Each person responds slightly differently to the injections so the oculoplastic surgeon starts with the smallest possible doses and sees what the effect is usually two weeks later and does a top-up if necessary.
The patient is advised to take two paracetamol tablets one hour before planned injection
Informed consent is given by the patient after the risks have been fully explained
The surgeon has ice ready to put on the skin after the injection
Local anaethetic cream is only rarely used, for instance around the mouth, where even a small amount of local anaesththetic injection may be needed.
The doses planned are calculated and the injection sites carefully planned according to each persons individual requirement.
A map is drawn on the patients' chart carefully documenting the date, the sites of injection and the doses used.
The toxin is a clear colourless fluid and is drawn up into a 1 ml syringe with a very fine needle attached (usually a "diabetic" syringe and needle).
A map is drawn on the patients' chart carefully documenting the date, the sites of injection and the doses used.
The patient sits upright for the treatment
Injections are made with the patients' facial muscles relaxed and avoiding obvious blood vessels, then firm pressure applied for 30 - 60 seconds and ice afterwards.
