Anti-Wrinkle Treatments
Welcome to Dr Paul Elgey Aesthetics, your trusted destination in London for natural, tailored anti wrinkle injections.
Subtle refinement
Anti Wrinkle Treatments
Welcome to Dr Paul Elgey Aesthetics, your trusted destination in London for natural, tailored anti wrinkle injections.
If the lines on your forehead, between your brows, or around your eyes are starting to make you look more tired, stressed or older than you feel, you are not alone. Many people come to me wanting a softer, smoother look, but in a way that still feels like you.
At my Marylebone clinic, anti wrinkle injections are used to soften:
- Forehead lines
- Frown lines between the brows
- Crow’s feet around the eyes
The aim is enhancement, not transformation. Your expression stays yours.
Medical Doctor Led
Performed personally by Dr Paul, combining anatomical knowledge with aesthetic specialisation.
Natural Philosophy
Dr Paul prioritises expression retention and subtle results.
Safety First Protocol
Photographic records, emergency protocols, and staged treatments.
Aftercare & Follow Up
Dr Paul ensures results are optimal and addresses any concerns.
I was recommended to Dr Paul for Masseter treatment. Paul was absolutely fabulous. Completely reassuring and took me through each step. His aesthetic knowledge is incredible and by the fact that he is a Dr, reassured me even more. I totally love my results.
Read on Google
I had a great experience with Paul for lip filler and Sunekos injections. He is attentive, friendly, and very knowledgeable. He took the time to understand my facial structure, how it moved to ensure a nice balanced and natural look. Also appreciate that he isn’t afraid to say no to more treatments so that things don’t look overdone. Will always be happy to recommend!
Read on Google
I went to Dr Elgey and had 4 mls of dermal filler which he strategically placed in the temples, cheeks and chin and I am honestly blown away by the results. It’s a real game changer! I went in feeling super nervous but Dr Elgey is so knowledgeable, professional and warm - I quickly felt at ease. We spoke at length about my concerns and then he advised me on where the filler should be placed to get the best results. I had absolutely no bruising afterwards and swelling was minimal. The result is so natural but I look so much younger and fresher. I honestly wish I had done it sooner.
Read on Google
Paul is fantastic. He uses his experience to understand what you’re looking for and advise on what may work, he does not push or upsell any treatments and he has a real creativity and specialises in achieving a natural result. I trust his knowledge and skills, and his ethics.
Read on Google
I have had my lip filler done a few times with Paul and they are perfect every time. A natural and full look that I get so many compliments on. Always a lush experience, I highly recommend!
Read on Google
I have been seeing Dr. Paul for over 3/4 years for a combination of treatments and I couldn’t be happier with the results. His professionalism and meticulous attention to detail are second to none — he truly is a perfectionist in his work. He always takes the time to listen, explain the procedure, and ensure I feel comfortable. I highly recommend Dr. Paul to anyone considering aesthetic treatments — his ability to deliver natural enhancements is truly outstanding.
Read on Google
I had a consultation and UltraClear treatment with Dr Paul for acne scarring with other skin concerns and my experience has been excellent from start to finish. After speaking with several practitioners, what stood out most was Dr Paul’s honesty and knowledge. I never felt pressured into treatment, and he took the time to explain the reasoning behind his recommendations. Throughout the process, he has been incredibly responsive and supportive, answering all of my questions before and after treatment. He also prepared a personalised pre-treatment skincare cream which made me feel very well looked after. The recovery has also gone smoothly thanks to the clear aftercare instructions and Dr Paul’s ongoing support.
Read on Google
Just had a second polynucleotides treatment under the care of Dr Paul. He took time to explain the treatment, downtime and recovery periods. All of this was done within a friendly engaging environment where he encouraged questions. I'm super happy with the results and the professionalism of how Dr Paul consulted me, especially as I had initially wanted tear trough injections but after review advised on a different course, of polynucleotides. Certainly will be back, and can't recommend enough.
Read on Google
The treatment
What are anti-wrinkle injections?
Anti-wrinkle injections work by temporarily relaxing specific facial muscles. By reducing the repetitive contraction that creates them, dynamic lines such as frown lines, forehead creases and crow's feet soften and become less visible. The injections act not by filling but by gently modulating muscle movement, so over time the surrounding skin benefits from reduced stress and a smoother appearance.
The aim is a softer, more rested look that still feels like you. Results begin to show within three to seven days, with the full effect developing over around ten to fourteen days.
Indications and applications
What Can Anti Wrinkle Injections Treat?
Anti wrinkle injections are particularly effective for:
Soften forehead lines
Relaxing the muscles that lift the brow eases the horizontal lines across the forehead, for a smoother, more rested look.
Smooth frown lines
The vertical lines between the brows soften as the muscles that draw them together are relaxed, so you look less tired or stern.
Reduce crow's feet
The fine lines that fan out around the eyes are softened while natural movement and expression are preserved.
Ease jaw clenching and teeth grinding
Treating the masseter, the large chewing muscle, can reduce clenching and grinding (bruxism), with gradual slimming of a bulky or square jawline.
Treat excessive sweating
Injected into the underarms, palms or soles, treatment can reduce excessive sweating (hyperhidrosis) for several months.
Preserve your natural expression
Each area is assessed and dosed conservatively so movement stays natural, never frozen or artificial.
What to expect during and after your session
- Treatment time10 to 20 minutes
- NumbingAvailable on request
- Softening from3 to 7 days
- Results last3 to 6 months
- DowntimeNo significant downtime
- ReviewOptional, at 2 weeks
- Compatible withDermal filler
Treatment explained
What Are Anti Wrinkle Neurotoxin Injections?
Anti wrinkle injections work by temporarily relaxing specific facial muscles.
By reducing repetitive contraction, dynamic lines like frown lines, forehead creases, and crow’s feet soften and become less visible. These injections act not by filling, but by modulating muscle movement. Over time, the surrounding skin benefits from reduced stress and improved appearance.
Results begin to show in 3 to 7 days, with full effects around 10 to 14 days.
What can be treated?
Relaxing specific facial muscles softens dynamic lines; the same prescription approach also treats jaw clenching and excessive sweating.
- Forehead & frown lines
- Crow's feet
- Jaw clenching & teeth grinding
- Excessive sweating
Treatment areas
Upper face
Lower face & jaw
Excessive sweating
Technique and safety
How I deliver anti wrinkle injections
Our philosophy is simple: enhancement, not transformation. We take time to listen, assess your facial anatomy and how your muscles move, and create a plan that respects your expression and personality, because wrinkle-relaxing treatments look their best when used thoughtfully, never frozen or artificial.
- Performed personally by Dr Paul Elgey, a medical doctor, combining anatomical knowledge with aesthetic training
- A natural philosophy that prioritises expression retention and subtle results
- A safety-first approach with photographic records, emergency protocols and staged treatments
- First-time patients are started on lower doses, with a little more added at the two-week review if needed
- Aftercare and follow up to make sure results are optimal and any concerns are addressed
My approach
A Considered, Natural Approach
My philosophy is simple: enhancement, not transformation.
I take time to listen, assess your facial anatomy and skin behaviour, and create a treatment plan that respects your expression and personality. Wrinkle relaxing treatments can look beautiful when used thoughtfully, not frozen or artificial.
Your consultation
What to Expect from Your Visit
In your initial consultation, we will discuss your concerns, expectations, and medical history.
I will explain how treatment works to relax specific muscle groups gently, reducing dynamic wrinkles while preserving your ability to express. Many patients begin to see subtle improvement within days, with full effect around two weeks. Results typically last several months, but each person is unique, and follow up sessions are adjusted accordingly.
At my London clinic, I welcome patients from Marylebone, Harley Street, Mayfair, and beyond. Whether you are taking your first step into aesthetics or have experience, my goal is to ensure you feel informed, respected, safe and confident throughout your journey.
Results and planning
Longevity, Maintenance & When to Start
Results typically last 3 to 6 months, depending on factors like muscle strength, metabolism, and lifestyle.
There is no single right age to start. The better question is whether a line is still dynamic, appearing only on movement, or whether it has become static and etched into the skin at rest. Treating while lines are still dynamic is what keeps them from setting.
Maintenance is planned around your own pattern rather than a fixed calendar, and treatment is staged so we can adjust as we learn how your muscles respond.
Pricing
Anti Wrinkle Treatment Pricing
Pricing depends on:
- The number of areas treated
- How your muscles respond, which is assessed at your two-week review
- Whether treatment is part of a wider plan
These are prescription-only medicines, so treatment can only follow a consultation and assessment. You are quoted then, before anything is booked.
Dr Paul’s approach
Why Choose Dr Paul Elgey?
Anti-wrinkle treatment is the one where patients most fear looking frozen. Avoiding that is about dosing and muscle selection, and about treating conservatively first and reviewing.
With over 20 years of medical practice and advanced aesthetic training, my focus is:
- Safety
- Precision
- Natural outcomes
- Long-term skin health
I would rather under-treat and top up at your two-week review than take away an expression you wanted to keep.
Book a Consultation
A doctor-led consultation focused on natural, balanced results. Share your goals and concerns and we will guide you through the most appropriate treatment plan.
Anti Wrinkle Injections FAQs
If you are curious about the treatment, the timeline, or what to expect afterwards, the answers to common questions are below. These are prescription-only medicines, so treatment always follows a consultation.
How quickly will I see results?
Initial softening often appears in 3–7 days, with full effect by around day 10–14.
How long do the effects last?
Generally 3 to 6 months, depending on lifestyle, frequency of injections and dose.
Does it hurt?
Most patients report mild discomfort. We use micro-fine needles and can apply numbing cream if needed.
Can I combine anti wrinkle procedures with filler or other treatments?
Absolutely. Many patients combine anti-wrinkle injections with fillers, skin boosters, lasers or threads in a holistic plan.
Is there downtime?
No significant downtime. Avoid strenuous exercise, alcohol, and lying flat for 4–6 hours post-treatment.
Who is not a candidate?
Pregnant or breastfeeding women, individuals with neuromuscular disorders, or those with hypersensitivity to ingredients. Full medical review ensures safety.
Can results be reversed?
Neurotoxin effects wear naturally with time. There’s no “antidote” in aesthetic doses, but function returns gradually.
Will I lose facial expression?
When done conservatively, movements remain natural. Our approach always aims to preserve your individual expressions.
Are anti-wrinkle injections safe?
Yes, in experienced hands. We follow strict protocols, use approved products, and have emergency protocols in place.
Are there any risks or side effects?
When performed by a qualified medical professional, anti-wrinkle injections have a strong safety profile. Common / mild side effects: Redness or tiny pinprick marks Mild bruising Temporary swelling Minor headaches (rare) Less common / avoidable risks: Drooping eyebrows or eyelids (ptosis) Asymmetry Over-relaxation: unnatural smoothness (should be avoided) In rare cases, diffusion to adjacent muscles causing mild weakness Contraindications include: Pregnancy or breastfeeding Neuromuscular conditions (e.g. myasthenia gravis) Known allergy to neurotoxin components Active infection at injection site Your consultation will include a complete medical review and informed consent process.
Written and medically reviewed byDr Paul Elgey, Aesthetic Doctor & GP: MBBS MRCGP · MHRA (Medicines and Healthcare products Regulatory Agency): the medicine used is a prescription-only medicine administered by a GMC-registered prescriber.
Related Treatments
Get Started
Ready to begin?
Book today.
Dr Paul Elgey Aesthetics • UNTIL Marylebone, 1 Orchard Street, London W1H 6HJ
BookAppointments typically available within 1–2 weeks