Upper Face Anti-Wrinkle Treatment in London

Forehead botox London is one of the most frequently requested aesthetic treatments in the UK, and at PRP London Clinic we treat all three upper face zones — forehead lines, frown lines (the vertical '11s' between the brows), and crow's feet — under one consultation-led appointment at 33 Cavendish Square, London W1G. Every treatment is performed exclusively by a GMC-registered doctor, never a nurse or non-medical practitioner.

If you are researching forehead lines treatment London, frown lines treatment London, or crow's feet treatment London, this page explains the anatomy behind each concern, how prescription-only botulinum toxin works to relax the targeted muscles, what clinical evidence supports the treatment, and what you can realistically expect from a single session. Our approach is always consultation-first: your doctor assesses your facial anatomy, muscle activity, and goals before recommending whether treatment is appropriate and which areas to address.

This treatment sits within our comprehensive anti-wrinkle treatment programme. For brow lift and bunny lines, visit our brow lift & bunny lines page.

Every upper face treatment London consultation and procedure at PRP London Clinic is performed by a GMC-registered doctor. Our medical team includes Dr Bruno Amendola (GMC: 4346629), who holds an international postgraduate qualification in aesthetic medicine and Save Face accreditation with particular expertise in forehead botox London and upper face rejuvenation; Dr Mohamed Nafei (GMC: 7520509), whose PgDip in Aesthetic Medicine and PgDip in Endocrinology inform a holistic, anatomy-led approach to frown lines treatment and crow's feet treatment protocols; Dr Reem Nouri (GMC: 6149512), whose MBBS, DRCOG, and advanced aesthetic medicine training enable precise forehead lines treatment London delivery with natural-looking results; and Dr Mohammad Akbar (GMC: 5206673), our Founder and Medical Director, a Fellow of the Royal College of Surgeons of Edinburgh whose surgical background ensures the highest clinical standards across every upper face procedure we perform.

Forehead Lines — The Frontalis Muscle

Forehead lines treatment London targets the frontalis muscle, the broad sheet of muscle spanning the forehead that is responsible for raising the eyebrows. Each time you express surprise, emphasis, or lift your brows, the frontalis contracts and creates horizontal creases across the forehead. Over years of repetitive movement — combined with age-related collagen and elastin loss — these dynamic lines become etched into the skin at rest. Targeted injection of small doses of botulinum toxin into the frontalis reduces the intensity of contraction, softening existing lines and slowing the formation of deeper static creases. Your doctor carefully calibrates the dosage to maintain natural brow movement and avoid a 'frozen' appearance.

Frown Lines (Glabellar Lines / '11s') — The Corrugator Supercilii and Procerus

Frown lines treatment London addresses the vertical creases between the eyebrows, commonly called '11 lines' or glabellar lines. Two muscle groups are responsible: the corrugator supercilii (paired muscles that draw the brows together and downward, creating the vertical furrows) and the procerus (a central muscle that pulls the skin between the brows downward, contributing to horizontal lines at the top of the nose). The Cochrane review by Camargo et al. (2021), which analysed 65 randomised controlled trials involving 14,919 participants, found that most studies focused on the glabellar region — confirming that this is the most extensively researched application of cosmetic botulinum toxin, with efficacy demonstrated within four weeks of treatment.

Crow's Feet — The Orbicularis Oculi

Crow's feet treatment London targets the lateral portions of the orbicularis oculi, the circular muscle that surrounds the eye. When you smile, squint, or laugh, the outer fibres of this muscle create the radiating lines at the outer corner of each eye known as crow's feet (periorbital lines). These lines are among the earliest signs of facial ageing because the periorbital skin is the thinnest on the face, with minimal subcutaneous fat for cushioning. Precise injection into three to five points along the lateral orbicularis oculi relaxes these fibres, softening the fan of lines while preserving your natural smile.

Why All Three Areas Are Often Treated Together

The forehead, glabellar complex, and periorbital muscles work as an interconnected system. Treating one area in isolation can sometimes create an imbalance — for example, treating forehead lines alone without addressing the frown line muscles can lead to brow heaviness, as the depressor muscles pull the brow downward unopposed. A comprehensive upper face treatment assessment considers the interplay between all three zones to deliver a balanced, natural result.

Forehead Lines — Injection Technique and Units

For forehead botox, your doctor identifies the optimal injection points across the frontalis muscle, typically 4–8 points arranged in a horizontal pattern above the brow line. Dosing generally ranges from 10–20 units depending on muscle mass, forehead size, and gender (male patients often require higher doses due to greater muscle bulk). The injections are placed at a sufficient height above the brow to avoid excessive brow ptosis, and the dose is distributed evenly to maintain symmetrical movement.

Frown Lines — Injection Technique and Units

For frown lines treatment, the corrugator supercilii and procerus are targeted using 5–7 injection points in the glabellar region. Typical dosing ranges from 15–25 units for the combined area. Your doctor assesses the depth and pattern of your frown lines during active expression to determine the precise placement and dose that will smooth the '11 lines' while preserving some natural movement in the brow area.

Crow's Feet — Injection Technique and Units

For crow's feet treatment, 3–5 injection points are placed laterally around each eye, targeting the outer fibres of the orbicularis oculi. Typical dosing ranges from 8–16 units per side. The injections are superficial and placed at least 1 cm from the orbital rim to avoid affecting the deeper muscles responsible for eye closure. Your doctor assesses your smile pattern to ensure the treatment softens the lines without flattening the natural crinkle that gives a genuine smile its warmth.

Combined Upper Face Treatment

When all three areas are treated in a single session — which is common — the total procedure takes approximately 15–20 minutes. Your doctor plans the combined dosing strategy to ensure balance across the entire upper face. Ultra-fine needles are used throughout, and most patients describe only a brief, mild pinch at each injection point. No anaesthesia is required, though topical numbing cream is available.

If you have received forehead botox, frown line, or crow's feet treatment at another clinic and are unhappy with the outcome, PRP London Clinic offers a correction consultation. Common concerns we assess include an overly frozen or expressionless forehead, brow heaviness or ptosis from incorrect frontalis dosing, asymmetry between left and right sides, under-treatment with insufficient wrinkle reduction, 'Spock brow' (peaked lateral brow from uneven dosing), or compensatory lines appearing in untreated adjacent areas.

Our doctors assess each case individually to determine whether correction is achievable. In some instances, targeted supplementary treatment can address asymmetry or under-treatment. In cases of over-treatment or brow heaviness, the most appropriate course is usually to allow the existing treatment to wear off before retreating with a revised protocol. Your doctor will provide an honest assessment of what can realistically be achieved. A consultation fee applies regardless of whether correction is possible.

Forehead botox cost London at PRP London Clinic starts from £300. The final price depends on which upper face areas you are treating (forehead lines, frown lines, crow's feet, or a combination), the number of units required for your individual anatomy, and whether you are combining with adjacent areas such as a brow lift. A detailed, transparent quote is provided during your consultation with no hidden fees.

Many patients choose to treat all three upper face zones in a single session for a comprehensive, balanced result. Your doctor will discuss all options and associated costs during your assessment. Consultation fees are deducted from the treatment cost if you proceed on the same day.

The safety of botulinum toxin for upper face treatment is comprehensively documented in the clinical literature. A systematic review and meta-analysis published in the Aesthetic Surgery Journal (Zargaran et al., 2022), which analysed 24 studies covering 4,268 injection sessions specifically in the glabellar and forehead region, found an overall complication rate of 16% — with the vast majority of complications mild and transient. Headache was the most commonly reported adverse effect at 6.3%, followed by local skin reactions at 3.8%. Most side effects resolved without intervention within days.

A separate meta-analysis of 32 randomised controlled trials involving 9,669 patients (Gostimir et al., 2022) confirmed the overall acceptable safety profile of cosmetic botulinum toxin when administered by qualified practitioners, with injection site reactions occurring at similar rates to placebo.

The most significant technique-dependent risk for forehead botox is brow ptosis (heaviness) from over-treatment of the frontalis muscle, and for crow's feet treatment, temporary cheek puffiness if product affects the zygomaticus. These risks are minimised by precise injection placement, conservative dosing, and the expertise of a GMC-registered doctor. At PRP London Clinic, all upper face treatments are administered by qualified medical doctors with advanced aesthetic training.

First 24–48 Hours

• Remain upright for at least 4 hours after treatment
• Avoid touching, rubbing, or massaging the forehead, brow, and periorbital areas
• Do not apply makeup to injection sites for 12 hours
• Avoid strenuous exercise, saunas, steam rooms, and hot baths
• Do not wear tight headbands, hats, or heavy-framed eyeglasses that press on the forehead
• Limit alcohol consumption
• Sleep on your back if possible for the first night

First Two Weeks

• Results typically begin to appear within 3–5 days, with the full effect visible at 10–14 days
• Avoid dental procedures for 2 weeks
• Do not have facials or facial massages for 2 weeks
• Avoid prolonged bending or lying face-down
• Attend your scheduled two-week review appointment
• Contact the clinic immediately if you experience significant eyelid drooping, difficulty closing the eye, or any unusual symptoms

Your doctor will provide written aftercare instructions specific to the areas treated at the time of your appointment.

Your suitability for forehead botox, frown lines treatment, and crow's feet treatment is determined during your face-to-face medical consultation. The following conditions are contraindications:

• Neuromuscular disorders — myasthenia gravis, Lambert-Eaton syndrome, amyotrophic lateral sclerosis
• Pregnancy or breastfeeding — treatment is not administered during pregnancy or lactation
• Allergy or hypersensitivity — known allergy to botulinum toxin or any formulation excipients
• Active skin infection — any infection at the proposed injection site must be resolved first
• Bleeding disorders — including patients on anticoagulant therapy (discussed on a case-by-case basis)
• Certain medications — aminoglycoside antibiotics, muscle relaxants, or other medications that may interact with botulinum toxin
• Unrealistic expectations — patients expecting complete line eradication or permanent results may not be suitable candidates

If you are unsure whether any of these apply to you, your consulting doctor will review your full medical history and advise accordingly. All treatment decisions are made with patient safety as the primary consideration.

This page is intended for informational and educational purposes only. The content does not constitute medical advice, diagnosis, or a recommendation for any specific treatment. Certain treatments described involve prescription-only medicines that can only be prescribed by a qualified medical professional following a face-to-face assessment. Individual results vary, and outcomes cannot be guaranteed. All medical treatments carry risks, which will be discussed in full during your consultation. This content was last reviewed on 2 April 2026 by the medical team at PRP London Clinic.

PRP London Clinic is located at 33 Cavendish Square, London W1G 0PW, in the heart of Marylebone — one of London's most established medical districts. Our clinic is a short walk from Oxford Circus (Central, Victoria, and Bakerloo lines), Bond Street (Central and Jubilee lines), and Regent's Park (Bakerloo line). If you are searching for forehead botox London with GMC-registered doctors, convenient central access, and a consultation-led approach, PRP London Clinic provides specialist upper face treatment for forehead lines, frown lines, and crow's feet tailored to your individual anatomy.

Take the first step toward smoother, refreshed upper face skin. Book a consultation with one of our GMC-registered doctors at PRP London Clinic to receive a personalised assessment for forehead lines treatment London, frown lines treatment London, and crow's feet treatment London. Whether you are considering forehead botox for the first time, looking to treat all three upper face zones, or seeking a second opinion on a previous treatment, our medical team is here to help you make an informed decision.