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Botulinum toxin is a protein produced by bacteria which weakens muscles by blocking nerve signalling. When applied to facial muscles this treatment has the effect of smoothing and softening wrinkles and lines. The most common areas for treatment are the crows feet, bunny lines and frown line areas.

Not all facial lines and wrinkles can be treated with botulinum toxin and sometimes other types of treatment are offered either in combination with or as an alternative to botox. Fillers can be particularly effective at smoothing deeper lines and folds when used in conjunction with botox.

Botulinum toxin (Botox) is a very versatile treatment which can be used in more advanced applications to lift part of the face and this can be particularly effective as an option for brow lift. Botox can be used to soften or emphasise facial expressions and features around the eyes, nose, mouth and neck.

Mr. Ezra is the botulinum toxin clinical lead at Moorfields and uses a comprehensive range of botox preparations, each of which is subtly different. From his NHS practice in Harley Street, London, he uses botulinum toxin for the treatment of patients with abnormal twitching around the eyes such as blepharospasm and hemifacial spasm. Botulinum toxin can also be very effective at treating facial asymmetry after facial nerve palsy.

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