity, leading to a softer appearance of dynamic lines.
Mechanism: Neuromuscular Modulation & Selective Relaxation
Small, localised doses act at the neuromuscular junction where nerves meet muscle. Over the following days, muscle activity reduces in a graded, controlled way that can be precisely titrated to the patient’s goals.
Dosing, Reconstitution & Diffusion (Technique Matters)
Clinical judgement guides dilution, dose and injection plane. Over- or under-treatment typically reflects technique rather than an inherent property of the medicine. This is why doctor-led care and review appointments support consistent, natural results.
Common Myths & Misconceptions
Despite their long-standing use in both medicine and aesthetics, anti-wrinkle injections are often surrounded by misconceptions. Addressing these myths with clear, evidence-based explanations helps patients make informed and confident decisions.
“They Freeze Your Face” – When delivered by a qualified doctor, injections preserve natural movement. Over-treatment is linked to poor technique.
“They Are Permanent or Irreversible” – Effects last 3–6 months and gradually wear off.
“They Are Dangerous or Toxic” – In licensed doses and medical settings, they are safe and widely used in medicine.
“They Are Only for Older Patients” – Younger adults may benefit preventatively.
“They Are Addictive or Build Up” – No addictive property; the body metabolises the medicine naturally.
Safety, Risks & Side Effects
Like any medical procedure, anti-wrinkle injections carry some potential risks. Understanding the common side effects, as well as the rarer complications, helps set realistic expectations and highlights the importance of choosing a doctor-led clinic.
Common Side Effects
Mild redness, swelling, or bruising; temporary headache or asymmetry.
Rare but Serious Complications
Eyelid or brow ptosis, unintended diffusion, or allergic reaction.
Risk Mitigation
Doctor-led care, precise dosing, sterile technique, and review appointments minimise risks.
What to Expect: Process, Timeline & Recovery
Knowing what the treatment journey involves—from consultation through to recovery—can help patients feel more comfortable and prepared. Anti-wrinkle injections follow a straightforward process with minimal downtime and results that appear gradually.
Consultation & Assessment
Includes medical history, facial assessment, discussion of goals, and consent.
The Injection Session
Usually 15–30 minutes; minimal discomfort; no anaesthetic required.
Post-Treatment & Recovery
Most patients can resume daily activities straight after treatment. It is advisable to avoid strenuous exercise and heat for several hours. Results usually appear within 3–5 days and reach their peak at around 2 weeks.
Duration: How Long Do They Last?
Typical Range
Results usually last 3–6 months, with gradual return of movement.
Factors Influencing Duration
Muscle strength, metabolism, lifestyle, dose, and product choice.
Who Should Administer Them? Qualifications & Regulation (UK)
Because anti-wrinkle injections are prescription-only medicines, they should only ever be performed by qualified medical professionals. Understanding UK regulations and practitioner credentials is essential for ensuring both safety and results.
Legal & Prescribing Requirements
Anti-wrinkle injections are prescription-only medicines in the UK and must be prescribed by an appropriate prescriber, such as a doctor, dentist, nurse prescriber or pharmacist prescriber.
UK Law: Botulinum Toxin & Cosmetic Fillers Act 2021
Illegal to treat under-18s; ensures medical oversight.
Counterfeit Products & MHRA Enforcement
MHRA cracks down on counterfeit injectables. Patients should seek regulated clinics.
Trends in 2025: Lower Doses, Micro-Botox, Combinations
Lower Doses and Baby Botox
Patients increasingly request smaller doses for a refreshed, natural look.
Micro-Botox for Skin Quality
Ultra-small doses can improve texture and pores.
Combinations with Other Treatments
Combined with dermal fillers or Profhilo for holistic results: https://trikwan.com/treatments/profhilo/.
Red Flags & How to Choose a Clinic
When considering anti-wrinkle injections, it is important to be aware of red flags that may indicate an unsafe provider. Unusually low prices can sometimes signal counterfeit products or unqualified practitioners.
Warning Signs
Treatments offered in non-medical environments—such as beauty salons, home settings, or so-called “Botox parties”—should also be avoided. Always ensure that your practitioner has verifiable medical credentials.
Questions to Ask Your Practitioner
A reputable clinician will welcome questions about their practice. Consider asking:
- Which product will be used, and is it a licensed formulation in the UK?
- Are you a qualified prescriber?
What is your experience with facial anatomy and complication management?
- Will a follow-up appointment be available if adjustments are needed?
Conclusion & Next Steps
Anti-wrinkle injections remain a cornerstone of modern aesthetics. Myths can distort expectations, but in 2025 these treatments are safe, temporary, and highly customisable when delivered by doctors. Advances in technique prioritise natural elegance. If you are considering anti-wrinkle injections, book a consultation with our doctors for a personalised, safe treatment plan in harmony with your natural look.
