It starts as a conversation
The first part is talking. What bothers you, what you want to preserve, how subtle or noticeable you hope a change will be, and what you have tried before. A photograph of yourself at another time is often more useful than a photograph of somebody else.
Be prepared to discuss medical conditions, allergies, medications and supplements, previous procedures and prior reactions, pregnancy or breastfeeding where relevant, and recent dental or skin issues.
Assessment and consent
Nada evaluates facial movement at rest and in expression, muscle strength and the balance between neighbouring muscles. She explains which product is being considered, whether the proposed use is on-label or off-label, the risks and the alternatives.
Consent is a discussion, not a signature at the end. Ask what follow-up is included and whom to contact afterwards if you are concerned.
The treatment itself
If treatment is appropriate, the appointment includes cleansing, mapping and a series of small injections. It is usually shorter than the conversation that preceded it.
You will be given instructions specific to the product used. Onset and duration vary, so follow that timeline rather than a general one.
Follow-up
A follow-up may be recommended to assess the result once it has developed. That is the point at which adjustments are considered — not day two.
Contact the practice promptly about unexpected symptoms, and seek urgent medical care for anything concerning.
Frequently asked questions
Will I be treated at my first appointment?
Possibly, but it is not assumed. First appointments are consultation-led, and treatment happens only if it is clinically appropriate and you have consented after a full discussion.
What should I bring?
An accurate list of medications and supplements, allergies, relevant medical conditions, details of any prior injectable treatments and any recent or planned dental work.
Educational notice: This page provides general information and is not medical advice. Treatment recommendations and eligibility require an individual consultation.