Botox ® & Dysport ®

Botox ® & Dysport ® at a Glance

Best Results 1
Duration of Results 3 - 4 months
Treatment Recovery 1 -2 days
Risks & Complications Low
Anaesthetic Ice/None
Procedure Time 20 - 30 mins
Skin Specialist Doctor
Back To Work Same day
Conditions Video

Skin Renewal Tip

For those who would rather steer clear of going under the knife to shave a few years off their appearance, this new aesthetic procedure using Botox or Dysport works without visible wounding the skin and is quickly gaining popularity…The Liquid Facelift.

The Liquid Facelift is a facial contouring procedure that involves the use of strategically placed Botox and dermal fillers around the face. This "injectable facelift" can create a younger, plumper look and address concerns like lines, wrinkles, volume loss and sagging. This Liquid Facelift has been making a noticeable impact in aesthetic medicine during the past few years. It is typically more subtle than surgery and an increasing number of individuals are trying liquid facelift procedures before traditional face lift procedures.

Frequently Asked Questions

Botox® & Dysport treatments are available in Johannesburg / Sandton at FourwaysParkhurstMorningside, BedfordviewWest Rand and Illovo as well as in Pretoria / Centurion at Brooklyn & Irene and in the Western Cape / Cape Town at Cape QuarterClaremontConstantiaStellenboschWillowbridge and Paarl and KwaZulu-Natal at Durban & Umhlanga.

Most reputable practitioners and aesthetic clinics charge by the unit of Botox®, so the total cost depends on how much and how many areas you'll be having treated. The cost of Botox ® & Dysport also varies as some patients require more in each area because of gender differences, muscle mass differences etc

When phoning around to compare Botox ® & Dysport prices, it is important that the clinic quotes the amount of Botox® or Dysport units you will be receiving if they quote per area. It is best to compare the price per unit as the clinic may quote you R900 per area but only inject 15 units in that one area- a suboptimal dose especially for the glabellar area- (the "11" area on the forehead). If suboptimal doses are given, the duration of effect of the Botox® & Dysport will be much shorter than the usual 3 to 4 months. The more units are given, the longer the duration effect of the Botox® & Dysport.

We do not quote per area as the amount of units differs in each patient - male and female. Generally, men need approximately 1,5 times the amount of Botox® or Dysport that women need as men have a larger muscle mass.

The usual quotation is approximately 20 units per area but with an experienced injector, if all 3 areas are injected in one session, less Botox® or Dysport units may need to be injected eg 45 to 50 units for 3 areas as opposed to 60 units (20 units per area). Men would need 1,5 times the amount of Botox® or Dysport. Keep in mind that the less units injected, the less the duration of effect. This is why it is so important to know exactly how many units you have received for each area.

Baby Botox or Dysport "Baby Bo" as it is known in Hollywood is coined when less units are injected intentionally (usually in women) so that the duration of effect is much shorter allowing actors to have their facial expressions back sooner for a new role. This usually involves 40 units of Botox® or Dysport for 3 areas (in a woman) and this amount is only expected to last 8 to 10 weeks as less units are given.

The amount of Botox ® or Dysport units differs amongst patients as some patients require more Botox or Dysport because of:

  • larger muscle mass eg men
  • facial expression differences, some people have a dead pan face whilst others have very expressive faces
  • recruitment of other facial muscles outside the norm after Botulinum Toxin has been given
  • biochemical differences have to be taken into account; for example patients taking a lot of fat burners appear to metabolize Botulinum Toxin much faster and have a much shorter duration of action of their Botulinum Toxin cosmetic treatment
  • badly sun damaged skin changes the amount of Botulinum Toxin units needed .

All of these above mentioned criteria will be assessed by the attending doctor before he or she administers Botulinum Toxin and this is why it is so important to choose a clinic where the doctor focuses on aesthetics and administers Botulinum Toxin to at least 5 to 10 patients a day. A doctor can only claim to be experienced in the administration of Botulinum Toxin after at least 1000 patients have been injected. At Skin Renewal all NEW patients MUST make a follow up appointment to see the doctor 2 weeks after the initial injection to assess final result. Additional injections may be needed to attain a perfect result. This will be charged accordingly if more than 2 to 4 units are needed for a top up.

On the Upper Face: For a chemical brow lift , Botulinum Toxin, relaxes dynamic frown lines between the brow, on the forehead and the wrinkles around the eyes. Botulinum Toxin makes you look less worried, angry, or tired, and more relaxed, approachable, and confident.

For the Lower Face: Botulinum Toxin, when used in small dilutions in a controlled fashion by a skilled physician with extensive experience, can cause a chemical jowl lift and decrease a permanent mouth frown, a very undesirable effect.

To understand the various treatments of wrinkles, one must understand that there are different kinds of wrinkles, dynamic and static lines or wrinkles.

Dynamic lines or wrinkles are those wrinkles and lines that appear when your face is animated.

Static lines or wrinkles are those facial lines that are evident even when our face is at rest and are due to volume loss and are better treated with dermal fillers. These two types of wrinkles are what separate Botulinum Toxin from any of the injectable fillers.

Botulinum Toxin is for dynamic wrinkling. It is a muscle relaxing agent so it will soften the wrinkles and lines that occur from a dynamic facial movement, such as between the brows with frowning….or the crow' s feet from smiling… or around the mouth from excessive pursing of the lips.. With ageing, this repetitive motion the skin starts to show strain and deep folds and tiny wrinkles start to develop. Botulinum Toxin will also help prevent a mouth frown by relaxing the muscles that exert a downward pull to the mouth.

Alternative cosmetic uses of Botulinum Toxin on the décolleté: Botulinum Toxin, when used in small dilutions in a controlled fashion by a skilled physician, can cause a modest chemical bust lift by decreasing the effect of chest muscles which pull the breasts down.

For the body: Botulinum Toxin injections also can be used to block chemical signals from nerves that stimulate sweat glands. See Botulinum Toxin underarms and Botulinum Toxin palms. For acne conditions: Botulinum Toxin when transdermed into the skin with a FDA approved machine, can decrease the secretion of sebum form the pilosebaceous unit, an important factor for acne conditions.

Another off label indication for Botulinum Toxin is for chronic migraine. Botulism Toxin is injected into fixed-sites in varying locations, including the forehead, temples and potentially extending into the neck muscles. According to Allergan, the manufacturer of Botulinum Toxin, Phase III clinical trials showed a significantly greater decrease in headache days among patients receiving Botulinum Toxin, compared with those receiving a placebo. There are numerous medical conditions for which Botulinum Toxin is used.

Botulinum Toxin is a purified botulinum neurotoxin type A complex, produced from a culture of the A strain of bacteria called Clostridium Botulinum Type A. Although the Clostridium bacteria cause botulism, the Botulinum Toxin facial extract does not. Botulinum Toxin has been used safely for over 15 years in the treatment of muscle disorders of the eyes and voice box, headaches, spasticity of the stomach, spasticity associated with cerebral palsy, and other neuromuscular disorders, in addition to its cosmetic indications.

When we were younger and our skin had abundant collagen, the only lines and wrinkles we had were dynamic. Our face was otherwise wrinkle-free when we weren't animated. All dynamic wrinkles, with age, will eventually lead to static wrinkles as collagen is depleted and constant motion "cracks" the skin. Dynamic Wrinkles are caused by facial expressions and repetitive facial movements. Each time we use a facial muscle, a groove forms beneath the surface of the skin, which is why we see lines form with each facial expression. As skin ages and loses its elasticity, the skin stops springing back to its line-free state, and these grooves become permanently etched on the face as fine lines and wrinkles.

You only have one opportunity to make an impression. First impressions are significantly influenced by facial expression. Research has revealed overwhelming data indicating that more attractive individuals receive better judgments and treatment from others. More recently, a US doctor has revealed from his research the positive impact Botox can have on first impressions.

With the millions of Botulinum Toxin injections that are performed annually, evidence and experience have shown that prolonged use of Botulinum Toxin over a period of 10 years does slow down the ageing process .If we can relax these facial expressions with Botulinum Toxin, then we can prevent the breaks in the skin, commonly known as wrinkles. If the skin is continually relaxed, collagen can build up in the area that is treated and the wrinkle will improve. Repeated Botulinum Toxin injections (every 4 to 5 months) will ensure a superior long term result as collagen is not depleted by the constant motion of our muscles.

Consumers are always interested in maintaining a youthful appearance, and as the global population's median age increases, this market is increasingly expanding. When we are younger, the brow and jaw line elevators are more prominent and the face appears constantly elevated.

As we age, the dynamics change and the depressors take over and combined with gravity, a gradual sagging of our brow and jawline takes place. If we can keep the dynamics between elevators and depressors neutral with strategically placed Botulinum Toxin injections every 4 to 6 months, then the sagging that occurs with ageing will be reduced.

Multiple clinical studies have shown that a modest elevation occurs in the range of 1 to 3mms which in the face can be a make a real observable difference. Once the Botulinum Toxin "kicks" in 10 days later, the face takes on a relaxed and refreshed look and one's face appears to glow.

In other words, an anti ageing effect is achieved because Botulinum Toxin relaxes the downward pressure that the depressor muscles exert on the facial tissues. This results in the elevator muscles of the face becoming more dominant, raising the brow and jawline and preventing the downturned mouth or mouth frown.

Botulinum Toxin Facial injections have become an essential ingredient in facial wellness, erasing frown lines and relaxing worried brows. Botulinum Toxin Facial is safe and effective and has been approved for cosmetic use by the FDA. Botulinum Toxin Facial has become the most commonly performed cosmetic procedure and has been used for more than 10 years in aesthetic practice and more than 20 years in neurology and ophthalmology. There are many publications supporting its use. It has a long and impressive safety record.

Botulinum Toxin Facial should be injected at a physician's office by an experienced and trained medical doctor with an intimate knowledge and understanding of the muscular anatomy of the face as well as the aesthetic implications of proper placement. The final outcome of a Botulinum Toxin procedure is very dependent on the experience of the injector. In addition Botulinum Toxin side effects will be minimized if done by a practitioner who has done over 1 000 procedures and who injects Botulinum Toxin cosmetic daily.

  • Botulinum Toxin has been proven safe if administered by a trained medical professional
  • Botulinum Toxin has been used worldwide in millions of patients since 1988

Usually you will have a mosquito-bite looking area for 20-60 minutes which resolves without a trace. Very occasionally, little red areas at areas of injection appear but resolve within a couple of days. Try not to fall asleep or relax in a recumbent position for at least 4 hours after a Botulinum Toxin procedure as this may rarely lead to some diffusion or spreading of the Botulinum Toxin Facial to adjacent areas and causing problems

Your regular skin care regimen can be resumed immediately following a treatment, and makeup may be applied if desired.

After having had Botulinum Toxin injections, exercise should be avoided for twenty four hours.

Try to avoid aspirin containing products or high-dosage vitamin E supplements for 48 hours before the Botulinum Toxin procedure unless medically necessary. Avoidance of these for 10 days prior to the procedure is recommended to avoid bruising.

Within 4 days of the treatment you should start to see an improvement in your lines and the final result only " kicks in" 14 days later. The result can last up to 4 months but varies from patient to patient and the initial amount of Botulinum Toxin given. Baby Botox is Botulinum Toxin given in 3 areas but in half the quantities of a usual procedure. This kind of Botulinum Toxin will only last 6 to 8 weeks and is useful in actors who need facial expression.

With repeated Botulinum Toxin treatments, the result of Botox injections can last for longer periods.

Some patients have a hyperactive brow and are constantly raising their brows. In these patients a shorter effect can be expected as the Botulinum Toxin is quickly "worked" out.

Yes, all skin types can be safely treated with Botulinum Toxin Facial.

Alternative uses of Botulinum Toxin to treat medical and surgical conditions. Botulinum Toxin is used to treat the following conditions amongst others:

  • Hemifacial spasm
  • Blepharospasm (Uncontrollable blinking) can result in the eyelids remaining completely closed all the time,causing functional blindness
  • Spasmodic torticollis (Twisted neck; a forceful turning of the head to one side,a painful condition)
  • Spasmodic Dysphonia (spasm of the vocal cords) resulting in interruption of speech
  • Relief of spastic conditions of the hands in children with Cerebral Palsy and in Stroke patients so as to aid personal grooming
  • Tremor of Parkinsons Disease and Multiple sclerosis
  • Incapacitating pain due to Chronic low Whiplash
  • Incapacitating pain due to back and neck pain Myofascial pain syndrome (Fibromyalgia)
  • Chronic Tension headache
  • Overactive bladder which results in frequent urination ,inability to retain urine and thus frequent "leaks"
  • Clubfoot in babies a condition in which the heel and toes turn inward. Botox injections lengthens tendons by relaxing them, (previously treated by tendon lengthening surgery.) The club feet are then repositioned and stabilised in casts. This avoids the necessity of an operation to correct the defect.
  • Stops drooling by blocking the salivary glands in stroke patients
  • Relieves spasm of anal fissures, a painful condition Helps relieve prostatism in men, a common condition of ageing
  • Relieves the spasm of Achalasia and osophageal sphincter problems that involve difficulty swallowing
  • Clinical trials are underway for treatment of Obesity which involve injecting the stomach muscles which result in distention of the stomach wall and satiety (feeling of fullness)

33 Reviews (average: 5 out of 5)

See all reviews
*Please note results may vary by individuals.
Reviewed on 13 March 2019 by Anonymous

I have been visiting Dr Lawn for the past four years and have to say that the botox treatment he provides is second to none. In fact it is the best. I am from the UK and have had botox in England, America and other cities in South Africa but have to say that Lestonn Lawn is the only Doctor who I would use in the future. He really listens and also knows exactly which area to treat to give the best result. Of course all the wonderful people who work at Skin Renewal Fourways make the whole visit a pleasure. Brilliant coffee by the way!!!

Review -Always Amazing
Reviewed on 19 September 2018 by Anonymous

Always amazing service from Dr Toni and her staff.

Review -Excellent doctors treatment
Reviewed on 18 September 2018 by Anonymous

I've always had a caring, sensitive response and excellent treatment.

Review -Brilliant Treatment
Reviewed on 6 September 2018 by Anonymous

My massage and facial was done by Esther and it was perfect from start to finish! She was professional, polite and took her time which allowed me to fully relax.

Review -Subtle changes with dramatic effects
Reviewed on 31 August 2018 by Anonymous

An experienced aesthetic doctor who listens to your concerns regarding your skin and addresses them in a sensitive but effective way which results in subtle changes ith dramatic effects

Review -Informative
Reviewed on 30 August 2018 by Anonymous

So informative professional; overall really great. Thank you Helen!

Review -Highly Recommended.
Reviewed on 22 August 2018 by Anonymous

As usual, wonderful being treated by Anel and Dr Toni and the helpful staff at front desk. Highly recommended professionals!

Review -Instant Facelift!
Reviewed on 21 July 2018 by Claudie du Preez

Never before have I been treated with such care and compassion.Thank you to the whole team, but especially Dr Graham. No one else will ever work on my face again. I highly recommend him!

Review -Absolutely Brilliant
Reviewed on 5 July 2018 by Anonymous

Weeks before my appointment, I had very strong and informative communication with the clinic regarding Hyperhidrosis treatment. I went in today - the procedure was carried out very smoothly and almost painlessly. Unfortunately, during the procedure, my blood pressure dropped suddenly and I became incredibly dizzy (this was due to personal reasons.) the doctor promptly suspended the treatment while explaining to me what was happeneing and provided me with sugared water, tea and a quick blood pressure test. I felt in very safe hands and will definitely be back every time I come to South Africa.

Thank you so much, I hope the results are as good as my experience with you.

Review -Spa Day at Cape Quarter
Reviewed on 29 June 2018 by Uoanne Ross

What a wonderful experience. Elize is a breath of fresh air. The perfect balance between professional and friendly. This was the best massage I have ever experienced and cannot wait to retun for another one.

Review -Amazing Experience - Spa Day!
Reviewed on 29 June 2018 by Nicci Creed

Megan was incredible, such great experience they made Jo and I feel amazing and really went the extra mile to make sure we had a great time! Love this place

Review -Fantastic results
Reviewed on 28 June 2018 by Anonymous

The treatment is quite short from a time perspective but the results are amazing. There is a "lifting" of some of the pigmentation that enhances the complexion. It's also always a pleasure to be in the safe hands of an experienced therapist who manage the treatment effectively.

Review -Facials and Pedicures
Reviewed on 28 June 2018 by Anne-Marie Louw

Excellent service. Feeling great. Thanks Sharon

Review -Morningside Professionalism
Reviewed on 22 June 2018 by Anonymous

Very professional and amazing service as always

Review -Relaxation
Reviewed on 9 June 2018 by Anonymous

I came in so exhausted from my hectic lifestyle. The treatment was so relaxing and good for my state of mind. I feel so refreshed. It is like I have a completely new body. I enjoyed the scrub, wrap and massage. Overall, the experience was amazing. I will make time to at least come in once a month. Esther is brilliant. I love how she connects with my body and give me the best treatments. Thank you.

Review -Friendly help at Skin Renewal Bedfordview
Reviewed on 29 March 2018 by Sonmari

Thank you for the friendly help. Lovely staff and great treatment.

Review -Always make a plan
Reviewed on 29 March 2018 by Sonet

Always willing to make a plan for us. Very friendly staff and amazing treatments.

Review -Parkhurst Experience
Reviewed on 27 February 2018 by Erika Steyn

I am from Witbank and prefer to have my treatments done at Parkhurst Renewal Institute. The staff treat you with so much respect, they are friendly and always willing to help. Dr Marilyn knows exactly what I need and always takes her time to give me the best treatments, so I can look my best. Thank you for your great service.

Review -Parkhurst service in total
Reviewed on 26 February 2018 by S.T. Du Toit

I have been a client of Skin Renewal for over 10 years. The quality of staff is dynamic and professional, as well as supportive and personal. The information I receive from the doctors and staff is exceptional on an ongoing basis ie. latest treatments. I feel like it is my safe place, always feeling better after every treatment.

Review -Excellent results
Reviewed on 28 February 2017 by Birgit Van der Mark

I was visiting the institute in Cape Quarter. First of all thank you for the warm welcome. All of you are more than professional and friendly. But best of all are the results!! I can't say how happy I am as the results are beyond my expectations. Really, in case you still have doubts about botox treatment, you shouldn't wait any longer to get the treatment. It's fantastic. And Dr. Toni as an expert knows exactly the right dose to use. Thank you so much. Thanks to all of you. I will be coming back. Kind regards, Birgit

Review -It's Skin Renewal!
Reviewed on 17 February 2016 by C.S from Fourways

I was at the Country Club and a lady walked up to my husband and said: "Your wife is beautiful, she looks like a movie star." I told my husband:"It's Skin Renewal!"

Review -Great advice and treatments
Reviewed on 25 February 2015 by Debbie Edery

I have been seeing the Skin Renewal doc for a while now for various different things and just love how she takes so much time, explains everything and makes one feel so special at the appointment - (never feel rushed). I trust her advice and treatments 100%.

Review -Aiming for the best results!
Reviewed on 9 February 2015 by M.N

I always have a wonderful session with Dr Gwen and excellent results!

Review -Botox® with Dr Shahra
Reviewed on 15 January 2015 by Mrs Y.B. Cape Quarter

I visited the Cape Quarter team for my Botox Follow-up: Everything is perfect - in fact it was the best effect I have had with Boto yet! Thanks to Dr Shahra!

Review -The best service assistance and treatment
Reviewed on 19 September 2014 by JJ from Skin Renewal Fourways

Lovely people, extremely friendly and helpful always satisfied with each and every treatment that was done. Love the products. Thank you!

Review -Results are amazing!
Reviewed on 17 September 2014 by Joanne Hall

My therapist Landa is very professional and any treatments done I always feel great here. The reason I keep coming back.

Review -Parkhurst is Knowledgeable & Confident
Reviewed on 15 September 2014 by Mary Kolmel

Everyone is well knowledgeable on products. Have confidence in going through the Botox procedures.

Review -Botox and Filler
Reviewed on 11 September 2014 by Bets Olivier

Excellent advise and service. Very happy with staff they're always helpful and very friendly.

Review -Fantastic results!
Reviewed on 8 September 2014 by Andrea Kearney

Excellent, professional, friendly and reassuring service with my first experience with Botox and Fillers. Results are fantastic and education regarding the after care - thorough.

Review -A wonderful experience!
Reviewed on 2 September 2014 by Glenda Theunis

A wonderful experience in totally beautifully decorated surroundings. Dr Xen and the team were professional and I received excellent service, I am most grateful and appreciative! Thank you! A great experience and very friendly staff members.

Review -Botox and dermal fillers
Reviewed on 24 July 2014 by Youla Cohen

I never had anything but great results and practitioners who listen intently to concerns and treat accordingly. Never overdone!

Review -Greatest professionalism and friendliness
Reviewed on 3 June 2014 by Willene Van der Merwe

When I moved from Stellenbosch to Pretoria 3 years ago, I was delighted to find a Skin Renewal branch within walking distance of my new home. I went there to make an appointment, and immediately felt at home. Sue-Anne was the therapist who took care of me, and I was treated with the greatest professionalism and friendliness. The premises are light and airy, and all the staff so friendly, that it is a pleasure to go there even if the treatment is not a pleasant one (like waxing!)

When Sue-Anne became the manager, she gave me over into the care of Andrea, making sure she knew what my needs and preferences were. Both therapists are extremely helpful in suggesting products to use, and advising on further treatments like Botox, for which I have to thank Dr Xen as well.

Review -Most helpful and informative Doctor
Reviewed on 2 February 2014 by L M

I was very pleased with everything. From the moment you step in the door to the most helpful and informative doctor. The Willowbridge staff were all friendly and the Dr Graham is super sensitive to your every need, especially if you are nervous and it is your first time. Going for my follow ups soon and definitely looking into other packages that they are offering!