Mild redness, swelling, tenderness, bruising or small raised areas at the injection sites may occur.

Some patients notice temporary tightness or an unusual sensation as the treatment begins to take effect. Mild headache can also occur.

These effects are generally temporary and improve over several hours to days.

If symptoms are severe, worsening or concerning, contact The Manor Clinic rather than waiting for them to settle.

Treatment does not take effect instantly and may not develop at exactly the same rate on each side.

Temporary differences in movement or appearance can occur while treatment is developing.

Natural facial asymmetry may also become more noticeable as different muscle groups respond.

The initial aesthetic outcome is generally best assessed at approximately two weeks.

If asymmetry or an unexpected result remains once the treatment has developed, contact The Manor Clinic so we can determine whether a clinical review is appropriate.

If a change is sudden, severe or associated with other concerning symptoms, contact the Clinic promptly rather than waiting for a routine review.

Routine aesthetic reviews are generally most useful approximately 2–3 weeks after treatment, once the treatment effect has had appropriate time to develop.

Reviews are generally not performed in the first 10 days solely to assess the aesthetic result because treatment may still be developing. Making adjustment decisions too early can result in unnecessary or excessive additional treatment.

If you have a medical concern, unexpected symptom or significant change, do not wait for the routine review period. Contact The Manor Clinic promptly.

Where a clinical review has been recommended because of a concern or unexpected outcome, attending the review is important so your practitioner can appropriately assess and manage the issue.

Photographs, messages or telephone communication may not always provide enough information for an appropriate clinical assessment.

Seek urgent medical attention if you develop:

Difficulty swallowing
Difficulty speaking or a significant change in speech
Difficulty breathing or shortness of breath
Significant or worsening muscle weakness
Symptoms of a serious allergic reaction, including swelling of the face, lips or tongue, wheezing, breathing difficulty or collapse

Call 000 or attend an Emergency Department for severe breathing difficulty, collapse or rapidly worsening symptoms.

Contact The Manor Clinic promptly regarding any other unusual or concerning symptoms.

Where possible, we recommend scheduling treatment at least four weeks before an important event.

This allows time for:

The treatment effect to develop
Temporary bruising or swelling to settle
The result to be appropriately assessed
A clinical review to occur if required

Individual treatment response and recovery vary, so undergoing treatment immediately before an important event is not recommended.

Most patients can return to normal day-to-day activities following treatment, subject to the activity restrictions outlined above.

Temporary redness, swelling, small raised injection points, tenderness or bruising may be visible.

Redness and small raised areas generally settle relatively quickly, while bruising can remain visible for several days and occasionally longer.

Treatment duration varies considerably between individuals and treatment areas.

For many smaller facial muscles, effects commonly last around 3–4 months.

Some people notice movement returning sooner, while others maintain an effect for longer.

Larger muscle groups may have a different onset and duration.

Treatment longevity can also vary from one treatment session to another.

A particular duration cannot be guaranteed.

The masseter is a larger and stronger muscle than many of the smaller facial muscles commonly treated.

Changes in muscle activity may develop progressively, and changes in facial contour associated with reduced muscle bulk can take longer to become apparent.

Temporary chewing weakness or fatigue may occur. Less commonly, treatment can affect nearby muscles and temporarily alter smile movement or facial expression.

Effects in the masseter may last approximately 4–6 months, although individual response varies.

Your practitioner will advise you regarding appropriate review and maintenance intervals based on your anatomy, muscle strength and response to treatment.

The trapezius is a large muscle involved in movement and stability of the neck and shoulders.

Changes may develop progressively over several weeks.

Temporary neck or shoulder weakness, discomfort, altered shoulder movement or changes in posture can occur.

Individual dose, response and treatment duration vary according to anatomy, muscle strength and treatment goals.

Contact The Manor Clinic if you experience unexpected or significant changes in neck or shoulder function.

Remain upright for approximately 4 hours following treatment.

After this period, you may lie down and sleep normally unless your practitioner has provided different instructions.

There is no requirement to sleep upright overnight following routine treatment.

Avoid deliberately rubbing, pressing or massaging the treated areas during the initial post-treatment period.

Where possible, avoid applying makeup directly over the injection sites for approximately 6–8 hours.

When applying or removing makeup after this period, avoid excessive rubbing or pressure over recently treated areas.

Avoid strenuous exercise for approximately 24 hours following treatment.

Gentle day-to-day activity is generally acceptable unless your practitioner has advised otherwise.

Unless otherwise advised by your practitioner, avoid facials, facial massage, facial waxing, IPL, laser treatment, chemical peels and other intensive treatments over the treated areas for approximately two weeks.

If you have another treatment booked, advise the practitioner that you have recently undergone a muscle-relaxant treatment.